Evidence map›Paper›PMID 42799048›Full record

Trial reportFrontiers in rehabilitation sciences2026

Feasibility and safety of multi-field functional electrical stimulation for distal upper-limb rehabilitation after subacute stroke: a randomised controlled feasibility trial.

Silvia Guillén-Climent, Pablo Casado-Adam, Manuela Mejías-Ruiz, Aitor Martín-Odriozola, Cristina Rodríguez-de-Pablo, Inmaculada Salcedo-Leal, Esmeralda Sillero-Ruz, María Dolores Morente-Navajas, Manuel Flores-Lara, José Peña-Amaro and 1 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Frontiers in rehabilitation sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04992910 (Multi-field Functional Electrical Stimulation for Distal Upper-limb Rehabilitation After Subacute Stroke), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04992910 nacompletednot on this map

Multi-field Functional Electrical Stimulation for Distal Upper-limb Rehabilitation After Subacute Stroke: a Pilot Randomised Controlled Trial

TypeinterventionalSponsorMaimónides Biomedical Research Institute of CórdobaRan2022 to 2023Enrolled16ConditionsStroke, Upper Extremity ParesisArmsFunctional electrical stimulation through medical device, Standard therapy
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Silvia Guillén-Climent *Preventive Medicine and Public Health Group (GA13), Maimónides Biomedical Research Institute of Córdoba (IMIBIC), Reina Sofía University Hospital, University of Córdoba, Córdoba, Spain.
Pablo Casado-Adam *Interlevel Clinical Management Unit of Physical Medicine and Rehabilitation, Reina Sofía University Hospital, Guadalquivir Health District, Córdoba, Spain.
Manuela Mejías-RuizInterlevel Clinical Management Unit of Physical Medicine and Rehabilitation, Reina Sofía University Hospital, Guadalquivir Health District, Córdoba, Spain.
Aitor Martín-OdriozolaFesia Technology, Donostia-San Sebastián, Spain.
Cristina Rodríguez-de-PabloFesia Technology, Donostia-San Sebastián, Spain.
Inmaculada Salcedo-LealPreventive Medicine and Public Health Group (GA13), Maimónides Biomedical Research Institute of Córdoba (IMIBIC), Reina Sofía University Hospital, University of Córdoba, Córdoba, Spain.
Esmeralda Sillero-RuzInterlevel Clinical Management Unit of Physical Medicine and Rehabilitation, Reina Sofía University Hospital, Guadalquivir Health District, Córdoba, Spain.
María Dolores Morente-NavajasInterlevel Clinical Management Unit of Physical Medicine and Rehabilitation, Reina Sofía University Hospital, Guadalquivir Health District, Córdoba, Spain.
Manuel Flores-LaraInterlevel Clinical Management Unit of Physical Medicine and Rehabilitation, Reina Sofía University Hospital, Guadalquivir Health District, Córdoba, Spain.
José Peña-AmaroDepartment of Morphological and Socio-Sanitary Sciences, University of Córdoba, Córdoba, Spain.
Fernando Jesús Mayordomo-RieraInterlevel Clinical Management Unit of Physical Medicine and Rehabilitation, Reina Sofía University Hospital, Guadalquivir Health District, Córdoba, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Functional electrical stimulation (FES) is recommended for upper-limb rehabilitation after stroke but remains underused in routine clinical practice. Multi-field FES may simplify clinical application and improve selective muscle activation, although evidence generated under real-world rehabilitation conditions remains limited. Objective: To assess the feasibility, usability, and safety of multi-field FES for distal upper-limb rehabilitation after subacute stroke and to generate preliminary effect estimates to inform a future definitive trial. Methods: We conducted a single-centre, parallel-group, randomised controlled feasibility trial with blinded outcome assessment. Sixteen adults with subacute stroke (≤6 months) and unilateral upper-limb impairment were randomised 1:1 to FES-assisted therapy or conventional rehabilitation ( Results: Of 20 participants screened between April 2022 and August 2023, 16 were recruited and randomised (8 per group) and received 12 sessions of 40 minutes over 6 weeks. All participants completed the study, resulting in 100% retention and adherence (16/16; 95% CI 79.4-100% for both outcomes). In the FES group, usability and motivation scores were high, indicating good acceptability of the intervention. Two FES participants experienced minor, transient skin erythema after electrode application; no serious adverse events were observed. Exploratory analyses yielded point estimates that favoured the FES group for distal upper-limb motor outcomes; however, confidence intervals were wide and findings should not be interpreted as evidence of clinical efficacy. Conclusion: Multi-field FES for distal upper-limb rehabilitation after subacute stroke was feasible and well accepted in routine clinical practice, with no serious adverse events observed. These findings provide preliminary data to support the design of future adequately powered efficacy trials. Clinical Trial Registration: https://clinicaltrials.gov/study/NCT04992910, identifier: NCT04992910.

Indexed as

assistive technologyfeasibility studyfunctional electrical stimulation (FES)hand functionmulti-field electrodesneurorehabilitationstroke recoveryupper extremity

Identifiers

PMID42799048
PMCPMC13613637

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.