title: Orthotic functional electrical stimulation following botulinum toxin for a young adult with severe hand impairment due to childhood stroke.
abstract: ABSTRACT This case report describes the outcomes of a task-specific training protocol using functional electrical stimulation for a young adult with severe hand impairment from a childhood stroke who had a history of tendon transfer and a recent botulinum toxin injection. A 22-year-old female who had a hemorrhagic stroke at age 5, a tendon transfer at 18, and a botulinum toxin injection 6 weeks before study entry, participated in a home- and clinic-based task-specific training program using a functional electrical stimulation orthosis. Training was 30-90 minutes per day, 4 days per week, for 4 weeks. Stroke-specific outcomes were measured before and after intervention. Increases occurred in the following scores: Action Research Arm Test, Stroke Impact Scale Hand Function Domain, and Canadian Occupational Performance Measure. A task-specific training protocol using orthotic functional electrical stimulation appears to have increased hand function and quality of life for an adult with chronic, childhood-onset stroke. To our knowledge, this is the first study to investigate the efficacy of functional electrical stimulation for such an individual.
authors.affiliation: Department of Rehabilitation Sciences, College of Allied Health Sciences, University of Cincinnati Academic Medical Center, Cincinnati, Ohio, USA. boynepe@email.uc.edu
authors.forename: Pierce
authors.initials: P
authors.lastname: Boyne
authors.forename: Kari
authors.initials: K
authors.lastname: Dunning
authors.forename: Peter
authors.initials: P
authors.lastname: Levine
authors.forename: Valerie Hill
authors.initials: VH
authors.lastname: Hermann
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Page
mesh_terms: D000203:Activities of Daily Living; D019274:Botulinum Toxins, Type A / Q000627:therapeutic use; D004599:Electric Stimulation Therapy / Q000379:methods*; D005260:Female; D006225:Hand / Q000503:physiopathology*; D006801:Humans; D010291:Paresis / Q000188:drug therapy / Q000503:physiopathology / Q000628:therapy*; D016059:Range of Motion, Articular; D020521:Stroke / Q000150:complications; D055815:Young Adult
chemical_list: D019274:Botulinum Toxins, Type A