A Randomized Controlled Trial of Functional Neuromuscular Stimulation in Chronic Stroke Subjects

Daly, Janis J.; Roenigk, Kristen; Holcomb, John P.; Rogers, Jean; Butler, Kristen; Gansen, J.; McCabe, Jessica; Fredrickson, Eric K.; Marsolais, E.B.; Ruff, Robert L.

doi:10.1161/01.str.0000195129.95220.77

Cited by 113 publications

(63 citation statements)

References 31 publications

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“…The POMA balance subscale may be a useful tool for predicting the occurrence of falls and examining the balance ability of stroke patients. Although its reliability and validity for stroke patients has been reported (CiprianyDacko et al 1997;Corriveau et al 2004;Daly et al 2006), its discrimination capacity and validity for predicting falls has not been reported.…”

Section: Introductionmentioning

confidence: 99%

Validity of the Performance-Oriented Mobility Assessment in Predicting Fall of Stroke Survivors: A Retrospective Cohort Study

Lee

2014

Tohoku J. Exp. Med.

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Falling is one of the most common complications in stroke survivors. It is therefore important to evaluate the risk of falls. In this study, we investigated the usability of the performance-oriented mobility assessment (POMA) for predicting falls in stroke patients. The POMA examines the level of balance and mobility. Data were collected on the number of falls and physical functions from 72 stroke survivors. Physical functions were measured using the POMA balance subscale, One Leg Stand test (OLS), Sit To Stand test (STS), 10-m Walk Test (10WT), Fugl-Meyer assessment (FM), and Trunk Impairment Scale (TIS). Since the accuracy of the POMA balance subscale was moderate, the cutoff value used for predicting falls was 12.5 points (sensitivity: 72%; specificity: 74%), and the area under the curve was 0.78 (95% confidence interval: 0.66-0.91, p < 0.001). When comparing the physical functions (i.e., OLS, STS, 10WT, FM, and TIS) to the cutoff value for the POMA balance subscale, the physical functions of the group over 12.5 points for the subscale were significantly higher than those in the group below 12.5 points (p < 0.05). The muscle strength shown in the STS was the most important factor affecting the performance in the POMA balance subscale (β = −0.447). For the group below 12.5 points on the POMA balance subscale, the risk of falling increased by 0.304 times more than the group over 12.5 points. The POMA balance subscale is a valid tool for assessing the physical function and fall risk of stroke survivors.

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Section: Introductionmentioning

confidence: 99%

Validity of the Performance-Oriented Mobility Assessment in Predicting Fall of Stroke Survivors: A Retrospective Cohort Study

Lee

2014

Tohoku J. Exp. Med.

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“…This finding is consistent within the literature for healthy older adults for these measures, as well as other clinical populations. For healthy older adults, ICC ranged between 0.72-0.80 (Faber, Bosscher, & van Wieringen, 2006) and ranged between 0.874 and 0.91 for stroke patients (Canbek, Fulk, Nof, & Echternach, 2013;Daly et al, 2006). Furthermore, similar measures of physical function assessed in dementia specific populations demonstrated similar levels of relative reliability as those reported within this thesis.…”

Section: First Major Findingsupporting

confidence: 54%

Measuring physical function in people with dementia: a psychometric investigation

Fox¹

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Dementia is a global issue, and it is a growing problem. Exercise is an effective intervention strategy for improving cognition and physical function for people of all ages, and measurement is fundamental to scientific endeavour. This thesis sits at the crossroads to these three key areas. Without appropriate psychometric justification behind the choice of measurement tools for exercise intervention studies, the validity of outcomes to suggest that exercise is beneficial for people with dementia should be called into question. This thesis aims to identify common measures of physical function, a key construct to remaining independent for people with dementia, assess their psychometric properties and determine whether such significantly different in the first trial (p<0.05), generally these differences were no longer present by the third trial (p>0.05). It was evident that the majority of our sample were able to complete the measures to standardised the protocol. In Stage Four, the previous definitions of physical function, which centre on capacity to complete complex and basic daily tasks, is appropriate for people with dementia.However, further attention should be given to the tasks most basic and central to remaining independent.The discussion focussed on three main findings from this thesis. These are; there is reasonable evidence to support the use of assessed measures, intended use should guide clinicians and researchers, and simple measures for people that have low physical and low cognitive function should be used. Implications will translate these main findings into expected consequences of this work. To my friends, mentors and family who have walked along side me throughout the course of my candidature, I cannot begin to put into words the debt of gratitude that is owed to you. For the listening ear when I could not stop talking about my thesis in the good times, for the distraction when I needed it in the not so good times, for the good coffee at all times, and for the wisdom at the right times, thank you.

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“…This study reported that the standard sensory input was the most important factor of inducing plasticity in the spinal circuit for reciprocal inhibition (Perez et al, 2003). Daly et al (2006) reported the improvement of gait and knee flexion coordination in a stroke patient group applied with FES on the neuromuscular system. However, Prado-Mederios et al (2011) reported that there were no significant differences in motor function, gait linear variation, and kinematic variation in comparison between FES and non-FES application in 12 chronic stroke patients who performed gait training with partial weight support through harness.…”

Section: Introductionmentioning

confidence: 95%

The Effects of Dynamic Functional Electrical Stimulation With Treadmill Gait Training on Functional Ability, Balance Confidence and Gait in Chronic Stroke Patients

Cho

Ahn

Park

et al. 2014

Physical Therapy Korea

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1)The aim of this study was to evaluate the effects of walking on a treadmill while using dynamic functional electrical stimulation (Dynamic FES) on functional ability and gait in chronic stroke patients. This was a prospective, randomized controlled study. Twelve patients with chronic stroke (>24 months) who were under grade 3 in dorsiflexor strength with manual muscle test were included and randomized into intervention (Dynamic FES) (n1=7) and control (FES) (n2=5). Both the Dynamic FES group and FES group were given a neuromuscular development treatment. The Dynamic FES group has implemented a total of 60 minutes of exercise treatment and gait training with Dynamic FES application. The FES group, with the addition of applying FES while sitting, has also implemented a total of 90 minutes of gait training on treadmill after the exercise treatment. Both two groups accomplished the program, twice a week, for a total of 24 times in a 12-week period. Exercise treatment, gait training on treadmill, and both Dynamic FES and FES were implemented for 30 minutes each. Korean version activities-specific balance confidence scale (K-ABC) was measured to determine self-efficacy in balance function. Timed up and go (TUG) test was performed to evaluate the physical performance. K-ABC, TUG, Berg balance scale (BBS), modified physical performance test (mPPT) and G-walk were evaluated at baseline and at 12 weeks. After 12 weeks, statistically significant differences (p<.05) were apparent in the Dynamic FES group in the changes in K-ABC and BBS. mPPT, TUG, gait speed, stride length and stance phase duration (%) were compared with the FES group. K-ABC had higher correlation to BBS, along with mPPT to TUG. Our results suggest that walking with Dynamic FES in chronic stroke patients may be beneficial for improving their balance confidence, functional ability and gait.

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A Randomized Controlled Trial of Functional Neuromuscular Stimulation in Chronic Stroke Subjects

Cited by 113 publications

References 31 publications

Validity of the Performance-Oriented Mobility Assessment in Predicting Fall of Stroke Survivors: A Retrospective Cohort Study

Validity of the Performance-Oriented Mobility Assessment in Predicting Fall of Stroke Survivors: A Retrospective Cohort Study

Measuring physical function in people with dementia: a psychometric investigation

The Effects of Dynamic Functional Electrical Stimulation With Treadmill Gait Training on Functional Ability, Balance Confidence and Gait in Chronic Stroke Patients

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