A Case of Neuromuscular Electrical Stimulation for Childhood Stroke Hyperkinesis: A Brief Report. (17th August 2020)

• Record Type: Journal Article
• Authors: Metzler, Megan J.; Cole, Lauran; Kirton, Adam
• Is Part Of: Developmental neurorehabilitation. Volume 23:Number 6(2020)
• Page Start: 407
• Page End: 411
• Publication Date: 2020-08-17
• Subjects: Case report -- child -- electrical stimulation -- exoskeleton device -- hyperkinesis -- stroke; Children with disabilities -- Rehabilitation -- Periodicals; Developmentally disabled children -- Rehabilitation -- Periodicals; 615.542
• DOI: 10.1080/17518423.2020.1773956
• Languages: English
• ISSNs: 1751-8423

Abstract

ABSTRACT: Aim: Some conditions within specific populations are so rare rigorous evidence is unavailable. Childhood hyperkinesis is one example, yet presents an opportunity to examine sensation's contribution to motor function. Methods: The patient experienced functional difficulty from hyperkinesis as a result of childhood stroke. Home-based passive neuromuscular electrical stimulation (NMES) was implemented an hour/day, six days/week, over 6 weeks (36 hours). Clinical and robotic measures (Assisting Hand Assessment, Box and Block Test, Jebsen Taylor Test of Hand Function, Kinarm) were administered before and after the intervention and at 9 months. Results: NMES was feasible and well tolerated. Clinically important gains of arm function were maintained at 9 months. Robotic measures showed improved hyperkinesis, namely reduced movement segmentation and improved target approximation, in addition to improved proprioceptive function after NMES. Conclusion: This case study illustrates the use of NMES within a previously unexplored population and highlights the potential importance of sensory systems to motor gains.