Effects of the addition of functional electrical stimulation to ground level gait training with body weight support after chronic stroke

Prado-Medeiros, Christiane L.; Sousa, Catarina de Oliveira; Souza, Andrea Silveira de; Soares, Marcio Roberto; Barela, Ana Maria Forti; Salvini, Tania F.

doi:10.1590/s1413-35552011005000030

Cited by 13 publications

(11 citation statements)

References 35 publications

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“…The literature describes different forms of therapy for improving the balance and posture of stroke survivors. Prado-Medeiros et al 6 ) , reported an improvement in the balance of stroke survivors after treadmill training with partial weight support combined with functional electrical stimulation. Min Kyun Sohn et al 7 ) reported a significant improvement in the postural stability of patients treated with transcranial direct current stimulation (tDCS).…”

Section: Introductionmentioning

confidence: 99%

Effects of a single session of transcranial direct current stimulation on static balance in a patient with hemiparesis: a case study

et al. 2015

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[Purpose] Cerebrovascular accident (stroke) is characterized by an abrupt onset of focal or global neurological signs and symptoms. Asymmetry of the limbs is common following a stroke due to hemiplegia or hemiparesis. [Subject and Methods] A male patient having suffered an ischemic stroke was initially evaluated using the Timed Up-and-Go Test and the Six-Minute Walk Test. Static balance was evaluated using a force plate (Kistler model 9286BA) for the stabilometry analysis of center of pressure (COP) sway. The data were interpreted using the SWAY software program (BTS Engineering) synchronized with the SMART-D 140® system. Anodal transcranial direct current stimulation (tDCS; 2 mA) was applied over the primary motor cortex for 20 minutes during gait training on a treadmill. [Results] Under the condition of eyes open, reductions were found in anteroposterior sway (6.18%), trace length (3.3%) and sway velocity (3.3%) immediately following tDCS. [Conclusion] A single session of anodal tDCS combined with treadmill training had a positive effect on the static balance of a subject with chronic hemiparesis stemming from a stroke.

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Section: Introductionmentioning

confidence: 99%

Effects of a single session of transcranial direct current stimulation on static balance in a patient with hemiparesis: a case study

et al. 2015

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“…1 Thus, gait recovery is considered an important goal in many poststroke rehabilitation programs. 1 The daunting challenge faced by professionals involved in the rehabilitation of subjects with a history of stroke is to find the ideal stimulus to maximize reorganization of the central nervous system and promote improvements in the functional performance of stroke patients. 2 Literature findings suggest that task-specific training, repetitive execution of a task, specific to the intended outcome, is more effective in recovering function and that treadmill training seems to produce better results than conventional approaches, by recovering isolated components of gait such as lower limb strengthening, weight bearing, and balance.…”

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Effects of Treadmill Inclination on Hemiparetic Gait

Gama

Trigueiro²,

Simão³

et al. 2015

American Journal of Physical Medicine &Amp; Rehabilitation

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“…Research supports a beneficial effect of BWSTT on hemiparetic walking speed and capacity, functional balance, and post-stroke functional ambulation. Current research is focused on both identifying a neuroplastic mechanism which may explain a therapeutic effect of BWSTT gait training and combining BWS methods with other rehabilitation modalities, such as FES 92 , to maximize post-stroke gait rehabilitation outcomes. Recent randomized controlled clinical trials have not, however, established the superiority of BWSTT over other conventional post-stroke gait training interventions.…”

Section: Discussionmentioning

confidence: 99%

Technological Advances in Interventions to Enhance Poststroke Gait

Sheffler

Chae

2013

Physical Medicine and Rehabilitation Clinics of North America

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Synopsis This article provides a comprehensive review of specific rehabilitation interventions used to enhance hemiparetic gait following stroke. Neurologic rehabilitation interventions may be either therapeutic resulting in enhanced motor recovery or compensatory whereby assistance or substitution for neurological deficits results in improved functional performance. Included in this review are lower extremity functional electrical stimulation (FES), body-weight supported treadmill training (BWSTT), and lower extremity robotic-assisted gait training. These post-stroke gait training therapies are predicated on activity-dependent neuroplasticity which is the concept that cortical reorganization following central nervous system injury may be induced by repetitive, skilled, and cognitively engaging active movement. All three interventions have been trialed extensively in both research and clinical settings to demonstrate a positive effect on various gait parameters and measures of walking performance. However, more evidence is necessary to determine if specific technology-enhanced gait training methods are superior to conventional gait training methods. This review provides an overview of evidence-based research which supports the efficacy of these three interventions to improve gait, as well as provide perspective on future developments to enhance post-stroke gait in neurologic rehabilitation.

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Effects of the addition of functional electrical stimulation to ground level gait training with body weight support after chronic stroke

Cited by 13 publications

References 35 publications

Effects of a single session of transcranial direct current stimulation on static balance in a patient with hemiparesis: a case study

Effects of a single session of transcranial direct current stimulation on static balance in a patient with hemiparesis: a case study

Effects of Treadmill Inclination on Hemiparetic Gait

Technological Advances in Interventions to Enhance Poststroke Gait

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