Combined kinesiotherapy and safe, personalized, controlled electrotherapy after stroke give better results than kinesiotherapy alone. We propose a neural network architecture that we have coined the neural impulse re- sponse (NIR) filter, which is an efficient model for certain systems with. The application of the proposed NMFES electrostimulation algorithm combined with PNF improved the peripheral neural transmission in peroneal but not ulnar motor nerve fibers in patients after ischemic stroke. Nerve impulses are received at neuronal dendrites, passed through the cell body, and are carried along the axon to the terminal branches. After 60 days of treatment, only the patients from the NMFES+K group showed significant improvement in M-wave recordings. Nerve impulses, or action potentials, are electrochemical impulses that cause neurons to release electrical or chemical signals that initiate an action potential in another neuron. Both groups statistically differed in their amplitudes of M-wave recording parameters after peroneal nerve stimulation performed at T0 and T2 compared with the control group. An ENG studied peripheral (M-wave recordings), C8 and L5 ventral root (F-wave recordings) neural impulse transmission in the peroneal and the ulnar nerves on the hemiparetic side. An ENG was performed once in a group of 60 healthy volunteers and three times in 120 patients after stroke (T0, up to 7 days after the incident T1, after 21 days of treatment and T2, after 60 days of treatment) 60 subjects received personalized NMFES and PNF treatment (NMFES+K), while the other 60 received only PNF (K). This study aims to compare the effectiveness of an NMFES of antagonistic muscle groups at the wrist and ankle and kinesiotherapy based mainly on proprioceptive neuromuscular facilitation (PNF).

The available data from electroneurography (ENG) studies on the transmission of neural impulses in the motor fibers of upper and lower extremity nerves following neuromuscular functional electrical stimulation (NMFES) combined with kinesiotherapy in post-stroke patients during sixty-day observation do not provide convincing results.

Neural ipulse