EFFECTIVENESS OF FUNCTIONAL ELECTRICAL STIMULATION ON SPASTICITY AMONG SPASTIC HEMIPLEGIC STROKE SURVIVORS IN UNIVERSITY OF BENIN TEACHING HOSPITAL, BENIN CITY

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Abstract
Background: Stroke is a major cause of motor impairment, death and disability globally. It often results in spastic hemiplegia due to upper motor neuron lesions, hindering activities of daily living. Clinical evidence shows that functional electrical stimulation facilitates neuromuscular re-education through electrical impulses, thus, enhancing motor recovery, improving muscle strength and promoting functional independence post-stroke. Aim: The aim of this study is to determine the effectiveness of functional electrical stimulation on spasticity among spastic hemiplegic stroke survivors in UBTH. Methods: Simple random sampling technique was used to select 2 groups of participants; experimental and control group. A sample size of 40 participants was recruited for this study, and the FES device, MAS, MRS, FIM and demographic questionnaire was used to obtain data. Descriptive statistics of frequency and percentage distribution and inferential statistics of one way anova was used to summarize the data. Alpha level was 0.05. Results: The study demonstrated a significant reduction in upper limb spasticity following Functional Electrical Stimulation, with participants in the experimental group showing better spasticity reduction and improves activities of daily living than those receiving conventional therapy alone. Thus, confirming the clinical effectiveness of FES in modulating abnormal muscle tone among post-stroke survivors. Conclusion: The integration of FES into physiotherapy practice enhanced ADL and upper limb spasticity. Hence, is a reliable tool in post stroke rehabilitation, fostering neuro plasticity recovery and improved quality of life. Key words: Functional electrical stimulation, spasticity, stroke.
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