Cerebrovascular Accident — Electrical Stimulation to Improve Hand Function in Patients With Chronic Stroke
Citation(s)
Cauraugh J, Light K, Kim S, Thigpen M, Behrman A Chronic motor dysfunction after stroke: recovering wrist and finger extension by electromyography-triggered neuromuscular stimulation. Stroke. 2000 Jun;31(6):1360-4.
Fields RW Electromyographically triggered electric muscle stimulation for chronic hemiplegia. Arch Phys Med Rehabil. 1987 Jul;68(7):407-14.
Kraft GH, Fitts SS, Hammond MC Techniques to improve function of the arm and hand in chronic hemiplegia. Arch Phys Med Rehabil. 1992 Mar;73(3):220-7.
Cortical Motor Reorganization in Chronic Stroke Following EMG Triggered NMES Therapy
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