578 results match your criteria Shoulder and Hemiplegia


Effectiveness of kinesiology taping on the functions of upper limbs in patients with stroke: a meta-analysis of randomized trial.

Neurol Sci 2022 Jul 26;43(7):4145-4156. Epub 2022 Mar 26.

Department of Rehabilitation Medicine, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China.

Background: Kinesiology tape (KT), a water-resistant and elastic tape which is well known measure for preventing musculoskeletal injuries, has recently gained popularity in neurological rehabilitation. This is a systematic and meta-analysis study, useful both to evaluate the efficacy of kinesiology taping on the functions of upper limbs in patients with stroke and to collect the main outcomes evaluated in the analyzed studies.

Methods: A comprehensive literature search of electronic databases including Medline, Web of science, Embase, Cochrane Central Register of Controlled Trials, Physiotherapy Evidence Database (PEDro), WANFANG, and the China National Knowledge Infrastructure (CNKI). Read More

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Robot-Assisted Training as Self-Training for Upper-Limb Hemiplegia in Chronic Stroke: A Randomized Controlled Trial.

Stroke 2022 Mar 29:101161STROKEAHA121037260. Epub 2022 Mar 29.

Department of Rehabilitation Medicine, Hyogo College of Medicine (Y.U., K.D.).

Background: This study aimed to examine whether robotic self-training improved upper-extremity function versus conventional self-training in mild-to-moderate hemiplegic chronic stroke patients.

Methods: Study design was a multi-center, prospective, randomized, parallel-group study comparing three therapist-guided interventions (1-hour sessions, 3×/wk, 10 weeks). We identified 161 prospective patients with chronic, poststroke, upper-limb hemiplegia treated at participating rehabilitation centers. Read More

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[Connotation of Baimai disease and analysis of compatibility and usage of Baimai Ointment: based on Tibetan medicine theory].

Zhongguo Zhong Yao Za Zhi 2022 Mar;47(5):1409-1414

School of Traditional Chinese Medicine, Beijing University of Chinese Medicine Beijing 100029, China Minority Institute of Medicine, Beijing University of Chinese Medicine Beijing 100029, China.

Baimai is a complex of structure and function with the characteristics of wide distribution, complex structure, and multi-dimensional functions. Baimai, consisting of the channels in brain, the internal hidden channels connecting the viscera, and the external channels linking the limbs, governs the sensory, motor, and information transmission functions of human. According to Tibetan medicine, Baimai functions via "Long"(Qi) which moves in Baimai. Read More

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Kinect v2-Assisted Semi-Automated Method to Assess Upper Limb Motor Performance in Children.

Sensors (Basel) 2022 Mar 15;22(6). Epub 2022 Mar 15.

Mechatronics Engineering Department, National Technology of Mexico in Celaya, Celaya 38010, Mexico.

The interruption of rehabilitation activities caused by the COVID-19 lockdown has significant health negative consequences for the population with physical disabilities. Thus, measuring the range of motion (ROM) using remotely taken photographs, which are then sent to specialists for formal assessment, has been recommended. Currently, low-cost Kinect motion capture sensors with a natural user interface are the most feasible implementations for upper limb motion analysis. Read More

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Passive mobilisation of the shoulder in subacute stroke patients with persistent arm paresis: A randomised multiple treatment trial.

S Afr J Physiother 2022 21;78(1):1589. Epub 2022 Feb 21.

Department of Rehabilitation Sciences, Faculty of Medicine and Health, Ghent University, Ghent, Belgium.

Background: Performing a careful but effective mobilisation of the hemiplegic shoulder is essential for optimal muscle activation and to preserve the passive range of motion (PROM) needed to perform functional tasks. Studies concerning passive mobilisation of the post-stroke shoulder are scarce.

Objectives: A randomised multiple treatment trial was conducted to compare the effects of different mobilisation techniques on shoulder PROM. Read More

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February 2022

Hybrid Assistive Limb Intervention for Hemiplegic Shoulder Dysfunction Due to Stroke.

Cureus 2021 Nov 23;13(11):e19827. Epub 2021 Nov 23.

Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, JPN.

Upper limb dysfunction after stroke is one of the most serious functional disorders, and adequate functional recovery is often not expected. Although various studies have been conducted on effective rehabilitation for upper limb dysfunction, active rehabilitation such as repetitive training of upper limb elevation has not been sufficiently conducted yet because the shoulder joint is highly unstable and the appearance of pain is easily observed. In this study, we performed right shoulder joint elevation training in a seated position using a single-joint hybrid assistive limb (HAL) in a 54-year-old female with right hemiplegia after a stroke. Read More

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November 2021

Effect of Electroacupuncture on Shoulder Subluxation in Poststroke Patients with Hemiplegic Shoulder Pain: A Sham-Controlled Study Using Multidimensional Musculoskeletal Ultrasound Assessment.

Pain Res Manag 2021;2021:5329881. Epub 2021 Nov 19.

CAS Key Laboratory of Human-Machine Intelligence-Synergy Systems, Shenzhen Institute of Advanced Technology (SIAT), Chinese Academy of Sciences (CAS) and the SIAT Branch, Shenzhen Institute of Artificial Intelligence and Robotics for Society, Shenzhen 518055, China.

Objective: This study aimed to use multidimensional musculoskeletal ultrasound imaging technique to investigate the effect of electroacupuncture (EA) on shoulder subluxation in poststroke patients with hemiplegic shoulder pain.

Methods: In this prospective single-blind, randomized, sham-controlled study, thirty-four patients with shoulder subluxation and hemiplegic shoulder pain were recruited and randomly assigned into the EA group or the sham EA (SEA) group. In the EA group, EA was applied to the Jian yu (LI15), Bi nao (LI14), Jian zhen (SI9), and Jian liao (TE14) acupoints. Read More

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January 2022

Physique, range of motion, and gross muscle strength in hemiplegic para swimmers: a cross-sectional case series.

J Phys Ther Sci 2021 Nov 9;33(11):832-837. Epub 2021 Nov 9.

Department of Orthopedic Surgery, Gifu University Graduate School of Medicine, Japan.

[Purpose] The physical functions related to swimming should be evaluated to enhance competitive performance and prevent sports injuries. This study aimed to determine the physique, range of motion, and gross muscle strength of the limbs among hemiplegic para swimmers. [Participants and Methods] Three male para swimmers with hemiplegia and five male para swimmers with impaired vision were included in the study. Read More

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November 2021

Primary pyomyositis in an infant following one-day afebrile upper limb monoplegia.

J Med Invest 2021 ;68(3.4):372-375

Department of Pediatrics, Ishinomaki Red Cross Hospital, Ishinomaki, Miyagi, Japan.

Background : Pyomyositis is a subacute bacterial infection of the skeletal muscles. Its most common features are fever, muscle swelling, and focal pain. There have been insufficient data regarding pyomyositis in healthy infants. Read More

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November 2021

Comparison of the effectiveness of pulsed radiofrequency of the suprascapular nerve and intra-articular corticosteroid injection for hemiplegic shoulder pain management.

J Integr Neurosci 2021 Sep;20(3):687-693

Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, 705-717 Daegu, Republic of Korea.

Many patients complain of hemiplegic shoulder pain following stroke. Here, the effectiveness of pulsed radiofrequency stimulation of the suprascapular nerve is compared with intra-articular corticosteroid injection for chronic hemiplegic shoulder pain following stroke. This single-center, prospective, randomized controlled study included 20 patients with hemiplegic shoulder pain after stroke, randomly assigned to the pulsed radiofrequency and intra-articular corticosteroid injection treatment groups ( = 10 in each). Read More

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September 2021

[Superiority of motor imagery acupuncture in improving muscle tension for patients with upper limb hemiplegia of stroke in early stage].

Zhongguo Zhen Jiu 2021 Oct;41(10):1069-73

Department of Acupuncture and Moxibustion, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of TCM.

Objective: To verify the superiority of motor imagery acupuncture in improving muscle tension for patients with upper limb hemiplegia in early stroke.

Methods: A total of 64 patients of stroke hemiplegia with upper limb flaccid paralysis were randomly divided into an observation group (32 cases, 1 case dropped off ) and a control group (32 cases, 4 cases dropped off ). The observation group was treated with motor imagery acupuncture (both acupuncture and motor imagery therapy at affected upper limb were performed). Read More

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October 2021

[Spectrum and indications of acupuncture and moxibustion therapy based on bibliometric analysis].

Zhongguo Zhen Jiu 2021 Sep;41(9):1055-9

Shanghai Research Institute of Acupuncture and Meridian, Shanghai 200030, China.

Objective: To analyze the literature of acupuncture and moxibustion for diseases in the recent 5 years, and discuss the spectrum and indications of acupuncture and moxibustion.

Methods: The literature on acupuncture and moxibustion for diseases in CNKI, Wanfang and VIP databases from January 1, 2015 to December 31, 2019 was searched, summarized and analyzed, and the disease spectrum was summarized. At the same time, the literature from 2015 to 2019 (group A), 1978 to 2005 (group B), and 1949 to 2005 (group C) was compared, and the indications of acupuncture and moxibustion therapy were summarized. Read More

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September 2021

The effects of additional electrical stimulation combined with repetitive transcranial magnetic stimulation and motor imagery on upper extremity motor recovery in the subacute period after stroke: A preliminary study.

Medicine (Baltimore) 2021 Sep;100(35):e27170

Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Background: To evaluate the therapeutic effects of additional electrical stimulation (ES) combined with low frequency (LF)-repetitive transcranial magnetic stimulation (rTMS) and motor imagery (MI) training on upper extremity (UE) motor function following stroke.

Methods: The participants with subacute stroke in the experimental group (n = 8) received LF rTMS + MI + active ES interventions, and those in control group (n = 9) received LF rTMS + MI + sham ES interventions. Interventions were performed 5 days a week for 2 weeks, for a total of 10 sessions. Read More

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September 2021

Ultrasound-Guided BoNT-A (Botulinum Toxin A) Injection Into the Subscapularis for Hemiplegic Shoulder Pain: A Randomized, Double-Blind, Placebo-Controlled Trial.

Authors:
Botao Tan Lang Jia

Stroke 2021 12 2;52(12):3759-3767. Epub 2021 Sep 2.

Department of Rehabilitation Medicine, Second Affiliated Hospital of Chongqing Medical University, China.

Background And Purpose: This study aimed to assess the efficacy of an ultrasound-guided lateral approach for BoNT-A (botulinum toxin A) injections into the subscapularis in patients with hemiplegic shoulder pain.

Methods: This single-center trial used a randomized, double-blind, placebo-controlled design. The key inclusion criteria were a visual analogue scale score of ≥4 cm and a modified Ashworth scale score of ≥1+. Read More

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December 2021

Between Limb Muscle Co-activation Patterns in the Paretic Arm During Non-paretic Arm Tasks in Hemiparetic Cerebral Palsy.

Front Neurosci 2021 29;15:666697. Epub 2021 Jul 29.

Department of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, IL, United States.

Tasks of daily life require the independent use of the arms and hands. Individuals with hemiparetic cerebral palsy (HCP) often experience difficulty with fine motor tasks demonstrating mirrored movements between the arms. In this study, bilateral muscle activations were quantified during single arm isometric maximum efforts and submaximal reaching tasks. Read More

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Efficacy of suprascapular nerve blocks for management of hemiplegic shoulder pain: a systematic review and meta-analysis.

Eur Rev Med Pharmacol Sci 2021 Jul;25(14):4702-4713

Department of Rehabilitation, Hwa Mei Hospital, University of Chinese Academy of Sciences; Ningbo Institute of Life and Health Industry, University of Chinese Academy of Sciences, Ningbo, Zhejiang Province, China.

Objective: To compare the efficacy of suprascapular nerve block (SSNB) with other treatment modalities for management of HSP in terms of relieving pain and improving range of motion of shoulder joints.

Materials And Methods: An electronic search was carried out in PubMed, CENTRAL, SCOPUS and EMBASE databases using a series of relevant keywords, along with a manual search. Randomized clinical trials comparing the efficacy of SSNB with placebo injections, intra-articular injections (IAI), ultrasound and Pulsed RF were identified. Read More

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Stratified management of hemiplegic shoulder pain using an integrated care pathway: an 18-year clinical cohort analysis.

Disabil Rehabil 2021 Jul 26:1-10. Epub 2021 Jul 26.

Regional Hyper-Acute Rehabilitation Unit, Northwick Park Hospital, London North West University Healthcare NHS Trust, London, UK.

Purpose: Hemiplegic shoulder pain (HSP) is a common but heterogeneous complication of acquired brain injury. Integrated care pathways (ICPs) can support clinical decision-making, prompting timely intervention to improve quality of care. This 18-year cohort analysis of clinical data presents outcomes from an ICP for management of HSP in an inpatient rehabilitation unit. Read More

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[Tapping at acupoints along meridian combined with thunder-fire moxibustion for upper-limb hemiplegia after stroke].

Zhongguo Zhen Jiu 2021 Jul;41(7):717-20

Second Affiliated Hospital of Fujian University of TCM, Fuzhou 350001, China.

Objective: To observe the effect of tapping at acupoints along meridian combined with thunder-fire moxibustion on upper-limb muscle strength and activities of daily living in patients with upper-limb hemiplegia after stroke.

Methods: A total of 140 patients with upper-limb hemiplegia after stroke were randomly divided into a combination group (35 cases, 2 cases dropped off), an acupoint-tapping group (35 cases), a moxibustion group (35 cases, 2 cases dropped off) and a routine group (35 cases). The patients in the routine group were only treated with routine treatment and nursing. Read More

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Improvement of Acupuncture Based on Smart Medical Care for Post-Stroke Hemiplegic Shoulder Pain and Upper Limb Motor Function.

J Healthc Eng 2021 19;2021:9940645. Epub 2021 Jun 19.

K. W. Maternal and Child Health Hospital, Weifang 261041, Shandong, China.

As a new stage in the development of medicine and health, smart medicine has attracted attention from all parties in recent years. Especially, under the impetus of the Internet, due to the development of new technologies, smart medical care has made considerable progress, and it has also brought us new challenges. The concept, hypothesis, and design of intelligent medical care are analyzed, and the design objects and design principles of intelligent medical care are highlighted. Read More

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Virtual reality applied to home-visit rehabilitation for hemiplegic shoulder pain in a stroke patient: a case report.

J Rural Med 2021 Jul 1;16(3):174-178. Epub 2021 Jul 1.

Department of Molecular Pathobiology, Graduate School of Medicine, Mie University, Japan.

Virtual reality (VR) has been shown to facilitate rehabilitation at hospitals by distracting patients' attention from pain and by providing a virtual environment favorable for motivating the patients to continue rehabilitation. However, the application of VR in a home-visit rehabilitation remains to be validated. Here, we report a case in which home-visit rehabilitation using immersive VR was effective for post-stroke hemiplegic shoulder pain. Read More

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Acupuncture for patients recovering from lacunar infarction: A protocol for systematic review and meta-analysis.

Medicine (Baltimore) 2021 Jun;100(25):e26413

Department of Rehabilitation Medicine, The Second Hospital of Shandong University.

Background: Lacunar infarction (LI) is the mild type in the classification of ischemic stroke, mostly occurs in the middle-aged and elderly, with mild hemiplegia and partial sensory disorder as the main manifestations. In the treatment of LI, acupuncture is often regarded as dominant therapy in the convalescence period. However, acupuncture for treatment of LI in the recovery period lacks high-quality reports and evidence-based medical evidence. Read More

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Efficacy and safety of kinesiology tape for hemiplegic shoulder pain: A systematic review and meta-analysis of randomized controlled trials.

J Back Musculoskelet Rehabil 2022 ;35(1):35-46

School of Rehabilitation Sciences, West China School of Medicine, Sichuan University, Chengdu, Sichuan, China.

Objective: The aim of this study was to examine the efficacy and safety of kinesiology tape in treating hemiplegic shoulder pain.

Methods: Web of Science, MEDLINE, Embase, Cochrane Library, six other English databases and three Chinese databases (CNKI, VIP, Wan Fang) were searched for randomized controlled trials published prior to December 13, 2020 in English or Chinese on the use of kinesiology tape for hemiplegic shoulder pain.

Results: Fourteen randomized controlled trials (679 patients) of good PEDro quality (6. Read More

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January 2022

Effect of arm sling application on gait and balance in patients with post-stroke hemiplegia: a systematic review and meta-analysis.

Sci Rep 2021 05 27;11(1):11161. Epub 2021 May 27.

Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, No. 291 Zhongzheng Road, Zhonghe District, New Taipei City, 235, Taiwan.

Hemiplegic shoulder pain and impairment are common poststroke outcomes, for which arm slings constitute long-used treatments. Although multiple studies have suggested association between gait pattern and sling application, results have varied. Accordingly, we conducted this meta-analysis to determine how arm sling use affects the gait and balance of patients with poststroke hemiplegia. Read More

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Comparative Efficacy of Soft Tissue Massage and Transcutaneous Electric Nerve Stimulation in the Management of Hemiplegic Shoulder Pain.

Authors:
Umaru M Badaru

Niger J Physiol Sci 2020 Dec 31;35(2):143-146. Epub 2020 Dec 31.

.

Background: Hemiplegic Shoulder pain (HSP) is a common clinical consequence of focal cerebral insult. The study investigated the comparative efficacy of Transcutaneous Electrical Nerve Stimulation (TENS) and Soft Tissue Massage (STM) in the management HSP.

Method: A total of 50 consenting stroke patients with HSP completed the 8 weeks pretest posttest quasi-experimental study. Read More

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December 2020

The effectiveness of high-intensity laser therapy in the treatment of post-stroke patients with hemiplegic shoulder pain: a prospective randomized controlled study.

Lasers Med Sci 2022 Feb 8;37(1):645-653. Epub 2021 Apr 8.

Department of Physical Medicine and Rehabilitation, Health Sciences University, Gaziler Physical Medicine and Rehabilitation Education and Research Hospital, Ankara, Turkey.

To evaluate clinical and ultrasonographic efficacy of high-intensity laser therapy (HILT) in patients with hemiplegic shoulder pain (HSP) accompanied by partial thickness rotator cuff tear (PTRCT). The study was designed as a prospective, randomized, controlled trial. Patients with HSP accompanied by PTRCT (n = 44) were randomly assigned to HILT and control groups. Read More

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February 2022

The Effects of Upper Extremity Isokinetic Strengthening in Post-Stroke Hemiplegia: A Randomized Controlled Trial.

J Stroke Cerebrovasc Dis 2021 Jun 23;30(6):105729. Epub 2021 Mar 23.

Cukurova University Faculty of Medicine, Department of Physiology, Adana, Turkey. Electronic address:

Objective: The aim of this study was to evaluate the efficacy of isokinetic strengthening in paretic upper extremity among patients with post-stroke hemiplegia.

Methods: Hemiplegic patients with at least 6 months post-stroke and those with arm and hand Brunnstrom motor recovery stage ≥ 3 were included to the study. Patients were randomized into two groups. Read More

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Effectiveness of Botulinum Toxin A in Treatment of Hemiplegic Shoulder Pain: A Systematic Review and Meta-analysis.

Arch Phys Med Rehabil 2021 09 14;102(9):1775-1787. Epub 2021 Jan 14.

Department of Rehabilitation, Medicine, the First Medical Centre, Chinese PLA General Hospital, Beijing, China. Electronic address:

Objective: To evaluate the effectiveness of botulinum toxin A (BTX-A) in the treatment of hemiplegic shoulder pain.

Data Sources: PubMed, EMBASE, Elsevier, Springer, Cochrane Library, Physiotherapy Evidence Database, CNKI, and VIP were researched from the earliest records to September 1, 2020.

Study Selection: Randomized controlled trials that compared shoulder BTX-A injections vs a control intervention in patients with a history of hemiplegic shoulder pain after stroke were selected. Read More

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September 2021

Impact of shoulder subluxation on peripheral nerve conduction and function of hemiplegic upper extremity in stroke patients: A retrospective, matched-pair study.

Neurol Res 2021 Jun 5;43(6):511-519. Epub 2021 Jan 5.

Rehabilitation Medical Center, The Affiliated Suzhou Science & Technology Town Hospital of Nanjing Medical University, Suzhou, Jiangsu, People's Republic of China.

: To investigate the impact of shoulder subluxation (SS) on peripheral nerve conduction and function of the hemiplegic upper extremity (HUE) in poststroke patients.: Thirty post-stroke patients were selected (SS group: 15 patients, non-SS group: 15 patients, respectively). Evaluation of nerve conduction in upper limbs: the compound muscle action potential (CMAP) amplitude and latency of suprascapular, axillary, musculocutaneous, radial, median, and ulnar nerves; the motor and sensory conduction velocity and the sensory nerve action potential (SNAP) amplitude of median, ulnar, and radial nerves. Read More

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Interventions for Post-Stroke Shoulder Pain: An Overview of Systematic Reviews.

Int J Gen Med 2020 7;13:1411-1426. Epub 2020 Dec 7.

Rehabilitation, Aged and Extended Care, Flinders Health and Medical Research Institute, Flinders University, Adelaide, South Australia, Australia.

Background: Shoulder pain following stroke leads to poorer quality of life and daily functioning. Whilst many treatment approaches exist, there is currently no systematic overview of the evidence base for these. This review addressed the question "What is the evidence for interventions for treating hemiplegic shoulder pain?"

Methods: An overview of systematic reviews was performed according to PROSPERO protocol (CRD42020140521). Read More

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December 2020

Optimal Multifield Functional Electrical Stimulation Parameters for the "Turn on the Light" Task and Related Upper Limb Kinematics Repeatability in Poststroke Subjects.

Arch Phys Med Rehabil 2021 06 27;102(6):1180-1190. Epub 2020 Nov 27.

Center for Rehabilitation Research - Human Movement System (Re)habilitation Area, Department of Physics, School of Health, Polytechnic of Porto, Porto, Portugal.

Objective: To characterize the optimal functional electrical stimulation (FES) parameters that assist the turn on the light task (TOTL) on poststroke participants and to analyze the related upper limb (UL) kinematics repeatability.

Design: Cross-sectional study.

Setting: Human movement research center. Read More

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