Article

This case report describes the outcomes of a task-specific training
protocol using functional electrical stimulation for a young adult with severe
hand impairment from a childhood stroke who had a history of tendon transfer and
a recent botulinum toxin injection. A 22-year-old female who had a hemorrhagic
stroke at age 5, a tendon transfer at 18, and a botulinum toxin injection 6 weeks
before study entry, participated in a home- and clinic-based task-specific
training program using a functional electrical stimulation orthosis. Training was
30-90 minutes per day, 4 days per week, for 4 weeks. Stroke-specific outcomes
were measured before and after intervention. Increases occurred in the following
scores: Action Research Arm Test, Stroke Impact Scale Hand Function Domain, and
Canadian Occupational Performance Measure. A task-specific training protocol
using orthotic functional electrical stimulation appears to have increased hand
function and quality of life for an adult with chronic, childhood-onset stroke.
To our knowledge, this is the first study to investigate the efficacy of
functional electrical stimulation for such an individual.

Langue : ANGLAIS