Neuroprosthesis Peroneal Functional Electrical Stimulation in the Acute Inpatient Rehabilitation Setting: A Case Series

Dunning, Kari; Black, K. R.; Harrison, Andrea; McBride, Keith; Israel, Susan E.

doi:10.2522/ptj.20080241

Cited by 25 publications

(23 citation statements)

References 28 publications

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“…In stroke, FES is generally used to improve ankle dorsiflexion during the swing phase of the gait cycle to correct a foot drop and to decrease the energy expenditure during walking [6,14,15]. FES also has benefits in improving gait through repetitive practice during retraining by restoring the motor programing of a more normal gait performance in stroke populations [9,15].…”

Section: Discussionmentioning

confidence: 98%

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

2012

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Section: Discussionmentioning

confidence: 98%

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

2012

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“…Therefore, a range of training programs for gait, such as training using functional electrical stimulation 7) , treadmill training 8) , task orientated training 9) , and augmented reality training 10) have been designed.…”

Section: Introductionmentioning

confidence: 99%

Effects of Augmented Reality with Functional Electric Stimulation on Muscle Strength, Balance and Gait of Stroke Patients

Kim

Lee

2012

J Phys Ther Sci

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Abstract. [Purpose] This study examined the therapeutic effects of functional electrical stimulation (FES) with augmented reality (AR) during treadmill gait training on the muscle strength, balance and gait of stroke patients.[Subjects] Twenty-eight subjects with chronic stroke were divided into three groups: FES with AR during treadmill gait training (AR-FES group, n=9), gait training with FES on a treadmill (FES group, n=10), treadmill group (n=9).[Methods] All these groups were given 8 weeks of gait training 3 times a week, 20 minutes per session. To identify the effect of AR-FES, muscle strength was measured with a dynamometer, and the Berg balance scale (BBS) and timed upandgo (TUG) test were also assessed.[Results] The muscle strength increased significantly in the AR-FES and FES groups. The BBS showed a significant increase in all groups but there was no difference among the three groups. The TUG also improved significantly in all groups. The AR-FES group showed a better result than the treadmill group.[Conclusion] Although more study of gait training with FES on a treadmill and gait training with AR-FES will be needed, AR-FES improved the muscle strength and gait of stroke patients. These results suggest a variety of applications in clinical trials of conservative therapeutic methods.

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“…29 Studies have suggested that peroneal nerve FES during walking improves gait and PCI in patients with chronic stage 22,26 and during the acute stage of recovery. 30 In a recent randomized trial with 28 chronic hemiplegics reported that the FES stimulation to dorsiflexors and plantarflexors combined with daily walking, improved the walking ability, muscle strength, and spasticity of adults with hemiplegia. 31 However, there has been no study on the combined effect of FES with the conventional therapy in subacute and chronic stages of stroke patients.…”

Section: Introductionmentioning

confidence: 98%

Clinical Use of Functional Electrical Stimulation for Correction of Foot Drop: A Comparison Between Subacute and Chronic Stroke Patients

Sabut

Sikdar

Kumar

et al. 2011

J. Mech. Med. Biol.

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Functional electrical stimulation (FES) allows active exercises for correction of foot drop in stroke patients. Our objective is to evaluate and compare the effects of FES therapy in walking ability, calf muscle spasticity, and lower-extremity motor recovery between subacute and chronic stroke patients. Twenty consecutive hemiplegic patients having foot drop were assigned either to subacute or chronic group. Both group subjects were treated with conventional rehabilitation program combined with FES therapy for 12 weeks. All subjects received the electrical stimulation to the peroneal nerve of paretic limb for 15-30 min while walking.After being treated with FES-based rehabilitation program, subacute subjects showed a mean increase in walking speed of 31.3% and chronic subjects of 19.1% and the physiological cost index (PCI), with a reduction of 66.7% in subacute subjects and 46.4% in chronic subjects between the beginning and end of the trial. Improvement was also measured in gait parameters such as cadence, step and stride lengths, ankle joint range of motion (ROM), calf muscle spasticity, and lower-extremity motor recovery assessed by Fugl-Meyer score in both group subjects, but subacute subjects improved better compared with chronic subjects. In conclusion, early and intensive interventions of FES therapy combine with conventional rehabilitation program could significantly improve the waking ability and recovery of lower-extremity motor functions in stroke survivors.

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Neuroprosthesis Peroneal Functional Electrical Stimulation in the Acute Inpatient Rehabilitation Setting: A Case Series

Abstract: It is possible that peroneal FES delivered through a neuroprosthesis during acute stroke recovery may improve gait outcomes. Research is needed to determine proper duration and timing.

Cited by 25 publications

References 28 publications

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

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

Effects of Augmented Reality with Functional Electric Stimulation on Muscle Strength, Balance and Gait of Stroke Patients

Clinical Use of Functional Electrical Stimulation for Correction of Foot Drop: A Comparison Between Subacute and Chronic Stroke Patients

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