I have had moderate success with the use of E-stim when applied in a functional way.? I like to stimulate the digit flexors and the digit extensors in an alternate pattern while combining a? graded grasp and release challenge.? The use of E-stim in the clinic is not enough to make a difference, so I usually set them up with a home unit and program if they are cognitively appropriate or a caregiver can assist.? Google strokengine to see all of the evidence on functional return from E-stim?through randomized control trials, I think the evidence will suprise you.? But like I said before you have to use it a lot.
Chris Nahwold MS, OTR ST. John's Medical Center Anderson, Indiana -----Original Message----- From: Neal Luther <[EMAIL PROTECTED]> To: OTlist@OTnow.com Sent: Mon, 25 Aug 2008 7:56 am Subject: Re: [OTlist] bioness I agree with the statement about TENS in general upper quad use for the neuro population. I have used it adjunctively to other tx. (Saeboflex)that is more active for the CVA population not MS. Neal C. Luther,OTR/L Rehab Program Coordinator Advanced Home Care 1-336-878-8824 xt 3205 [EMAIL PROTECTED] Home Care is our Business...Caring is our Specialty The information contained in this electronic document from Advanced Home Care is privileged and confidential information intended for the sole use of [EMAIL PROTECTED] If the reader of this communication is not the intended recipient, or the employee or agent responsible for delivering it to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately notify the person listed above and discard the original.-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Ron Carson Sent: Sunday, August 24, 2008 7:34 AM To: Bill Maloney Subject: Re: [OTlist] bioness I am skeptical of e-stim devices for the hand. In my experience, there is little a therapist or device can do to restore permanent and meaning ability to a hand affected by a CVA. Of course, I've seen patient's recover hand function s/p CVA, but this normally occurred spontaneously and rather quickly after the CVA. When someone is 1 year or more out from their stroke, and hand function is not meaningful, I do not feel that meaningful use will return. Others' opinion?? ----- Original Message ----- From: Bill Maloney <[EMAIL PROTECTED]> Sent: Saturday, August 23, 2008 To: otlist@otnow.com <otlist@otnow.com> Subj: [OTlist] bioness BM> I am relieved to see the OTlist responding to the recent "CPR" it received. BM> I hope it never dies. BM> Does anyone out there have any specific experience with the Bioness device BM> for treatment of the hands for patients diagn osed with multiple sclerosis? BM> (FYI http://www.bioness.com/bioness_hand_main.php). I appreciate any BM> feedback. BM> Bill Maloney, OTR BM> www.embracelifewell.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
