What is the Effectiveness of Electrical Stimulation to the Upper Extremity on ADL Performance for Adults After a Stroke?
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Karch, Amanda
Rivera, Jessica
Sherry, Sherry
White, Sarah
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2023-05-03
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A stroke, also known as a cerebrovascular accident (CVA), occurs when blood flow inside of the brain is interrupted and results in cell death within the brain tissue. In the United States, more than 795,000 people experience a stroke yearly, 87% of which are ischemic and 13% hemorrhagic (Centers for Disease Control and Prevention [CDC], 2022). An ischemic stroke is caused by a blockage, usually a clot, that disrupts the flow of blood within the brain, and a hemorrhagic stroke is due to the rupture of a blood vessel within the brain that causes bleeding. (Unnithan et al., 2022). Stroke, either ischemic or hemorrhagic, is the leading cause of serious long-term disability in the United States as it can greatly reduce mobility and function, especially in people 65 years and older (CDC, 2022). A CVA can negatively affect a person’s independence and safety with activities of daily living (ADLs) including dressing, bathing, toileting, and self-feeding. The purpose of this analysis was to critically appraise different types and levels of interventions with electrical stimulation to the upper extremity to determine the effectiveness on ADL performance for adults after a stroke. Level IA and level IB articles were analyzed and included in this critically appraised topic (CAT) if they were completed in the last 3 years, included participants who have experienced a CVA, and utilized electrical stimulation for intervention. The analysis showed that using electrical simulation on the upper extremity is effective at improving ADL performance post stroke. All interventions require further research with larger sample sizes and specific protocols to determine the most effective way to prescribe electrical stimulation.
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Creighton University
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Copyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University