Critically appraised papers: Cyclical electrical stimulation improves muscle strength and activity after stroke
Smith, Moira (2026) Critically appraised papers: Cyclical electrical stimulation improves muscle strength and activity after stroke. Journal of Physiotherapy, 72. p. 223.
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Abstract
Muscle weakness is a key impairment limiting activity and participation after stroke, yet many individuals are unable to generate sufficient voluntary muscle activation to engage in conventional strengthening exercise. Cyclical electrical stimulation (CES) is a feasible strengthening intervention that enables muscle loading and activation of the motor system in individuals who might otherwise receive limited strength-focused interventions, particularly among those early post-stroke or with severe paresis. As voluntary control improves, electrical stimulation is most appropriately applied in a task-specific manner aligned with functional goals such as walking or upper limb use.
| Item ID: | 92569 |
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| Item Type: | Article (Commentary) |
| ISSN: | 1836-9561 |
| Copyright Information: | © 2026 Published by Elsevier B.V. on behalf of Australian Physiotherapy Association. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
| Date Deposited: | 10 Aug 2026 02:30 |
| FoR Codes: | 42 HEALTH SCIENCES > 4201 Allied health and rehabilitation science > 420106 Physiotherapy @ 100% |
| SEO Codes: | 20 HEALTH > 2001 Clinical health > 200105 Treatment of human diseases and conditions @ 100% |
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