[ARTICLE] Paretic Upper Extremity Movement Gains Are Retained 3 Months After Training With an Electrical Stimulation Neuroprosthesis – Full Text

…This is the first study of which we are aware showing retention of UE motor changes after RTP using ESN. Similarly, some studies suggest retention of paretic UE motor changes associated with participation in constraint-induced movement therapy,16, 17 and a modified constraint-induced therapy regimen.18 The ESN’s use of RTP and progression toward subjects’ motor goals bears some resemblance to both of the above regimens, while the home-based nature of the ESN intervention more closely resembles the modified constraint-induced therapy intervention. However, the constraint-induced family of therapies also differs from ESN in that it: (1) requires participation in many more hours per day of practice than ESN; and (2) necessitates that subjects exhibit more active distal movement than was required for the herein-described ESN intervention. Nonetheless, the finding that motor changes rendered by these approaches are retained months after the intervention period has concluded is likely to affect future practice and reimbursement patterns, as well as conceptions regarding the longer-term potency of stroke behavioral interventions. The longer-term potency associated with an ESN regimen that is mostly home-based may fulfill gaps associated with diminishing contact time and resources available for clinical rehabilitative care…

via Paretic Upper Extremity Movement Gains Are Retained 3 Months After Training With an Electrical Stimulation Neuroprosthesis – Archives of Physical Medicine and Rehabilitation.

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