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Functional electrical stimulation1/31/2024 ![]() We applied sequential stimulation to the flexors and extensors. This was the intervention shown in this video. Thus, they were not able to open or close their hands without assistance. They all had sufficient shoulder motion to be able to reach anterior and across the midline, but they all had no hand function. Our patients were all chronic, greater than six months out from their injuries, and all had cervical injuries. We had three participants, the first was a 21-year-old female with C5 ASIA A 21 months post-injury the second was a 17-year-old male who had a C5 ASIA C meaning that his injury was incomplete who was six months post-injury and an 18-year-old male with C4 ASIA A, a complete injury who was 12 months post-injury. We looked at the influence of repetitive NMES assisted grasp and release activities on the paretic tetraplegic hand. This is a case study series that I published several years ago as part of my doctoral work. To determine the influence of repetitive NMES assisted grasp and release activities on the paretic tetraplegic hand.įirst, I wanted to start with a little bit of evidence for you.NMES Assisted Grasp Training and Restoration of Function in the Tetraplegic Hand: A Case Study Series Objective However, I do hope you learn how to problem-solve through it so that you can use it to help your clients. It is not always perfect, and you will not always know exactly the right answer. Hopefully, after this course, you will walk away feeling like it is another tool in your tool bag. It is not a modality that we use a lot and can be a little bit scary I think for some people. Today, we are going to talk about functional electrical stimulation, specifically some considerations for occupational therapists. I hope everybody is safe and healthy, and I am so glad that you made the decision to join me here today. After this course, participants will be able to select alterable parameters to adjust for specific patient care.After this course, participants will be able to describe the physiological mechanisms for muscle contraction when using electrical stimulation.After this course, participants will be able to identify contraindications and precautions for electrical stimulation.After this course, participants will be able to recognize the therapeutic applications for using electrical stimulation.Editor’s note: This text-based course is a transcript of the webinar, Functional Electrical Stimulation for OTs: Principles and Application, presented by Rebecca Martin, OTR/L, OTD, CPAM, CKTP.
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