Effectiveness of Functional Electrical Stimulation in Improving Clinical Outcomes in the Upper Arm following Stroke: A Systematic Review and Meta-Analysis
Joint Authors
Vafadar, Amir K.
Côté, Julie N.
Archambault, Philippe S.
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-14, 14 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-01-22
Country of Publication
Egypt
No. of Pages
14
Main Subjects
Abstract EN
Background.
Different therapeutic methods are being used to prevent or decrease long-term impairments of the upper arm in stroke patients.
Functional electrical stimulation (FES) is one of these methods, which aims to stimulate the nerves of the weakened muscles so that the resulting muscle contractions resemble those of a functional task.
Objectives.
The objective of this study was to review the evidence for the effect of FES on (1) shoulder subluxation, (2) pain, and (3) upper arm motor function in stroke patients, when added to conventional therapy.
Methods.
From the 727 retrieved articles, 10 (9 RCTs, 1 quasi-RCT) were selected for final analysis and were rated based on the PEDro (Physiotherapy Evidence Database) scores and the Sackett’s levels of evidence.
A meta-analysis was performed for all three considered outcomes.
Results.
The results of the meta-analyses showed a significant difference in shoulder subluxation in experimental groups compared to control groups, only if FES was applied early after stroke.
No effects were found on pain or motor function outcomes.
Conclusion.
FES can be used to prevent or reduce shoulder subluxation early after stroke.
However, it should not be used to reduce pain or improve upper arm motor function after stroke.
American Psychological Association (APA)
Vafadar, Amir K.& Côté, Julie N.& Archambault, Philippe S.. 2015. Effectiveness of Functional Electrical Stimulation in Improving Clinical Outcomes in the Upper Arm following Stroke: A Systematic Review and Meta-Analysis. BioMed Research International،Vol. 2015, no. 2015, pp.1-14.
https://search.emarefa.net/detail/BIM-1056533
Modern Language Association (MLA)
Vafadar, Amir K.…[et al.]. Effectiveness of Functional Electrical Stimulation in Improving Clinical Outcomes in the Upper Arm following Stroke: A Systematic Review and Meta-Analysis. BioMed Research International No. 2015 (2015), pp.1-14.
https://search.emarefa.net/detail/BIM-1056533
American Medical Association (AMA)
Vafadar, Amir K.& Côté, Julie N.& Archambault, Philippe S.. Effectiveness of Functional Electrical Stimulation in Improving Clinical Outcomes in the Upper Arm following Stroke: A Systematic Review and Meta-Analysis. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-14.
https://search.emarefa.net/detail/BIM-1056533
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1056533