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A Four-Week, Task-Specific Neuroprosthesis Program for a Person With No Active Wrist or Finger Movement Because of Chronic Stroke

K Dunning, PT, PhD, is Assistant Professor, Department of Rehabilitation Sciences, College of Allied Health Sciences, University of Cincinnati Academic Medical Center, 3202 Eden Ave, Cincinnati, OH 45220-0394 (USA), and Director of Clinical Research, Drake Center, Cincinnati, Ohio
A Berberich, BS, is a graduate student in the Health Promotion and Education Program, College of Education, Criminal Justice, and Human Services, University of Cincinnati, Cincinnati, Ohio. She was an undergraduate health science student in the Department of Rehabilitation Sciences, College of Allied Health Sciences, University of Cincinnati Academic Medical Center at the time of this research
B Albers, BS, is a Doctor of Physical Therapy student in the Department of Rehabilitation Sciences, University of Cincinnati. She was an undergraduate health science student in the Department of Rehabilitation Sciences, College of Allied Health Sciences, University of Cincinnati Academic Medical Center at the time of this research
K Mortellite, BS, is a Doctor of Physical Therapy student in the Doctor of Physical Therapy Division, Department of Family and Community Medicine, School of Medicine, Duke University, Durham, NC. She was an undergraduate health science student in the Department of Rehabilitation Sciences, College of Allied Health Sciences, University of Cincinnati Academic Medical Center at the time of this research
PG Levine, PTA, BA, is Principal Research Assistant, Department of Rehabilitation Sciences, College of Allied Health Sciences, University of Cincinnati Academic Medical Center, and Co-Director, Neuromotor Recovery and Rehabilitation Laboratory, Drake Center
VA Hill Hermann, OT, MS, is Research Occupational Therapist, Neuromotor Recovery and Rehabilitation Laboratory, Drake Center
SJ Page, PhD, is Associate Professor of Rehabilitation Sciences, Physical Medicine and Rehabilitation, and Neurosciences, University of Cincinnati Academic Medical Center, and Director, Neuromotor Recovery and Rehabilitation Laboratory, Drake Center

Address all correspondence to Dr Dunning at: kari.dunning{at}uc.edu

Background and Purpose: This case report describes a task-specific training protocol incorporating functional electrical stimulation for a person who had chronic stroke and who initially exhibited no active wrist or finger movement.

Case Description: A 63-year-old man with hemiparesis caused by an ischemic stroke 7 years before the intervention described here received task-specific training incorporating an electrical stimulation neuroprosthesis 3 hours per day, 5 days per week, for 4 weeks. Testing was conducted before and after the intervention and again 6 weeks later with stroke-specific outcome measures.

Outcomes: Increases in function and quality of life were observed after the intervention.

Discussion: An intervention incorporating task-specific training with functional electrical stimulation appears to have increased function and quality of life in a person with chronic stroke. This type of intervention might provide a pathway by which people with similar impairments would become eligible for more advanced treatment regimens, such as modified constraint-induced therapy.

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This article has been cited by other articles:

				S. J. Page, S. M. Harnish, M. Lamy, J. C. Eliassen, and J. P. Szaflarski Affected Arm Use and Cortical Change in Stroke Patients Exhibiting Minimal Hand Movement Neurorehabil Neural Repair, February 1, 2010; 24(2): 195 - 203. [Abstract] [PDF]

				D. Broetz, S. R Soekadar, and N. Birbaumer On "A four-week, task-specific neuroprosthesis program..." Dunning K, et al. Phys Ther. 2008;88:397-405. Physical Therapy, August 1, 2008; 88(8): 970 - 970. [Full Text] [PDF]