Foot Drop Stimulation Versus Ankle Foot Orthosis After Stroke

Kluding, Patricia M.; Dunning, Kari; O’Dell, Michael W.; Wu, Samuel S.; Ginosian, Jivan; Feld, Jody; McBride, Keith

doi:10.1161/strokeaha.111.000334

Cited by 189 publications

(212 citation statements)

References 61 publications

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“…32 In addition, when chronic stroke patients with foot drops were applied to FES for 30 weeks, the subjects were found to be clinically effective in functional evaluation according to their FMA-LE, TUG test, and 6MWT. 33 Above-mentioned studies have shown beneficial to effects from long-term FES application. In the present study, short-term FES application with augmented feedback training also showed a significant effect on clinical measures in the same way as previous ones.…”

Section: Discussionmentioning

confidence: 99%

Functional Electrical Stimulation with Augmented Feedback Training Improves Gait and Functional Performance in Individuals with Chronic Stroke: A Randomized Controlled Trial

Kang

2017

J Kor Phys Ther

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Purpose: The purpose of this study was to compare the effects of the FES-gait with augmented feedback training to the FES alone on the gait and functional performance in individuals with chronic stroke. Methods: This study used a pretest and posttest randomized control design. The subjects who signed the agreement were randomly divided into 12 experimental groups and 12 control groups. The experimental groups performed two types of augmented feedback training (knowledge of performance and knowledge of results) together with FES, and the control group performed FES on the TA and GM without augmented feedback and then walked for 30 minutes for 40 meters. Both the experimental groups and the control groups received training five times a week for four weeks. Results: The groups that received the FES with augmented feedback training significantly showed a greater improvement in single limb support (SLS) and gait velocity than the groups that received FES alone. In addition, timed up and go (TUG) test and six minute walk test (6MWT) showed a significant improvement in the groups that received FES with augmented feedback compared to the groups that received FES alone. Conclusion: Compared with the existing FES gait training, augmented feedback showed improvements in gait parameters, walking ability, and dynamic balance. The augmented feedback will be an important method that can provide motivation for motor learning to stroke patients.

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Section: Discussionmentioning

confidence: 99%

Functional Electrical Stimulation with Augmented Feedback Training Improves Gait and Functional Performance in Individuals with Chronic Stroke: A Randomized Controlled Trial

Kang

2017

J Kor Phys Ther

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“…This study was a cross-sectional analysis of data that was obtained from 2 stroke rehabilitation trials, the LEAPS (Locomotor Experience Applied Post-Stroke) 12 and FASTEST (Functional Ambulation: Standard Treatment vs Electrical Stimulation) 11 trials. Inclusion criteria for both studies were diagnosis of stroke, able to walk ≥10 m with at most maximal assistance, and gait speed <0.80 m/s at start of the intervention.…”

Section: Methodsmentioning

confidence: 99%

“…More detail on the purpose, inclusion/exclusion criteria, and methods of these trials has been previously published. 11,12 This study does not report on the outcomes of either trial. Neither trial found a significant difference between groups for the primary or secondary outcomes.…”

Section: Methodsmentioning

confidence: 99%

“…In the original studies, all participants provided informed consent, and the study protocols were approved by the appropriate institutional review boards. 11,12 Both trials collected the following data at 12 months poststroke in the LEAPS trial and at ≥10.5 months poststroke in the FASTEST trial: comfortable gait speed (CGS), 3,4,17 fast gait speed, 17 6-minute walk test (6MWT), 6 lower extremity Fugl Meyer (FM), 18 Berg Balance scale (BBS), 19 SIS-mobility, 20 SIS-participation, 20 functional ambulation category, 21 mini mental state exam, age, sex, marital status, and average steps per day (over a 7-day period in the FASTEST trial and a 2-day period in the LEAPS trial) using an activity monitor 15 (StepWatch Activity Monitor; Orthocare Innovations, Oklahoma City, OK).…”

Section: Methodsmentioning

confidence: 99%

“…[10][11][12] Although these values may be useful for categorizing people poststroke, gait speed may not reflect actual walking performance in people's homes and community. 13,14 Current advances in technologies allow clinicians and researchers to accurately measure walking activity in people with stroke in their homes and communities using activity monitors.…”

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confidence: 99%

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Predicting Home and Community Walking Activity Poststroke

Fulk

Boyne

et al. 2017

Stroke

Self Cite

201

176

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Background and Purpose-Walking ability poststroke is commonly assessed using gait speed categories developed by Perry et al. The purpose of this study was to reexamine factors that predict home and community ambulators determined from real-world walking activity data using activity monitors. Methods-Secondary analyses of real-world walking activity from 2 stroke trials. Home (100-2499 steps/d), most limited community (2500-4499 steps/d), least limited community (5000-74 999), and full community (≥7500 steps/d) walking categories were developed based on normative data. Independent variables to predict walking categories were comfortable and fast gait speed, 6-minute walk test, Berg Balance Scale, Fugl Meyer, and Stroke Impact Scale. Data were analyzed using multivariate analyses to identify significant variables associated with walking categories, bootstrap method to select the most stable model and receiver-operating characteristic to identify cutoff values. Results-Data from 441 individuals poststroke were analyzed. The 6-minute walk test, Fugl Meyer, and Berg Balance Scale combined were the strongest predictors of home versus community and limited versus unlimited community ambulators. The 6-minute walk test was the strongest individual variable in predicting home versus community (receiver-operating characteristic area under curve=0.82) and limited versus full community ambulators (receiver-operating characteristic area under curve=0.76). A comfortable gait speed of 0.49 m/s discriminated between home and community and a comfortable gait speed of 0.93 m/s discriminated between limited community and full community ambulators. Conclusions-The 6-minute walk test was better able to discriminate among home, limited community, and full community ambulators than comfortable gait speed. Gait speed values commonly used to distinguish between home and community walkers may overestimate walking activity.

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Management of Gait Impairments in Chronic Unilateral Upper Motor Neuron Lesions

et al. 2018

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Importance: A variety of neurological disorders can damage the corticospinal tract in the supratentorial region of the brain. Gait impairments are common in patients with chronic supratentorial upper motor neuron lesions, and are a source of great disability. Clinical management aimed at improving the gait pattern in these patients is generally perceived as a challenging task, as many possible abnormalities may interact. Moreover, a multitude of treatment options exist-ranging from assistive devices and muscle stretching to pharmacological and surgical interventions-but evidence is inconclusive for most approaches and there is a lack of clear treatment guidelines. Observations: To improve management, we here show that gait deviations in adults with a chronic supratentorial upper motor neuron lesion can roughly be reduced to three groups of primary deficits: (1) imbalance of muscle strength, length and activity around the ankle and tarsal joints leading to pes equino(varus), (2) calf muscle weakness, and (3) overactivity of proximal leg muscles.

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Foot Drop Stimulation Versus Ankle Foot Orthosis After Stroke

Cited by 189 publications

References 61 publications

Functional Electrical Stimulation with Augmented Feedback Training Improves Gait and Functional Performance in Individuals with Chronic Stroke: A Randomized Controlled Trial

Functional Electrical Stimulation with Augmented Feedback Training Improves Gait and Functional Performance in Individuals with Chronic Stroke: A Randomized Controlled Trial

Predicting Home and Community Walking Activity Poststroke

Management of Gait Impairments in Chronic Unilateral Upper Motor Neuron Lesions

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