Design of Functional Electrical Stimulation Cycling System for Lower-Limb Rehabilitation of Stroke Patients

Wang, Xiaojun; Leung, Kenry W. C.; Fang, Yuqi; Chen, Sai; Tong, Kai-Yu

doi:10.1109/embc.2018.8512869

Cited by 8 publications

(7 citation statements)

References 12 publications

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“…However, these competitions are only targeting people with SCI. We expect that wider range of participants, for example, stroke, will also be addressed in the near future, as supported by recent promising research works in this direction [54,55].…”

Section: Fes Driven Cyclingmentioning

confidence: 84%

Noninvasive Modalities Used in Spinal Cord Injury Rehabilitation

Barroso¹,

Pascual-Valdunciel²,

Torricelli³

et al. 2019

Spinal Cord Injury Therapy [Working Title]

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In the past three decades, research on plasticity after spinal cord injury (SCI) has led to a gradual shift in SCI rehabilitation: the former focus on learning compensatory strategies changed to functional neurorecovery, that is, promoting restoration of function through the use of affected limbs. This paradigm shift contributed to the development of technology-based interventions aiming to promote neurorecovery through repetitive training. This chapter presents an overview of a range of noninvasive modalities that have been used in rehabilitation after SCI. Among others, we present repetitive transcranial magnetic stimulation (rTMS), transcranial direct current stimulation (tDCS), surface electrical stimulation tools such as transcutaneous electrical spinal cord stimulation (tcSCS), transcutaneous electrical nerve stimulation (TENS), and functional electrical stimulation (FES), as well as its integration with cycling training and assistive robotic devices. The most recent results attained and the potential relevance of these new techniques to strengthen the efficacy of the residual neuronal pathways and improve spasticity are also presented. Future efforts toward the widespread clinical application of these modalities include more advances in the technology, together with the knowledge obtained from basic research and clinical trials. This can ultimately lead to novel customized interventions that meet specific needs of SCI patients.

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Section: Fes Driven Cyclingmentioning

confidence: 84%

Noninvasive Modalities Used in Spinal Cord Injury Rehabilitation

Barroso¹,

Pascual-Valdunciel²,

Torricelli³

et al. 2019

Spinal Cord Injury Therapy [Working Title]

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“…with mild limitations (high mobility) [25,34,39,41]. One article had an experimental group that had high mobility and a control group with low mobility [35].…”

Section: Not Clearmentioning

confidence: 99%

“…1 1 1 1 1 0 0 0 1 0 1 1 1 0 0 Fair Srivastava and Kao 2016 [30] 1 1 1 1 1 1 0 0 1 1 1 1 1 1 0 Good Tong et al 2006 [31] 1 1 1 1 1 1 1 1 0 0 1 0 1 0 1 Fair Tong et al 2006 [32] 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Excellent Wang et al 2018 [34] 1 0 1 1 1 1 0 0 1 1 1 1 1 0 0 Fair Zhang et al 2021 [35] 1 1 1 0 1 1 1 1 1 1 a articles with poor quality were excluded from future analysis.…”

Section: Devicesmentioning

confidence: 99%

“…Post-intervention, 18 out of 20 were able to walk, also indicating improved gait. Furthermore, three articles (that did not measure gait velocity) found significant improvement on the 6MWT [34,39,43], showing improvement in walking endurance, and one article showed significant improvement on the FAC score [42]. All three parameters indicate improvement in activity level and components of gait after stroke (figure 3(a)).…”

Section: Effect Of Robot-assistance Combined With Esmentioning

confidence: 99%

“…All three parameters indicate improvement in activity level and components of gait after stroke (figure 3(a)). Seven out of the nine articles including at least one measure of motor function (FMA and/or MI) reported improvement after ES-cycling, one article found no significant improvement [34] and in the remaining article no statistical tests were conducted [24]. The results did show that all individual stroke patients improved or remained stable on the MI post-intervention compared to pre-intervention (figure 3(b)).…”

Section: Effect Of Robot-assistance Combined With Esmentioning

confidence: 99%

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Robot-assisted support combined with electrical stimulation for the lower extremity in stroke patients: a systematic review

Rikhof,

Feenstra,

Fleuren

et al. 2024

J. Neural Eng.

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Objective.The incidence of stroke rising, leading to an increased demand for rehabilitation services. Literature has consistently shown that early and intensive rehabilitation is beneficial for stroke patients. Robot-assisted devices have been extensively studied in this context, as they have the potential to increase the frequency of therapy sessions and thereby the intensity. Robot-assisted systems can be combined with electrical stimulation to further enhance muscle activation and patient compliance. The objective of this study was to review the effectiveness of electrical stimulation combined with all types of robot-assisted technology for lower extremity rehabilitation in stroke patients.Approach.A thorough search of peer-reviewed articles was conducted. The quality of the included studies was assessed using a modified version of the Downs and Black checklist. Relevant information regarding the interventions, devices, study populations, and more was extracted from the selected articles.Main results.A total of 26 articles were included in the review, with 23 of them scoring at least fair on the methodological quality. The analysed devices could be categorized into two main groups: cycling combined with electrical stimulation and robots combined with electrical stimulation. Overall, all the studies demonstrated improvements in body function and structure, as well as activity level, as per the International Classification of Functioning, Disability, and Health model. This review showedsuperiority of training with the combination of robot and electrical stimulation over robot training alone or over conventional treatment in about half of the studies.Significance.The combination of robot-assisted technology with electrical stimulation is gaining increasing interest in stroke rehabilitation. However, the studies identified in this review present challenges in terms of comparability due to variations in outcome measures and intervention protocols. Future research should focus on actively involving and engaging patients in executing movements and strive for standardization in outcome values and intervention protocols.

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Rehabilitation and Gamification Technology Device for Lower Extremities Patient: A Review

Ismail,

Adib

2024

Lecture Notes in Mechanical Engineering

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Design of Functional Electrical Stimulation Cycling System for Lower-Limb Rehabilitation of Stroke Patients

Cited by 8 publications

References 12 publications

Noninvasive Modalities Used in Spinal Cord Injury Rehabilitation

Noninvasive Modalities Used in Spinal Cord Injury Rehabilitation

Robot-assisted support combined with electrical stimulation for the lower extremity in stroke patients: a systematic review

Rehabilitation and Gamification Technology Device for Lower Extremities Patient: A Review

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