Functional electric stimulation to augment partial weight-bearing supported treadmill training for patients with acute incomplete spinal cord injury: a pilot study

Postans, Neil; Hasler, Jon P.; Granat, Malcolm; Maxwell, Douglas J.

doi:10.1016/j.apmr.2003.08.083

Cited by 98 publications

(61 citation statements)

References 15 publications

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“…Based upon analyses of the performance of 11 patients, they concluded that the typical anomalies of stroke gait were corrected when the intensity and timing of stimulation were appropriately set. Postans et al (2004) presented the use of two channels of stimulation for assisting stance (quadriceps stimulation) and swing (peroneal nerve stimulation). The durations of the stimulations were set as fractions of the durations of the stance and swing phases, and the durations of the swing and stance phases were controlled by a powered treadmill.…”

Section: Introductionmentioning

confidence: 99%

“…Tong et al (2006a,b) and Ng et al (2008) presented the use of two-channel stimulation integrated into the electromechanical gait trainer walking exercise. The control paradigm was similar to the one introduced by Postans et al (2004): external activation of quadriceps and peroneal nerve for predefined fractions of the duration of the stance and swing phases. Yan et al (2005) applied multi-channel stimulation to the paretic leg, but not during walking.…”

Section: Introductionmentioning

confidence: 99%

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Sensor-driven four-channel stimulation of paretic leg: Functional electrical walking therapy

Kojović

Djurić-Jovičić

Došen

et al. 2009

Journal of Neuroscience Methods

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sensor-driven four-channel stimulation of paretic leg: Functional electrical walking therapy

Kojović

Djurić-Jovičić

Došen

et al. 2009

Journal of Neuroscience Methods

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“…The combination of FES and bodyweight-supported training has been also addressed by some groups, showing that the combination improves both gait endurance and velocity [31,44,78]. However, only a few studies have been found to compare the hybrid approach with conventional physiotherapy [78], resulting in improvements in both gait endurance and velocity.…”

Section: Active Hybrid Exoskeletonsmentioning

confidence: 99%

“…However, only a few studies have been found to compare the hybrid approach with conventional physiotherapy [78], resulting in improvements in both gait endurance and velocity. Also, two randomized controlled trials have shown no differences on treadmill training combined with FES when compared with other approaches [32,73].…”

Section: Active Hybrid Exoskeletonsmentioning

confidence: 99%

Neurorobotic and hybrid management of lower limb motor disorders: a review

Moreno¹,

del-Ama

Reyes-Guzmán

et al. 2011

Med Biol Eng Comput

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A neurobot (NR) is a mechatronic wearable robot that can be applied to drive a paralyzed limb. Through the application of controllable forces, a NR can assist, replace, or retrain a certain motor function. Robotic intervention in rehabilitation of motor disorders has a potential to improve traditional therapeutic interventions. Because of its flexibility, repeatability and quantifiability, NRs have been more and more applied in neurorehabilitation. Furthermore, combination of NRs with functional electrical stimulation/therapy constitutes a trend to overcome a number of practical limitations to widespread the application of NRs in clinical settings and motor control studies. In this review, we examine the motor learning principles, robotic control approaches and novel developments from studies with NRs and hybrid systems, with a focus on rehabilitation of the lower limbs.

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“…Similar outcomes were achieved regardless of the neurotherapeutic intervention because both OGT and BWSTT produced equivalent gains in voluntary function. A crossover study demonstrated that the addition of FES to BWSTT could potentially accelerate gait training in subjects with acute injuries [4]. For ambulatory persons with chronic incomplete SCI, the use of surface stimulation during OGT or BWSTT increased volitional muscle strength [5][6], stride length [5,[7][8], and walking speed [6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Neurotherapeutic and neuroprosthetic effects of implanted functional electrical stimulation for ambulation after incomplete spinal cord injury

Bailey

Hardin²,

Kobetic³

et al. 2010

JRRD

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Abstract-The purpose of this single-subject study was to determine the neurotherapeutic and neuroprosthetic effects of an implanted functional electrical stimulation (FES) system designed to facilitate walking in an individual with a longstanding motor and sensory incomplete spinal cord injury. An implanted pulse generator and eight intramuscular stimulating electrodes were installed unilaterally, activating weak or paralyzed hip flexors, hip and knee extensors, and ankle dorsiflexors during 36 sessions of gait training with FES. The neurotherapeutic effects were assessed by a comparison of pre-and posttraining volitional walking. The neuroprosthetic effects were assessed by a comparison of posttraining volitional and FESassisted walking. Treatment resulted in significant (p < 0.005) volitional improvements in 6-minute walking distance and speed, speed during maximum walk, double support time, and 10 m walking speed. Posttraining FES-assisted walking resulted in significant additional improvements in all these measures, except 10 m walking speed. When the subject was using FESassisted gait, maximum walking distance, peak knee flexion in swing, peak ankle dorsiflexion in swing, and knee extension moment also significantly increased. Neuroprosthetic gains were sufficient to enable the subject to advance from household ambulation to limited community ambulation. Additionally, the subject could perform multiple walks per day when using FESassisted gait, which was impossible with volitional effort alone.

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Functional electric stimulation to augment partial weight-bearing supported treadmill training for patients with acute incomplete spinal cord injury: a pilot study

Cited by 98 publications

References 15 publications

Sensor-driven four-channel stimulation of paretic leg: Functional electrical walking therapy

Sensor-driven four-channel stimulation of paretic leg: Functional electrical walking therapy

Neurorobotic and hybrid management of lower limb motor disorders: a review

Neurotherapeutic and neuroprosthetic effects of implanted functional electrical stimulation for ambulation after incomplete spinal cord injury

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