Abstract
24 hemiplegic patients completed patterned functional electrical stimulation (PFES) upon the afflicted arm and leg. The multichannel PFES program was mathematically derived from the EMG agonist/antagonist pattern recorded from each subject's unaffected limbs during a series of monitored, voluntary movements. The average improvement in volitional range of motion for the group's paralyzed limbs was 90% for the upper extremities and 69% for the lower extremities. For partially paralyzed limbs, there was an average increase in range of movement of 68% for the upper extremities and 26% for the lower extremities. These findings support the relearning-based, PFES open-loop theory which uses individualized therapeutic PFES-derived from EMG coordination patterns modeled from specific, ballistic limb movements to rehabilitate patients who have been immobilized after stroke.
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