Y. Zheng et al.
activity level and participation level were observed in
terms of the active ROM, strength of extensor carpi,
upper extremity function, hand function, ADL and
general health. In addition, CCFES was superior to
NMES in either shortening the course of regaining WD
or the recovery of upper extremity function in patients
with early-phase stroke.
ACKNOWLEDGEMENTS
The authors would like to thank several people who participated
in this study or supported them. We acknowledge Ying Shen for
her invaluable technical support. Zhifei Yin, Qiumin Zhou and
Hong Hou are also acknowledged for their professional insights
on the electrophysiological treatment of stroke.
REFERENCES
1. Writing Group Members, Lloyd-Jones D, Adams RJ, Brown
TM, Carnethon M, Dai S, et al. Heart disease and stroke
statistics--2010 update: a report from the American Heart
Association. Circulation 2010; 121: e46–e215.
2. Choo PL, Gallagher HL, Morris J, Pomeroy VM, van Wijck,
F. Correlations between arm motor behavior and brain
function following bilateral arm training after stroke: a
systematic review. Brain Behav 2015; 5: e00411.
3. English C, Shields N, Brusco NK, Taylor NF, Watts JJ, Peiris
C. et al. Additional weekend therapy may reduce length
of rehabilitation stay after stroke: a meta-analysis of
individual patient data. J Physiother 2016; 62: 124–129.
4. Wilson RD, Page SJ, Delahanty M, Knutson JS, Gunzler
DD, Sheffler LR, et al. Upper-Limb Recovery After Stroke:
A Randomized Controlled Trial Comparing EMG-Triggered,
Cyclic, and Sensory Electrical Stimulation. Neurorehabil
Neural Repair 2016; 30: 978–987.
5. Kimberley TJ, Lewis SM, Auerbach EJ, Dorsey LL, Lojovich
JM, Carey JR, et al. Electrical stimulation driving functional
improvements and cortical changes in subjects with stroke.
Exp Brain Res 2004; 154: 450–460.
6. Alon G, Levitt AF, McCarthy PA. Functional electrical stimu-
lation enhancement of upper extremity functional recovery
during stroke rehabilitation: a pilot study. Neurorehabil
Neural Repair 2007; 21: 207–215.
7. Rosewilliam S, Malhotra S, Roffe C, Jones P, Pandyan AD.
Can surface neuromuscular electrical stimulation of the
wrist and hand combined with routine therapy facilitate
recovery of arm function in patients with stroke? Arch Phys
Med Rehabil 2012; 93: 1715–1721.
8. Knutson JS, Harley MY, Hisel TZ, Chae J. Improving hand
function in stroke survivors: a pilot study of contralate-
rally controlled functional electric stimulation in chronic
hemiplegia. Arch Phys Med Rehabil 2007; 88: 513–520.
9. Knutson JS, Harley MY, Hisel TZ, Hogan SD, Maloney
MM, Chae J, et al. Contralaterally controlled functional
electrical stimulation for upper extremity hemiplegia: an
early-phase randomized clinical trial in subacute stroke
patients. Neurorehabil Neural Repair 2012; 26: 239–246.
10. Shen Y, Yin Z, Fan Y, Chen CF, Dai W, Yi W, et al. Comparison
of the Effects of Contralaterally Controlled Functional Elec-
trical Stimulation and Neuromuscular Electrical Stimulation
on Upper Extremity Functions in Patients with Stroke. CNS
108
www.medicaljournals.se/jrm
Neurol Disord Drug Targets 2015; 14: 1260–1266.
11. Knutson JS, Fu MJ, Sheffler LR, Chae J. Neuromuscular
electrical stimulation for motor restoration in hemiplegia.
Phys Med Rehabil Clin N Am 2015; 26: 729–745.
12. Oh HS, Kim EJ, Kim DY, Kim SJ. Effects of Adjuvant Men-
tal Practice on Affected Upper Limb Function Following a
Stroke: Results of Three-Dimensional Motion Analysis,
Fugl-Meyer Assessment of the Upper Extremity and Motor
Activity Logs. Ann Rehabil Med 2016; 40: 401–411.
13. Gladstone DJ, Danells CJ, Black SE. The Fugl-Meyer as-
sessment of motor recovery after stroke: a critical review
of its measurement properties. Neurorehabil Neural Repair
2002; 16: 232–240.
14. Poole JL. Measures of hand function: Arthritis Hand Fun-
ction Test (AHFT), Australian Canadian Osteoarthritis Hand
Index (AUSCAN), Cochin Hand Function Scale, Functional
Index for Hand Osteoarthritis (FIHOA), Grip Ability Test
(GAT), Jebsen Hand Function Test (JHFT), and Michigan
Hand Outcomes Questionnaire (MHQ). Arthritis Care Res
(Hoboken) 2011; 63: 189–199.
15. Ahn S. Association between daily activities, process skills,
and motor skills in community-dwelling patients after left
hemiparetic stroke. J Phys Ther Sci 2016; 28: 1829–1831.
16. Cieza A, Geyh S, Chatterji S, Kostanjsek N, Ustün BT,
Stucki G. Identification of candidate categories of the
International Classification of Functioning Disability and
Health (ICF) for a Generic ICF Core Set based on regres-
sion modelling. BMC Med Res Methodol 2006; 6: 36.
17. Knutson JS, Gunzler DD, Wilson RD, Chae J. Contralate-
rally controlled functional electrical stimulation improves
hand dexterity in chronic hemiparesis: A randomized trial.
Stroke 2016; 47: 2596–2602.
18. Brouwer BJ, Schryburt-Brown K. Hand function and motor
cortical output poststroke: are they related? Arch Phys
Med Rehabil 2006; 87: 627–634.
19. Sun Y, Ledwell NMH, Boyd LA, Zehr EP. Unilateral wrist
extension training after stroke improves strength and
neural plasticity in both arms. Exp Brain Res 2018; 236:
2009–2021.
20. Ada L, Dorsch S, Canning CG. Strengthening interventions
increase strength and improve activity after stroke: a
systematic review. Aust J Physiother 2006; 52: 241–248.
21. Koyama S, Tanabe S, Warashina H, Kaneko T, Sakurai
H, Kanada Y, et al. NMES with rTMS for moderate to
severe dysfunction after stroke. NeuroRehabil 2014; 35:
363–368.
22. Gladstone DJ, Danells CJ, Black SE. The fugl-meyer as-
sessment of motor recovery after stroke: a critical review
of its measurement properties. Neurorehabil Neural Repair
2002; 16: 232–240.
23. Paternostrosluga T, Grim-Stieger M, Posch M, Schuhfried
O, Vacariu G, Mittermaier C, et al. Reliability and validity of
the Medical Research Council (MRC) scale and a modified
scale for testing muscle strength in patients with radial
palsy. J Rehabil Med 2008; 40: 665–671.
24. Takekawa T, Kakuda W, Uchiyama M, Ikegaya M, Abo M.
Brain perfusion and upper limb motor function: a pilot
study on the correlation between evolution of asymmetry
in cerebral blood flow and improvement in Fugl-Meyer As-
sessment score after rTMS in chronic post-stroke patients.
J Neuroradiol 2014; 41: 177–183.
25. Li J, Prodinger B, Reinhardt JD, Stucki G.Towards the
system-wide implementation of the International Clas-
sification of Functioning, Disability and Health in routine
practice: Lessons from a pilot study in China. J Rehabil
Med 2016; 48: 502–507.