Hand – Function Control (Stroke > 6 months ago)



Loss of hand function is common after stroke. Usually some hand movement returns but often not enough movement returns to make the hand functional again. Electrical stimulation can be used to open the hands of stroke survivors. This can be done with electrodes that adhere to the skin on the back of the forearm. If electrical stimulation is delivered at the same time the patient attempts to open the hand, there may be a greater chance for recovery (or relearning) of hand movement and control. If electrical stimulation is controlled by the patient, the effect on motor recovery might be even greater. Researchers at the Cleveland FES Center have developed a new treatment in which stroke survivors control stimulation to their weak hand through a glove worn on their unaffected hand. This new treatment is called Contralaterally Controlled Functional Electrical Stimulation, or CCFES.


Contralaterally Controlled Functional Electrical Stimulation Plus Video Games for Hand Therapy After Stroke

Purpose: The purpose of this project is to see if the effects of CCFES can be increased. This study will demonstrate the supplemental motor relearning value of virtual reality/video games to CCFES therapy, identify patients most likely to respond to both therapies, and determine whether adding Hand Therapy Video Games (HTVG) to CCFES changes how the brain functions.

Objective: The objectives of this project are to compare how CCFES and CCFES+HTVG affect arm and hand movement, to determine if the effectiveness of our treatment depends on how long ago the stroke was or how severely the stroke affected hand movement, and to compare how CCFES and CCFES+HTVG affect how the brain activates when trying to move the hand.

Detailed program information and criteria available at:


Principal Investigator: Jayme Knutson, PhD
Clinical Coordinator: Peggy Maloney, RN
Contact Number: (216) 957-3558
Contact Email: mmaloney@metrohealth.org