Immediate effects of electrical stimulation on serratus anterior muscle activity in people with hemiplegia post-stroke

Upper limb impairment occurs in approximately 80% of stroke survivors, with altered scapular kinematics playing a key role in dysfunction. Serratus anterior weakness post-stroke contributes to abnormal scapular motion, limiting shoulder and arm function. This study explored whether Electrical Stimu...

Full description

Saved in:
Bibliographic Details
Main Authors: Palak Anand Kakwani, Ramesh Debur
Format: Article
Language:English
Published: PAGEPress Publications 2025-08-01
Series:European Journal of Translational Myology
Subjects:
Online Access:https://www.pagepressjournals.org/bam/article/view/14082
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Upper limb impairment occurs in approximately 80% of stroke survivors, with altered scapular kinematics playing a key role in dysfunction. Serratus anterior weakness post-stroke contributes to abnormal scapular motion, limiting shoulder and arm function. This study explored whether Electrical Stimulation (ES) could immediately enhance serratus anterior activity in individuals with post-stroke hemiplegia. A pre-post intervention design was used involving 19 individuals within three months post-stroke. Surface Electromyography (sEMG) recorded serratus anterior activity during a forward reach task. The Fugl-Meyer Assessment (FMA) was also administered. Participants received 20 minutes of ES targeting the serratus anterior, after which sEMG and FMA were reassessed. Wilcoxon signed rank test compared pre- and post-intervention sEMG values. Statistical analysis showed a significant change in the area under the curve value(p < 0.01) but no significant change in RMS value. There was no change in FMA scale. Electrical stimulation showed significant changes in the muscle activity of the serratus anterior, indicating a reduction in the cost of the muscle work done during the forward reach task.
ISSN:2037-7452
2037-7460