Improving arm function in chronic stroke

A pilot study of sensory amplitude electrical stimulation via glove electrode during task-specific training

Jane E Sullivan*, Madeline Girardi, Melissa Hensley, Jordan Rohaus, Clay Schewe, Colby Whittey, Piper Hansen, Kimberly Muir

*Corresponding author for this work

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective: To investigate the effects of sensory amplitude electrical stimulation (SES) delivered by glove electrode during task-specific exercise on arm movement, function, and sensation in chronic stroke. Methods: The design was an intervention pilot study, pre-test, post-test, follow-up design. The settings used were a university research laboratory and home-based intervention. Participants comprised of 11 individuals with chronic stroke (7.2+4.1 years post onset) and moderate arm paresis, 10.82/20+2.27 on the Stroke Rehabilitation Assessment of Movement (STREAM) - Arm Subscale. Participants were seven males and four females (mean age: 59 years). Participants were recruited from university-based database. Intervention- Participants engaged in task-specific training at home for 30 min, twice daily, for 5 weeks, while receiving SES via glove electrode. Participants received supervised task practice at least twice during intervention period for 1 hour. Main outcome measures- Jebsen-Taylor Hand Function Test (JTHFT), STREAM - Arm Subscale, Motor Activity Log-14 (MAL-14) - Amount and Quality Subscales, and Nottingham Stereognosis Assessment (NSA). Results: Significant changes were found in group mean pre- and post-test comparisons on the NSA (P=0.042), MAL amount subscale (P=0.047), and JTHFT (with writing item 29 excluded) (P=0.003) and in pre-test to follow-up comparisons on NSA (P=0.027) and JTHFT (writing item excluded) (P=0.009). There was no significant change on the STREAM (P51.0). Individuals with a greater baseline motor capacity determined by STREAM scores (P=0.048) and more recent stroke (P=0.014) had significantly greater improvements. Conclusion: Combining task-specific training with glove-based SES in chronic stroke resulted in changes in arm sensation and function that were maintained at 3-month follow-up.

Original languageEnglish (US)
Pages (from-to)169-175
Number of pages7
JournalTopics in Stroke Rehabilitation
Volume22
Issue number3
DOIs
StatePublished - Jun 1 2015

Fingerprint

Stereognosis
Electric Stimulation
Electrodes
Arm
Stroke
Hand
Kinesthesis
Paresis
Motor Activity
Outcome Assessment (Health Care)
Databases
Stroke Rehabilitation
Research

Keywords

  • Arm
  • Electrical stimulation
  • Stroke

ASJC Scopus subject areas

  • Rehabilitation
  • Community and Home Care
  • Clinical Neurology

Cite this

Sullivan, Jane E ; Girardi, Madeline ; Hensley, Melissa ; Rohaus, Jordan ; Schewe, Clay ; Whittey, Colby ; Hansen, Piper ; Muir, Kimberly. / Improving arm function in chronic stroke : A pilot study of sensory amplitude electrical stimulation via glove electrode during task-specific training. In: Topics in Stroke Rehabilitation. 2015 ; Vol. 22, No. 3. pp. 169-175.
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abstract = "Objective: To investigate the effects of sensory amplitude electrical stimulation (SES) delivered by glove electrode during task-specific exercise on arm movement, function, and sensation in chronic stroke. Methods: The design was an intervention pilot study, pre-test, post-test, follow-up design. The settings used were a university research laboratory and home-based intervention. Participants comprised of 11 individuals with chronic stroke (7.2+4.1 years post onset) and moderate arm paresis, 10.82/20+2.27 on the Stroke Rehabilitation Assessment of Movement (STREAM) - Arm Subscale. Participants were seven males and four females (mean age: 59 years). Participants were recruited from university-based database. Intervention- Participants engaged in task-specific training at home for 30 min, twice daily, for 5 weeks, while receiving SES via glove electrode. Participants received supervised task practice at least twice during intervention period for 1 hour. Main outcome measures- Jebsen-Taylor Hand Function Test (JTHFT), STREAM - Arm Subscale, Motor Activity Log-14 (MAL-14) - Amount and Quality Subscales, and Nottingham Stereognosis Assessment (NSA). Results: Significant changes were found in group mean pre- and post-test comparisons on the NSA (P=0.042), MAL amount subscale (P=0.047), and JTHFT (with writing item 29 excluded) (P=0.003) and in pre-test to follow-up comparisons on NSA (P=0.027) and JTHFT (writing item excluded) (P=0.009). There was no significant change on the STREAM (P51.0). Individuals with a greater baseline motor capacity determined by STREAM scores (P=0.048) and more recent stroke (P=0.014) had significantly greater improvements. Conclusion: Combining task-specific training with glove-based SES in chronic stroke resulted in changes in arm sensation and function that were maintained at 3-month follow-up.",
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Improving arm function in chronic stroke : A pilot study of sensory amplitude electrical stimulation via glove electrode during task-specific training. / Sullivan, Jane E; Girardi, Madeline; Hensley, Melissa; Rohaus, Jordan; Schewe, Clay; Whittey, Colby; Hansen, Piper; Muir, Kimberly.

In: Topics in Stroke Rehabilitation, Vol. 22, No. 3, 01.06.2015, p. 169-175.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Improving arm function in chronic stroke

T2 - A pilot study of sensory amplitude electrical stimulation via glove electrode during task-specific training

AU - Sullivan, Jane E

AU - Girardi, Madeline

AU - Hensley, Melissa

AU - Rohaus, Jordan

AU - Schewe, Clay

AU - Whittey, Colby

AU - Hansen, Piper

AU - Muir, Kimberly

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N2 - Objective: To investigate the effects of sensory amplitude electrical stimulation (SES) delivered by glove electrode during task-specific exercise on arm movement, function, and sensation in chronic stroke. Methods: The design was an intervention pilot study, pre-test, post-test, follow-up design. The settings used were a university research laboratory and home-based intervention. Participants comprised of 11 individuals with chronic stroke (7.2+4.1 years post onset) and moderate arm paresis, 10.82/20+2.27 on the Stroke Rehabilitation Assessment of Movement (STREAM) - Arm Subscale. Participants were seven males and four females (mean age: 59 years). Participants were recruited from university-based database. Intervention- Participants engaged in task-specific training at home for 30 min, twice daily, for 5 weeks, while receiving SES via glove electrode. Participants received supervised task practice at least twice during intervention period for 1 hour. Main outcome measures- Jebsen-Taylor Hand Function Test (JTHFT), STREAM - Arm Subscale, Motor Activity Log-14 (MAL-14) - Amount and Quality Subscales, and Nottingham Stereognosis Assessment (NSA). Results: Significant changes were found in group mean pre- and post-test comparisons on the NSA (P=0.042), MAL amount subscale (P=0.047), and JTHFT (with writing item 29 excluded) (P=0.003) and in pre-test to follow-up comparisons on NSA (P=0.027) and JTHFT (writing item excluded) (P=0.009). There was no significant change on the STREAM (P51.0). Individuals with a greater baseline motor capacity determined by STREAM scores (P=0.048) and more recent stroke (P=0.014) had significantly greater improvements. Conclusion: Combining task-specific training with glove-based SES in chronic stroke resulted in changes in arm sensation and function that were maintained at 3-month follow-up.

AB - Objective: To investigate the effects of sensory amplitude electrical stimulation (SES) delivered by glove electrode during task-specific exercise on arm movement, function, and sensation in chronic stroke. Methods: The design was an intervention pilot study, pre-test, post-test, follow-up design. The settings used were a university research laboratory and home-based intervention. Participants comprised of 11 individuals with chronic stroke (7.2+4.1 years post onset) and moderate arm paresis, 10.82/20+2.27 on the Stroke Rehabilitation Assessment of Movement (STREAM) - Arm Subscale. Participants were seven males and four females (mean age: 59 years). Participants were recruited from university-based database. Intervention- Participants engaged in task-specific training at home for 30 min, twice daily, for 5 weeks, while receiving SES via glove electrode. Participants received supervised task practice at least twice during intervention period for 1 hour. Main outcome measures- Jebsen-Taylor Hand Function Test (JTHFT), STREAM - Arm Subscale, Motor Activity Log-14 (MAL-14) - Amount and Quality Subscales, and Nottingham Stereognosis Assessment (NSA). Results: Significant changes were found in group mean pre- and post-test comparisons on the NSA (P=0.042), MAL amount subscale (P=0.047), and JTHFT (with writing item 29 excluded) (P=0.003) and in pre-test to follow-up comparisons on NSA (P=0.027) and JTHFT (writing item excluded) (P=0.009). There was no significant change on the STREAM (P51.0). Individuals with a greater baseline motor capacity determined by STREAM scores (P=0.048) and more recent stroke (P=0.014) had significantly greater improvements. Conclusion: Combining task-specific training with glove-based SES in chronic stroke resulted in changes in arm sensation and function that were maintained at 3-month follow-up.

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