ABSTRACT

Objective : The purpose of this study is to assess effects of task-oriented training on upper extremity during functional electrical stimulation, and to confirm a causal relationship among the factors in stroke patients. Methods : Thirty-nine hemiplegia with stroke participated in this study. Experimental group conducted taskoriented training during functional electrical stimulation for fifteen patients. Control groupⅠ conducted functional electrical stimulation for thirteen patients and Control groupⅡ conducted task-oriented training on non-sounded upper extremity for eleven patients. Mean differences among the groups were analyzed by One-way ANOVA in six weeks. Hierarchical multiple regression analysis was performed to determine the factors effect function of upper extremity. Results : Hand muscle strength, hand function, motor activity log were compared in three groups, the experimental group showed a statistically significant improvement(p<0.05). These factors were highly correlated with each other. In particular, Hand strength and MAL, interventions were 37% of the variance for upper extremity functional recovery. QOM of MAL test and task-oriented training interventions during functional electrical stimulation in upper extremity function were the most influential variables. Conclusion : The experimental group that conducted task-oriented training during functional electrical stimulation showed positive effects more than the those of control groupⅠ & Ⅱ. Voluntary and repetitive training during functional electrical stimulation will be clinically useful in the field of occupational therapy