{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:12:58Z","timestamp":1790640778400,"version":"4.1.0"},"reference-count":47,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,2,1]],"date-time":"2019-02-01T00:00:00Z","timestamp":1548979200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Neurorehabil Neural Repair"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:p>\n                    <jats:italic toggle=\"yes\">Background<\/jats:italic>\n                    . Clinical trials have demonstrated some benefits of electromyogram-triggered\/controlled neuromuscular electrical stimulation (EMG-NMES) on motor recovery of upper limb (UL) function in patients with stroke. However, EMG-NMES use in clinical practice is limited due to a lack of evidence supporting its effectiveness.\n                    <jats:italic toggle=\"yes\">Objective<\/jats:italic>\n                    . To perform a systematic review and meta-analysis to determine the effects of EMG-NMES on stroke UL recovery based on each of the International Classification of Functioning, Disability, and Health (ICF) domains.\n                    <jats:italic toggle=\"yes\">Methods<\/jats:italic>\n                    . Database searches identified clinical trials comparing the effect of EMG-NMES versus no treatment or another treatment on stroke upper extremity motor recovery. A meta-analysis was done for outcomes at each ICF domain (Body Structure and Function, Activity and Participation) at posttest (short-term) and follow-up periods. Subgroup analyses were conducted based on stroke chronicity (acute\/subacute, chronic phases). Sensitivity analysis was done by removing studies rated as poor or fair quality (PEDro score &lt;6).\n                    <jats:italic toggle=\"yes\">Results<\/jats:italic>\n                    . Twenty-six studies (782 patients) met the inclusion criteria. Fifty percent of them were considered to be of high quality. The meta-analysis showed that EMG-NMES has a robust short-term effect on improving UL motor impairment in the Body Structure and Function domain. No evidence was found in favor of EMG-NMES for the Activity and Participation domain. EMG-NMES had a stronger effect for each ICF domain in chronic (\u22653 months) compared to acute\/subacute phases.\n                    <jats:italic toggle=\"yes\">Conclusion<\/jats:italic>\n                    . EMG-NMES is effective in the short term in improving UL impairment in individuals with chronic stroke.\n                  <\/jats:p>","DOI":"10.1177\/1545968319826053","type":"journal-article","created":{"date-parts":[[2019,2,1]],"date-time":"2019-02-01T13:09:57Z","timestamp":1549026597000},"page":"96-111","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":87,"title":["Electromyogram-Related Neuromuscular Electrical Stimulation for Restoring Wrist and Hand Movement in Poststroke Hemiplegia: A Systematic Review and Meta-Analysis"],"prefix":"10.1177","volume":"33","author":[{"given":"Katia","family":"Monte-Silva","sequence":"first","affiliation":[{"name":"Universidade Federal de Pernambuco, Recife, Brazil"},{"name":"Jewish Rehabilitation Hospital Site, Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Laval, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5240-3798","authenticated-orcid":false,"given":"Daniele","family":"Piscitelli","sequence":"additional","affiliation":[{"name":"Jewish Rehabilitation Hospital Site, Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Laval, Canada"},{"name":"McGill University, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nahid","family":"Norouzi-Gheidari","sequence":"additional","affiliation":[{"name":"Jewish Rehabilitation Hospital Site, Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Laval, Canada"},{"name":"McGill University, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc Aureli Pique","family":"Batalla","sequence":"additional","affiliation":[{"name":"Jewish Rehabilitation Hospital Site, Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Laval, Canada"},{"name":"Maastricht University, Maastricht, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Archambault","sequence":"additional","affiliation":[{"name":"Jewish Rehabilitation Hospital Site, Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Laval, Canada"},{"name":"McGill University, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mindy F.","family":"Levin","sequence":"additional","affiliation":[{"name":"Jewish Rehabilitation Hospital Site, Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Laval, Canada"},{"name":"McGill University, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,2]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2004.13.9.12966"},{"key":"e_1_3_2_3_2","unstructured":"National Institute for Health and Care Excellence. 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