Review of Therapeutic Electrical Stimulation for Dorsiflexion Assist and Orthotic Substitution From the American Congress of Rehabilitation Medicine Stroke Movement Interventions Subcommittee

Bosch, Pamela R.; Harris, Jocelyn E.; Wing, Kay

doi:10.1016/j.apmr.2013.10.017

Cited by 45 publications

(42 citation statements)

References 27 publications

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“…In survivors following stroke, foot drop generally appears through a swing phase of gait cycle [2] . The patients have also difficulty in moving the body weight to the affected side and supporting the load at midstance of stance phase [3] . The purpose of this study was to determine the effects of treadmill training with application of functional electrical stimulation (FES) to gluteus medius (GM) and tibialis anterior (TA) muscles on gait and balance performance in individuals with chronic hemiparetic stroke.…”

Section: Introductionmentioning

confidence: 99%

Treadmill training with functional electrical stimulation on gluteus médius and tibialis anterior muscles for chronic hemiparetic stroke

Cho

Kim

Jung

et al. 2014

2014 IEEE 19th International Functional Electrical Stimulation Society Annual Conference (IFESS)

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The purpose of this study was to investigate the effects of treadmill training (TT) with functional electrical stimulation (FES) applied on the gluteus medius (GM) and tibialis anterior (TA) muscles on gait and balance performance in individuals with hemiparetic stroke. Thirty-six participants who had chronic hemiparetic stroke, were recruited in this study, and were randomly distributed into three groups: TT with FES applied on the GM and TA muscles (Experimental group 1, 12 patients), TT with FES applied on the TA muscle (Experimental group 2, 12 patients), and TT only (Control group, 12 patients). All participants were involved in a total of 20 sessions of TT with harness, 30 minutes per day, five times per a week for four weeks. They also received the regular physical therapy for 1 hour per day, five times per a week for four weeks. All participants were measured the digital muscle test, Berg balance scale (BBS), 6 minute walk test (6MWT), and spatiotemporal parameters before and after training. After training, Experimental group 1 showed significant improvement in hip abductor strength, BBS scores, 6MWT scores, gait velocity, and cadence compared to the Experimental group 2 and control group. These findings show that TT with FES applied on the GM and TA muscles contributed to producing increased lower extremity muscle strength, and improvements of balance and gait capacities. Therefore, it is suggestive that TT with FES applied on GM and TA can be beneficial intervention within the clinical settings in individuals with chronic hemiparetic stroke.

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Section: Introductionmentioning

confidence: 99%

Treadmill training with functional electrical stimulation on gluteus médius and tibialis anterior muscles for chronic hemiparetic stroke

Cho

Kim

Jung

et al. 2014

2014 IEEE 19th International Functional Electrical Stimulation Society Annual Conference (IFESS)

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“…Primarily, FES has been used for its orthotic effects with recent evidence demonstrating its equivalence 20–22 , and in some cases superiority 23 , to ankle-foot orthoses. Although FES has recently gained popularity as a therapeutic aide 24–29 , it remains unclear if FES produces therapeutic gains (i.e.…”

Section: Introductionmentioning

confidence: 99%

Reducing The Cost of Transport and Increasing Walking Distance After Stroke

Awad

Reisman

Pohlig³

et al. 2015

Neurorehabil Neural Repair

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Background Neurorehabilitation efforts have been limited in their ability to restore walking function after stroke. Recent work has demonstrated proof-of-concept for a Functional Electrical Stimulation (FES)-based combination therapy designed to improve poststroke walking by targeting deficits in paretic propulsion. Objectives To determine the effects on the energy cost of walking (EC) and long-distance walking ability of locomotor training that combines fast walking with FES to the paretic ankle musculature (FastFES). Methods Fifty participants >6 months poststroke were randomized to 12 weeks of gait training at self-selected speeds (SS), fast speeds (Fast), or FastFES. Participants’ 6-Minute Walk Test (6MWT) distance and EC at comfortable (EC-CWS) and fast (EC-Fast) walking speeds were measured pretraining, posttraining, and at a 3-month follow-up. A reduction in EC-CWS, independent of changes in speed, was the primary outcome. Also evaluated were group differences in the number of 6MWT responders and moderation by baseline speed. Results When compared with SS and Fast, FastFES produced larger reductions in EC (p’s ≤0.03). FastFES produced reductions of 24% and 19% in EC-CWS and EC-Fast (p’s <0.001), whereas neither Fast nor SS influenced EC. Between-group 6MWT differences were not observed; however, 73% of FastFES and 68% of Fast participants were responders, in contrast to 35% of SS participants. Conclusions Combining fast locomotor training with FES is an effective approach to reducing the high EC of persons poststroke. Surprisingly, differences in 6MWT gains were not observed between groups. Closer inspection of the 6MWT and EC relationship and elucidation of how reduced EC may influence walking-related disability is warranted.

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“…Ethical approval for the study was granted by the University of Salford's Research Governance and Ethics committee (RGE06/102). Twelve healthy subjects were recruited from within the University and a full set of results were obtained for ten (9 male) subjects (median 30 years) 2 .…”

Section: Feasibility Study Of Electrode Array Search Strategymentioning

confidence: 99%

“…Functional electrical stimulation has been shown to be a safe and effective means of correcting foot drop of central neurological origin [1][2][3]. Surface-based devices typically stimulate via a cathode placed over the common peroneal nerve immediately distal to where it bifurcates into the deep and superficial branches, and an anode placed over tibialis anterior.…”

Section: Introductionmentioning

confidence: 99%

A review of the design and clinical evaluation of the ShefStim array-based functional electrical stimulation system

Kenney

Heller

Barker

et al. 2016

Medical Engineering & Physics

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Functional electrical stimulation has been shown to be a safe and effective means of correcting foot drop of central neurological origin. Current surface-based devices typically consist of a single channel stimulator, a sensor for determining gait phase and a cuff, within which is housed the anode and cathode. The cuff-mounted electrode design reduces the likelihood of large errors in electrode placement, but the user is still fully responsible for selecting the correct stimulation level each time the system is donned. Researchers have investigated different approaches to automating aspects of setup and/or use, including recent promising work based on iterative learning techniques. This paper reports on the design and clinical evaluation of an electrode array-based FES system for the correction of drop foot, ShefStim. The paper reviews the design process from proof of concept lab-based study, through modelling of the array geometry and interface layer to array search algorithm development. Finally, the paper summarises two clinical studies involving patients with drop foot. The results suggest that the ShefStim system with automated setup produces results which are comparable with clinician setup of conventional systems. Further, the final study demonstrated that patients can use the system without clinical supervision. When used unsupervised, setup time was 14 minutes (9 minutes for automated search plus 5 minutes for donning the equipment), although this figure could be reduced significantly with relatively minor changes to the design.

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Review of Therapeutic Electrical Stimulation for Dorsiflexion Assist and Orthotic Substitution From the American Congress of Rehabilitation Medicine Stroke Movement Interventions Subcommittee

Cited by 45 publications

References 27 publications

Treadmill training with functional electrical stimulation on gluteus médius and tibialis anterior muscles for chronic hemiparetic stroke

Treadmill training with functional electrical stimulation on gluteus médius and tibialis anterior muscles for chronic hemiparetic stroke

Reducing The Cost of Transport and Increasing Walking Distance After Stroke

A review of the design and clinical evaluation of the ShefStim array-based functional electrical stimulation system

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Review of Therapeutic Electrical Stimulation for Dorsiflexion Assist and Orthotic Substitution From the American Congress of Rehabilitation Medicine Stroke Movement Interventions Subcommittee

Cited by 45 publications

References 27 publications

Treadmill training with functional electrical stimulation on gluteus m&#x00E9;dius and tibialis anterior muscles for chronic hemiparetic stroke

Treadmill training with functional electrical stimulation on gluteus m&#x00E9;dius and tibialis anterior muscles for chronic hemiparetic stroke

Reducing The Cost of Transport and Increasing Walking Distance After Stroke

A review of the design and clinical evaluation of the ShefStim array-based functional electrical stimulation system

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Product

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Treadmill training with functional electrical stimulation on gluteus médius and tibialis anterior muscles for chronic hemiparetic stroke

Treadmill training with functional electrical stimulation on gluteus médius and tibialis anterior muscles for chronic hemiparetic stroke