Tohoku J. Exp. Med., 2003, 201 (2)

Grasping Power by Means of Functional Electrical Stimulation
in a Case of C6 Complete Tetraplegia

YOICHI SHIMADA, SATOAKI CHIDA, TOSHIKI MATSUNAGA, AKIKO MISAWA,1
HIROKI ITO,1 TSUTOMU SAKURABA,1 MINEYOSHI SATO,
KAZUTOSHI HATAKEYAMA and EIJI ITOI1

Rehabilitation Division, and 1Department of Orthopedic Surgery, Akita University School of Medicine, Akita 010-8543

Grasping power (GP) by means of functional electrical stimulation (FES) was measured in a case of C6 complete tetraplegia. This was compared with GP by means of the dynamic tenodesis effect, the flexor hinge splint and the GP of normal female. Palmar grasp strength by means of FES was approximately 16% of the control group and 2.4 times greater than the flexor hinge splint. Lateral grasp strength by FES was approximately 13% of the control group. Our results suggest that FES is more effective than the flexor hinge splint in increasing the GP of tetraplegic patients, and that a stronger and stable GP, which is not affected by wrist position, makes FES practical for improving activities of daily living (ADL).

keywords —— grasping power; functional electrical stimulation (FES); complete tetraplegia; percutaneous intramuscular electrode

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Tohoku J. Exp. Med., 2003, 201, 91-96

Address for reprints: Yoichi Shimada, M.D., Rehabilitation Division, Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan.

e-mail: yshimada@med.akita-u.ac.jp