Functional electrical stimulation applied to gluteus medius and tibialis anterior corresponding gait cycle for stroke

Kim, Jung-Hyun; Chung, Yijung; Kim, Young

doi:10.1016/j.gaitpost.2012.01.006

Cited by 41 publications

(42 citation statements)

References 20 publications

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“…This affects the recovery of dynamic balance among stroke patients20 ) . Kim et al21 ) performed cross-sectional research on gait with FES on the gluteus medius and tibialis anterior and found that the step length of gait with FES on the gluteus medius and tibialis anterior showed a more significant increase than the step length of gait with FES on the tibialis anterior only or the step length of normal gait. The step length of gait with functional electrical stimulation on the tibialis anterior showed a more significant increase than the step length of normal gait.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Gait Aspects According to FES Stimulation Position Applied to Stroke Patients

et al. 2014

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[Purpose] This study sought to identify the gait aspects according to the FES stimulation position in stroke patients during gait training. [Subjects and Methods] To perform gait analysis, ten stroke patients were grouped based on 4 types of gait conditions: gait without FES stimulation (non-FES), gait with FES stimulation on the tibialis anterior (Ta), gait with FES stimulation on the tibialis anterior and quadriceps (TaQ), and gait with FES stimulation on the tibialis anterior and gluteus medius (TaGm). [Results] Based on repeated measures analysis of variance of measurements of gait aspects comprised of gait speed, gait cycle, and step length according to the FES stimulation position, the FES stimulation significantly affected gait aspects. [Conclusion] In conclusion, stimulating the tibialis anterior and quadriceps and stimulating the tibialis anterior and gluteus medius are much more effective than stimulating only the tibialis anterior during gait training in stroke patients using FES.

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Section: Discussionmentioning

confidence: 99%

Comparison of Gait Aspects According to FES Stimulation Position Applied to Stroke Patients

et al. 2014

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“…6,7 Recent studies of patients with chronic stroke have shown that gait training with FES stimulation of the tibialis anterior (TA) in the swing and the gluteus medius (GM) in the stance significantly improved gait performance and dynamic balance. 8,9 Adding additional feedback to implicit feedback is called augmented feedback, which is commonly used in clinical practice and J KPT knowledge of performance. Knowledge of results refers to achieving a goal using information about the outcome of a movement and the subject is verbally performed the outcome.…”

Section: Introductionmentioning

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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“…In recent years, multichannel FES has been used to include additional muscle groups by placing more than one pair of electrodes near motor points or nerves targeted for activation. Thus, stimulation of different combinations of muscle groups has been shown to improve the gait speed of patients with hemiparesis 17,18. However, to the best of our knowledge, none of the previous studies examined whether the improvement in speed is dependent on the initial gait speed deficits of the users.…”

Section: Introductionmentioning

confidence: 97%

Dual-channel functional electrical stimulation improvements in speed-based gait classifications

Springer¹,

Laufer²,

Becher³

et al. 2013

CIA

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BackgroundFunctional electrical stimulation (FES) is becoming an accepted treatment method for enhancing gait performance in patients who present with gait difficulties resulting from hemiparesis. The purpose of this study was to test whether individuals with hemiparesis who have varied gait speeds, which place them in different functional categories, benefit to the same extent from the application of FES.MethodsThirty-six subjects with chronic hemiparesis demonstrating foot-drop and deficits in knee and/or hip control were fitted with a dual-channel FES system activating the dorsiflexors and hamstring muscles. Gait was assessed during a 2-minute walk test with and without stimulation. A second assessment was conducted after 6 weeks of daily use. Analysis was performed with the subjects stratified into three functional ambulation classes according to their initial gait categories.ResultsThe dual-channel FES improved the gait velocity of all three subgroups. No minimal gait velocity was required in order to gain benefits from FES. For example, subjects with limited household ambulation capabilities improved their gait speed by 63.3% (from 0.30 ± 0.09 m/sec to 0.49 ± 0.20 m/sec; P < 0.01), while subjects with functional community ambulation capabilities improved their gait speed by 25.5% (from 0.90 ± 0.11 m/sec to 1.13 ± 0.22 m/sec; P < 0.01).ConclusionDual-channel FES positively affects gait velocity in patients with chronic hemiparesis, regardless of their initial gait velocity. Furthermore, gait velocity gains may be large enough to change an individual’s ambulation status to a higher functional category.

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Functional electrical stimulation applied to gluteus medius and tibialis anterior corresponding gait cycle for stroke

Cited by 41 publications

References 20 publications

Comparison of Gait Aspects According to FES Stimulation Position Applied to Stroke Patients

Comparison of Gait Aspects According to FES Stimulation Position Applied to Stroke Patients

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

Dual-channel functional electrical stimulation improvements in speed-based gait classifications

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