Effects of the combination therapy of tilt sensor functional electrical stimulation and integrated volitional control electrical stimulation on brain activity during the subacute phase following stroke: a feasibility study

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  • Mitsutake Tsubasa
    Department of Rehabilitation, Shiroishi Kyoritsu Hospital: 1296 Fukuta, Shiroishi, Kishima, Saga 849-1112, Japan Research and Education Center for Comprehensive Community Medicine, Faculty of Medicine, Saga University, Japan
  • Sakamoto Maiko
    Research and Education Center for Comprehensive Community Medicine, Faculty of Medicine, Saga University, Japan
  • Koyama Soichiro
    Faculty of Rehabilitation, School of Health Science, Fujita Health University, Japan
  • Matsuda Kensuke
    Department of Physical Therapy, School of Health Sciences at Fukuoka, International University of Health and Welfare, Japan
  • Okita Mitsunori
    Department of Neurology, Shiroishi Kyoritsu Hospital, Japan
  • Horikawa Etsuo
    Research and Education Center for Comprehensive Community Medicine, Faculty of Medicine, Saga University, Japan

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Abstract

<p> [Purpose] The aim of this study was to investigate whether the combination of integrated volitional control functional electrical stimulation and tilt sensor functional electrical stimulation training affected brain activation during the subacute phase following a stroke. [Participant and Methods] The patient was a 60-year-old male with right hemiparesis, secondary to stroke in the left thalamus. Conventional intervention was performed for 60 minutes per day during the first two weeks of treatment (the control condition). Functional electrical stimulation intervention, including integrated volitional control functional electrical stimulation and tilt sensor functional electrical stimulation training, was then performed for 60 minutes per day for two weeks (the experimental condition). These sessions were repeated four times. Brain activity was measured during voluntary right ankle dorsiflexion in both sessions, using functional magnetic resonance imaging. Brain activity measurements were obtained a total of eight times every two weeks (34, 48, 62, 76, 90, 104, 118, and 132 days following the stroke). [Results] There was a significantly higher level of activation in the bilateral cerebellum and the left side of the supplementary motor area in the experimental condition than in the control condition. [Conclusion] The present study demonstrates that the combination of integrated volitional control functional.</p>

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