title: Mental practice--triggered electrical stimulation in chronic, moderate, upper-extremity hemiparesis after stroke.
abstract: OBJECTIVE
  To determine the feasibility and impact of home-based, mental practice-triggered electrical stimulation among stroke survivors exhibiting moderate upper-extremity (UE) impairment.
  
  
  METHODS
  Five participants with moderate, stable UE hemiparesis were administered the Fugl-Meyer Assessment, the Box and Block Test, and the Activities of Daily Living, Hand Function, and overall recovery domains of the Stroke Impact Scale (Version 3). They were then administered an 8-wk regimen consisting of 1 hr of mental practice-triggered electrical stimulation every weekday in their home. At the end of every 2 wk, participants attended supervised stimulation to progress therapeutic exercises and stimulation levels and monitor compliance.
  
  
  RESULTS
  Six instances of device noncompliance were reported. Participants exhibited reduced UE motor impairment and increased UE dexterity and participation in valued activities.
  
  
  CONCLUSIONS
  The regimen appears feasible and had a substantial impact on UE impairment, dexterity, and participation in valued activities as well as perceptions of recovery.
authors.affiliation: Stephen J. Page, PhD, MS, OTR/L, FAHA, FACRM, is Director, Better Rehabilitation and Assessment for Improved Neuro-recovery (B.R.A.I.N.) Laboratory, and Associate Professor, Division of Occupational Therapy, School of Health and Rehabilitation Sciences, The Ohio State University, Columbus; stephen.page@osumc.edu.
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Page
authors.affiliation: Peter Levine, PTA, is Director, Synaps Together, LLC, Cincinnati, OH.
authors.forename: Peter
authors.initials: P
authors.lastname: Levine
authors.affiliation: Valerie Hill, PhD, OTR/L, is Postdoctoral Fellow, University of Southern California, Los Angeles.
authors.forename: Valerie
authors.initials: V
authors.lastname: Hill
mesh_terms: D000203:Activities of Daily Living / Q000145:classification; D000328:Adult; D002908:Chronic Disease; D015331:Cohort Studies; D004185:Disability Evaluation; D004599:Electric Stimulation Therapy / Q000295:instrumentation*; D004576:Electromyography / Q000295:instrumentation; D004867:Equipment Design; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007092:Imagination; D008297:Male; D008875:Middle Aged; D010291:Paresis / Q000534:rehabilitation*; D010349:Patient Compliance; D011214:Practice, Psychological; D000071939:Stroke Rehabilitation; D013813:Therapy, Computer-Assisted / Q000295:instrumentation