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The effect of Functional Electrical Stimulation compared to conventional therapy for the functional recovery of the upper extremity in chronic stroke patients, a systematic literature review.

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The effect of Functional Electrical Stimulation compared to conventional therapy for the functional recovery of the upper extremity in chronic stroke patients, a systematic literature review.

Rechten: Alle rechten voorbehouden

Samenvatting

Background: Worldwide, fifteen million people suffer from a stroke every year. Approximately
55% of stroke survivors have a non-functional upper extremity following initial therapy,
consisting of physical therapy and occupational therapy. Functional Electrical Stimulation is a
treatment modality geared towards functional improvement of the upper extremity after stroke.

Objective: To find out if Functional Electrical stimulation is more effective for improving
functional recovery of the upper extremity of chronic stroke patients compared to conventional
therapy.

Method: Based on inclusion and exclusion criteria, relevant articles were searched in various
databases. The selected articles were assessed on methodological quality using the PEDro
scale and the data was extracted. Consequently, a best evidence synthesis was applied to gain
more insight into the level of evidence.

Results: Three articles of "moderate" and one of "good" methodological quality were found.
Two separate best evidence syntheses were applied. The best evidence synthesis showed
moderate evidence that FES significantly improves functional recovery of the upper extremity
compared to conventional physiotherapy. It also showed moderate evidence that FES
significantly improves active range of motion compared to conventional therapy.

Conclusion: FES is an effective and, most importantly, a functional treatment modality that can
be used to improve the functional recovery of the upper extremity for chronic stroke patients.
FES has shown to be more effective than conventional therapy.

Toon meer
OrganisatieFontys
OpleidingFysiotherapie
AfdelingFontys Paramedische Hogeschool
Jaar2013
TypeBachelor
TaalEngels

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