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Effects of Tactile Contact-Based Facilitation of Motor Responses in the Paretic Hand on Upper-Extremity Function and Task-Related EEG Activation in Patients with Chronic Stroke: A Randomized Controlled Trial

Abstract

Purpose This study examined whether tactile contact–based facilitation of motor responses applied to the paretic hand improves upperextremity function (Manual Function Test, MFT) and modulates taskrelated EEG alpha and betaband absolute power in individuals with chronic stroke. Methods Twentythree participants with chronic stroke were randomly assigned to a study group or control group. The groups were comparable in gender, paretic side, age, anthropometrics, cognitive status (KMMSE), and baseline EEG alpha and beta absolute power across all channels (FP1/FP2/C3/C4/P3/P4/O1/O2) (p>0.05). Disease duration tended to be longer in the study group (11.47 vs. 4.77 months, p<0.07) and was considered a potential confounder. MFT and EEG alpha/beta absolute power during task performance were assessed before and after the intervention, and pre–post changes were compared within and between groups. Results The study group showed a significant post intervention improvement in MFT (p<0.005), whereas the control group did not (p=0.097); however, betweengroup change scores were not significant (p>0.72). EEG outcomes demonstrated selective condition and pareticside–dependent effects: in participants with leftsided paresis, the study group showed decreased alpha absolute power at FP2 and C4 (with a significant betweengroup difference in FP2 change), and beta absolute power decreased mainly over FP2/C3 or C4 depending on paretic side, with partial betweengroup differences. Conclusion Tactile contact–based facilitation modulated frontal–sensorimotor EEG alpha/beta activity during upper limb task performance in chronic stroke but did not provide clear additional improvement in MFT beyond standard therapy; larger studies controlling for covariates and using additional EEG metrics are warranted.



Keywords



Chronic stroke EEG Motor cortex Paretic hand Tactile stimulation



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