Gait Characteristics Following Stroke: A Prospective Crossover Study to Compare Ankle-Foot Orthosis with Functional Electrical Stimulation

Sannyasi, Gourav; Ojha, Rajdeep; Prakash, Navin; Isaac, Joyce; Maheswari, V; Mahasampath, Gowri S; Tharion, George

doi:10.4103/0028-3886.359240

Cited by 2 publications

(3 citation statements)

References 32 publications

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“…Patient satisfaction score and its analysis was done on the data obtained from the feedback questionnaire as reported in our previous study. [ 14 ]…”

Section: Methodsmentioning

confidence: 99%

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Ankle dorsiflexion assist using a single sensor-based FES: Results from clinical study on patients with stroke

Ojha

Ezung

Chalageri

et al. 2023

JNRP

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Objective: Ankle foot orthosis (AFO) commonly prescribed to manage foot-drop following stroke restricts ankle mobility. Commercially available functional electrical stimulation (FES) is an expensive alternative to achieve desired dorsiflexion during swing phase of the gait cycle. An in-house cost-effective innovative solution was designed and developed to address this problem.The aim of the study was to compare spatiotemporal gait characteristics of patients with foot-drop following stroke using commercially available FES against in-house developed versatile single sensor-based FES. Material and Methods: Ten patients with cerebrovascular accident of at least 3 months duration and ambulant with/without AFO were recruited prospectively. They were trained with Device-1 (Commercial Device) and Device-2 (In-house developed, Re-Lift) for 7 h over 3 consecutive days with each device. Outcome measures included timed-up-and-go-test (TUG), six-minute-walk-test (6MWT), ten-meter-walk-test (10MWT), physiological cost index (PCI), instrumented gait analysis derived spatiotemporal parameters, and patient satisfaction feedback questionnaire. We calculated intraclass correlation between devices and median interquartile range. Statistical analysis included Wilcoxon-signed-rank-test and F-test (P < 0.05 was considered statistically significant). Bland Altman and scatter plots were plotted for both devices. Results: Intraclass correlation coefficient for 6MWT (0.96), 10MWT (0.97), TUG test (0.99), and PCI (0.88) reflected high agreement between the two devices. Scatter plot and Bland Altman plots for the outcome parameters showed good correlation between two FES devices. Patient satisfaction scores were equal for both Device-1 and Device-2. There was statistically significant change in swing phase ankle dorsiflexion. Conclusions: The study demonstrated good correlation between commercial FES and Re-Lift suggestive of the utility of low-cost FES device in clinical setting.

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“…Patient satisfaction score and its analysis was done on the data obtained from the feedback questionnaire as reported in our previous study. [ 14 ]…”

Section: Methodsmentioning

confidence: 99%

“…The motivation for this study was from our earlier clinical trial comparing FES with AFO in post-stroke foot-drop. [ 13 , 14 ]…”

Section: Introductionmentioning

confidence: 99%

Ankle dorsiflexion assist using a single sensor-based FES: Results from clinical study on patients with stroke

Ojha

Ezung

Chalageri

et al. 2023

JNRP

Self Cite

View full text Add to dashboard Cite

show abstract

“…More comprehensive reviews were presented using wearable or both wearable and non-wearable sensors [ 23 , 24 ]. The Ten Meter Walk Test is very popular for clinical review studies, such as [ [25] , [26] , [27] ]. However, to the best of the authors' knowledge, no existing comprehensive study reviews the Ten Meter Walk Test from the perspective of Mobile and Wearable technologies.…”

Section: Introductionmentioning

confidence: 99%

Mobile and wearable technologies for the analysis of Ten Meter Walk Test: A concise systematic review

Cristóbal

Pires

Coelho

et al. 2023

Heliyon

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Gait Characteristics Following Stroke: A Prospective Crossover Study to Compare Ankle-Foot Orthosis with Functional Electrical Stimulation

Cited by 2 publications

References 32 publications

Ankle dorsiflexion assist using a single sensor-based FES: Results from clinical study on patients with stroke

Ankle dorsiflexion assist using a single sensor-based FES: Results from clinical study on patients with stroke

Mobile and wearable technologies for the analysis of Ten Meter Walk Test: A concise systematic review

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