| Author: | Wang, Maner |
| Title: | Effects of trans-spinal electrical stimulation (tsES) with the revised motor relearning program on improving upper limb function in chronic stroke |
| Advisors: | Hu, Xiaoling (BME) |
| Degree: | M.Sc. |
| Year: | 2024 |
| Subject: | Arm -- Treatment Cerebrovascular disease -- Patients -- Rehabilitation Electric stimulation Hong Kong Polytechnic University -- Dissertations |
| Department: | Department of Biomedical Engineering |
| Pages: | 44 pages : color illustrations |
| Language: | English |
| Abstract: | This study investigates the efficacy of combining the revised motor relearning program (rMRL) with trans-spinal electrical stimulation (tsES) in individuals with chronic stroke. Stroke is a major health issue leading to upper limb disability. Conventional rehabilitation methods have limitations, necessitating novel interventions. While tsES has shown promise in spinal cord injury patients, its effects on stroke patients are unknown. This study aims to explore the potential synergistic effects of rMRL and tsES in enhancing upper limb recovery. Findings from this research will contribute to the development of more effective rehabilitation strategies for chronic stroke patients. The present study compared the effects of the revised rMRL and traditional therapy (TT) on clinical assessments, cortico-muscular coherence (CMCoh) and laterality index (LI) in chronic stroke patients. Both groups showed improvements in clinical assessments, but the rMRL group had significantly greater improvements in MAS-wrist, MSS, and ARAT. The rMRL group also exhibited increased CMCoh values, indicating a strengthening of the cortex-muscle correlation during wrist-hand extension tasks. In contrast, the TT group showed decreasing CMCoh values. The rMRL group demonstrated a shift in peak CMCoh value from the contralesional to the ipsilesional hemisphere, suggesting normalization of the motor control center. The TT group did not show significant changes in CMCoh. These findings suggest that rMRL may be more effective in enhancing motor recovery and cortical-muscle connectivity in chronic stroke patients compared to traditional therapy. |
| Rights: | All rights reserved |
| Access: | restricted access |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| 7420.pdf | For All Users (off-campus access for PolyU Staff & Students only) | 3.01 MB | Adobe PDF | View/Open |
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