ISSN: 2329-9096
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Jun Yao
645 N. Michigan Ave, Suite 1100, Chicago, IL 60611
Tanzania
Research Article
Effects of Functional Electrical Stimulation with and without a Wrist-Hand Orthosis on Hand Opening in Individuals with Chronic Hemiparetic
Stroke: A Pilot Study
Author(s): Nicole van Klink, Julius Dewald, Jane Sullivan and Jun Yao
Nicole van Klink, Julius Dewald, Jane Sullivan and Jun Yao
Objective: Many individuals with stroke cannot open their affected hand in a functional way: they either produce insufficient hand opening, or achieve hand opening while flexing their wrist. Insufficient hand-opening in post-stroke individuals can be improved by applying functional electrical stimulation (FES) to finger/thumb extensors. However, how to reduce the coupling between finger extension and wrist flexion is still unknown. Both FES to wrist extensors and a wrist-hand orthosis (WHO) can assist holding the wrist in a close-to-neutral position. This may or may not improve purposeful use of the paretic arm, depending on how it will interfere with hand opening. Therefore, this study investigated how using either FES or WHO to maintain the wrist in a close-to-neutral position will impact the FESassisted hand opening. Methods: We recruited twelve individuals with mo.. View More»