1.

Record Nr.

UNINA9910574063003321

Autore

Schick Thomas

Titolo

Functional electrical stimulation in neurorehabilitation : synergy effects of technology and therapy / / Thomas Schick

Pubbl/distr/stampa

Cham, Switzerland : , : Springer International Publishing, , [2022]

©2022

ISBN

9783030901233

9783030901226

Descrizione fisica

1 online resource (280 pages)

Disciplina

617.481044

Soggetti

Brain damage - Patients - Rehabilitation

Electric stimulation

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Nota di contenuto

Intro -- Preface -- Acknowledgments -- Contents -- About the Authors -- Contributors -- 1: Introduction and History of Functional Electrical Stimulation -- 1.1  Introduction and Explanation of Terms -- 1.2  History of Functional Electrical Stimulation -- References -- 2: Plasticity and Motor Learning -- 2.1  Plasticity -- 2.2  Motor Learning -- 2.2.1  Stages of Motor Learning -- 2.2.2  Principles of Motor Learning -- 2.2.3  Factors Affecting the Motor Learning Process -- 2.3  Motor Learning and FES -- References -- 3: Clarification Models and Mode of Action of Functional Electrical Stimulation -- 3.1  Why Does Neuroplasticity Take Place when Practicing with FES? -- 3.2  What Kind of Neuroplastic Changes Are Induced by FES? -- 3.2.1  Effects of FES on Motor and Sensory Cortex -- 3.2.2  Effects of FES on the Corticospinal Tract -- 3.2.3  Effects of FES on Spinal Cord Structures -- 3.2.4  Effects of FES on Peripheral Nerves -- References -- 4: Role of Electrical Parameters in Functional Electrical Stimulation -- 4.1  Introduction -- 4.1.1  Selection and Evaluation of Stimulators -- 4.1.2  What Really Matters -- 4.2  Monophasic/Biphasic Pulses/DC Component -- 4.2.1  Monophasic and Biphasic Pulse Forms and Parameter Definitions for Nerve and Muscle Stimulation -- 4.3  Monopolar/Bipolar Electrode Configurations -- 4.4  Controlled Current (CC)/Controlled Voltage (CV) Stimulus Delivery -- 4.5  Role



of the Parameter's Amplitude and Pulse Width -- 4.6  Role of the Parameter Frequency -- 4.6.1  Application of Single Stimuli -- 4.6.2  Application of Low Frequencies -- 4.6.3  Frequencies Eliciting Fused Contractions -- 4.7  Special Case FES of Denervated Muscles -- 4.8  Electrode and Parameter Management for Testing and Treatment of Completely or in Part Denervated Muscles -- References -- 5: ICF-Based Goals in FES -- 5.1  Goal Setting Theory-Essentials.

5.1.1  Goal Sources and Comprehensibility of Goals -- 5.1.2  Self-Evaluation, Self-Efficacy, Self-Management and Goals -- 5.1.3  Goals and Feedback -- 5.2  International Classification of Functioning, Disability and Health (ICF) -- 5.2.1  The Structure of ICF) -- 5.2.2  Capacity and Performance -- 5.2.3  Contextual Factors -- 5.2.4  Top-Down or Bottom-Up? -- 5.2.5  ICF-Based Clinical Findings and Goals -- 5.2.6  Examples for ICF-Based Goals and Functional Electrical Stimulation (FES) -- 5.2.6.1  Patient Example 1 -- 5.2.6.2  Patient Example 2 -- 5.3  Summary -- References -- 6: Functional Electrical Stimulation for Motor Function Disorders due to Damage to the Central Nervous System -- 6.1  Introduction to Symptom-Related Functional Electrical Stimulation -- 6.1.1  Adaptive Phenomena with Dysfunctional Muscle Physiology -- 6.1.2  Paresis and Plegia -- 6.1.3  Spastic Movement Disorder -- 6.1.4  Ataxia -- 6.2  Symptom-Related Functional Parameter Setting -- 6.3  EMG-MES to Improve Arm/Hand Function -- 6.3.1  Move Object to Mouth -- 6.3.2  Grasp and Release Object -- 6.3.3  Grasp Bilateral with Mirror -- 6.3.4  Wipe Unilateral -- 6.3.5  Support Arm Unilateral -- 6.3.6  Grasp and Move an Object -- 6.3.7  Shoulder Stabilization (with Shoulder Subluxation) -- 6.3.8  Grasp and Lift Arm More Than 90° -- 6.3.9  Forearm Supination/Pronation -- 6.3.10  Key Grip -- 6.3.11  Tripod Grip -- 6.3.12  Spherical Grip -- 6.3.13  Opposition Grip -- 6.4  EMG-MES to Improve Postural Control and Mobility -- 6.4.1  Bridging -- 6.4.2  Ankle Joint Coordination -- 6.4.3  Stand Up Unilateral -- 6.4.4  Stand Up and Step -- 6.4.5  Stand Up Bilateral -- 6.4.6  Single Leg Stance -- 6.4.7  Lunge from Standing Position -- 6.4.8  Walk with a Rollator -- References -- 7: Functional Electrical Stimulation to Improve Mobility -- 7.1  Introduction.

7.2  Functional Electrical Stimulation of the Peroneal Nerve-Method -- 7.3  Effect of Functional Electrical Stimulation on Mobility -- 7.4  Orthotic Effect Versus Therapeutic Effect of Functional Electrical Stimulation -- 7.5  Discussion -- References -- 8: Electrical Stimulation for Improvement of Function and Muscle Architecture in Lower Motor Neuron Lesions -- 8.1  Denervation -- 8.2  Differentiation Between Lower and Upper Motoneuron Lesion -- 8.3  Clinical Appearance -- 8.4  Areas of Application -- 8.5  Decrease in the Cross-Sectional Area of a Muscle in Denervation Atrophy -- 8.6  Preservation of Contractile Muscle Fibres -- 8.7  Effect on the Bone Structure -- 8.8  Stimulation of Denervated Muscles to Support Reinnervation During Neurological Recovery -- 8.9  Stimulation Parameters and Stimulation Schedule -- 8.10  Electrodes -- 8.11  Skin Irritations -- 8.12  Practical Examples of Stimulation of Denervated Muscles -- 8.12.1  Stimulation of the Gluteal Muscles -- 8.12.2  Stimulation of the Gluteal and Hamstrings' Muscles -- 8.12.3  Stimulation of the Foot Extensors -- 8.12.4  Stimulation of the Triceps Surae Muscle -- 8.12.5  Stimulation of the Deltoid Muscle -- 8.12.6  Stimulation of the Elbow Flexors -- 8.12.7  Four-Channel Stimulation of Denervated Arm Muscles -- 8.12.8  Stimulation of the Triceps Brachii Muscle in Function -- 8.12.9  Stimulation of the Intrinsic Hand Muscles -- 8.12.10  Stimulation of the First Dorsal Interosseous Muscle -- 8.12.11  Stimulation of the Extensor Carpi Radialis Muscle -- 8.12.12  



Stimulation of the Extensor Digitorum Communis Muscle -- 8.12.13  Stimulation of the Extensor Carpi Ulnaris Muscle in Function -- 8.13  Partially Innervated/Partially Denervated Muscles -- References -- 9: Sensory Afferent Stimulation -- 9.1  Introduction -- 9.2  Sensory Afferent Stimulation.

9.2.1  Neurobiology of Sensory Afferent Stimulation -- 9.2.2  Sensory Afferent Electrical Stimulation -- 9.3  SAES in Neurorehabilitation -- 9.3.1  Sensorimotor Paresis After Stroke -- 9.3.2  Therapy of Neglect -- 9.4  Discussion -- References -- 10: Functional Electrical Stimulation in Facial Rehabilitation -- 10.1  N. facialis -- 10.2  Anatomy -- 10.3  Causes for FP -- 10.4  Pathology -- 10.5  Incomplete vs. Complete Facial Palsy -- 10.6  Daily Impairment -- 10.7  Consequences in the Tissue -- 10.8  Treatment Options of FES -- 10.9  Indications and Contraindications Plus Advantages of FES -- 10.10  Further Recommendations for the Application of FES -- 10.11  Electrodes to Use -- 10.12  EMG Biofeedback Incomplete Peripheral FP -- 10.13  FES at Completely Denervated FP -- 10.14  FES at Central FP -- 10.15  FES After Operative Reanimated/Supplied FP -- 10.16  Patient Example -- References -- 11: Functional Electrical Stimulation in Dysphagia Treatment -- 11.1  Introduction -- 11.2  Dysphagia Assessment -- 11.2.1  Diagnostic Procedure -- 11.2.2  Pathophysiology -- 11.2.3  Involved Cranial Nerves -- 11.3  Evidence Base -- 11.4  Objectives and Implementation of FES in Dysphagia Treatment -- 11.4.1  Preparation of the Stimulation Protocol -- 11.4.2  Kilohertz-Frequency Alternating Current (Medium-Frequency Current) -- 11.4.3  Single Pulse Stimulation Current -- 11.4.3.1  FES in Laryngeal Dysfunction -- 11.4.3.2  FES in Cricopharyngeal Dysfunction -- 11.5  Combination of FES and Conventional Therapy -- 11.6  Discussion -- References -- 12: Treatment of Dysarthria with FES -- 12.1  Introduction -- 12.2  General Preliminary Considerations for Stimulation in the Cervical Region -- 12.3  Symptomatology of Individual Forms of Dysarthria -- 12.4  Diagnostics of the Articulation Disorder -- 12.5  Therapy of the Articulation Disorder.

12.6  Practical Implementation -- 12.6.1  Procedure According to Pahn and Pahn -- 12.7  Diagnosis and Therapy of Voice Disorders -- 12.8  Case Study -- 12.9  Discussion -- References -- 13: Functional Electrical Stimulation in Unilateral Vocal Fold Paralysis -- 13.1  Etiology and Clinical Evaluation of Unilateral Vocal Fold Paralysis -- 13.2  Course and Rationale of Therapy Options in Unilateral Vocal Fold Paralysis -- 13.3  Therapy Overview for Unilateral Vocal Fold Paralysis -- 13.4  Functional Electrical Stimulation in: Unilateral Vocal Fold Paralysis: Selective and Nonselective Effects -- References -- 14: Combination Therapies with FES -- 14.1  Introduction -- 14.2  Combination of Functional Electrical Stimulation and Mirror Therapy -- 14.2.1  Introduction -- 14.2.2  Evidence -- 14.2.3  Improvement of the Effect of Electrical Stimulation by Mirror Therapy -- 14.2.4  Improvement of the Effect of Mirror Therapy by Electrical Stimulation -- 14.2.5  Combination Studies -- 14.2.6  Summary -- 14.3  Botulinum Toxin A and (Functional) Electrical Stimulation -- 14.3.1  Spastic Movement Disorder -- 14.3.2  Botulinum Toxin: Pharmacology, Mode of Action, and Use -- 14.3.2.1  Botulinum Toxin-Pharmacology -- 14.3.2.2  Mode of Action (Onset of Action-Maximum Effect-Duration of Action) -- 14.3.2.3  Licensed Indications-Off-Label Use -- 14.3.2.4  Treatment Techniques -- 14.3.2.5  Adverse Effects -- 14.3.2.6  Follow-up Examinations -- 14.3.3  Combined Treatment BoNT-A and Electrical Stimulation -- 14.3.4  Case Example and Recommendations -- 14.3.4.1  Treatment Goals -- 14.3.4.2  Goal



Evaluation -- 14.3.5  Summary -- References -- 15: Functional Electrical Stimulation in Neuro-urologic Disorders -- 15.1  Physiology and Pathophysiology of the Lower Urinary Tract -- 15.2  Examination -- 15.3  FES Techniques in NLUTD -- 15.3.1  Intravesical Stimulation.

15.3.2  Nervus Pudendus Stimulation.