scholarly journals Effects of Dual-Channel Functional Electrical Stimulation on Gait Performance in Patients with Hemiparesis

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Shmuel Springer ◽  
Jean-Jacques Vatine ◽  
Ronit Lipson ◽  
Alon Wolf ◽  
Yocheved Laufer
Keyword(s):  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Foot Drop ◽  
Gait Velocity ◽  
Study Objective ◽  
Gait Symmetry ◽  
Gait Performance ◽  
Dual Channel ◽  
Thigh Muscles ◽  
Minute Walk

The study objective was to assess the effect of functional electrical stimulation (FES) applied to the peroneal nerve and thigh muscles on gait performance in subjects with hemiparesis. Participants were 45 subjects (age 57.8 ± 14.8 years) with hemiparesis (5.37 ± 5.43 years since diagnosis) demonstrating a foot-drop and impaired knee control. Thigh stimulation was applied either to the quadriceps or hamstrings muscles, depending on the dysfunction most affecting gait. Gait was assessed during a two-minute walk test with/without stimulation and with peroneal stimulation alone. A second assessment was conducted after six weeks of daily use. The addition of thigh muscles stimulation to peroneal stimulation significantly enhanced gait velocity measures at the initial and second evaluation. Gait symmetry was enhanced by the dual-channel stimulation only at the initial evaluation, and single-limb stance percentage only at the second assessment. For example, after six weeks, the two-minute gait speed with peroneal stimulation and with the dual channel was 0.66 ± 0.30 m/sec and 0.70 ± 0.31 m/sec, respectively (). In conclusion, dual-channel FES may enhance gait performance in subjects with hemiparesis more than peroneal FES alone.

Functional Electrical Stimulation for Foot Drop in Multiple Sclerosis

US Neurology ◽  
2015 ◽  
Vol 11 (01) ◽  
pp. 10 ◽  
Author(s):  
Geraldine P Dapul ◽  
Francois Bethoux ◽  
◽  
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Electrical Stimulation ◽  
Effective Treatment ◽  
Functional Electrical Stimulation ◽  
Treatment Strategy ◽  
Foot Drop ◽  
Walking Ability ◽  
Gait Performance

Functional electrical stimulation is an effective treatment strategy for the management of foot drop in various neurologic conditions, as demonstrated in improvements in gait performance, mobility, physiologic cost, perceived walking ability, balance, fall frequency, and quality of life. In this article, we review the current literature on the effects of functional electrical stimulation for foot drop in persons with multiple sclerosis.

Feasibility and Preliminary Efficacy of Gait Training Assisted by Multichannel Functional Electrical Stimulation in Early Stroke Rehabilitation: A Pilot Randomized Controlled Trial

2021 ◽  
Vol 35 (2) ◽  
pp. 131-144
Author(s):  
Maijke van Bloemendaal ◽  
Sicco A. Bus ◽  
Frans Nollet ◽  
Alexander C. H. Geurts ◽  
Anita Beelen
Keyword(s):  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Step Length ◽  
Gait Training ◽  
Control Group ◽  
Significant Group ◽  
Gait Symmetry ◽  
Gait Parameters ◽  
Walking Capacity ◽  
Experimental Group

Background. Many stroke survivors suffer from leg muscle paresis, resulting in asymmetrical gait patterns, negatively affecting balance control and energy cost. Interventions targeting asymmetry early after stroke may enhance recovery of walking. Objective. To determine the feasibility and preliminary efficacy of up to 10 weeks of gait training assisted by multichannel functional electrical stimulation (MFES gait training) applied to the peroneal nerve and knee flexor or extensor muscle on the recovery of gait symmetry and walking capacity in patients starting in the subacute phase after stroke. Methods. Forty inpatient participants (≤31 days after stroke) were randomized to MFES gait training (experimental group) or conventional gait training (control group). Gait training was delivered in 30-minute sessions each workday. Feasibility was determined by adherence (≥75% sessions) and satisfaction with gait training (score ≥7 out of 10). Primary outcome for efficacy was step length symmetry. Secondary outcomes included other spatiotemporal gait parameters and walking capacity (Functional Gait Assessment and 10-Meter Walk Test). Linear mixed models estimated treatment effect postintervention and at 3-month follow-up. Results. Thirty-seven participants completed the study protocol (19 experimental group participants). Feasibility was confirmed by good adherence (90% of the participants) and participant satisfaction (median score 8). Both groups improved on all outcomes over time. No significant group differences in recovery were found for any outcome. Conclusions. MFES gait training is feasible early after stroke, but MFES efficacy for improving step length symmetry, other spatiotemporal gait parameters, or walking capacity could not be demonstrated. Trial Registration. Netherlands Trial Register (NTR4762).

scholarly journals An exploration of the experiences and utility of functional electrical stimulation for foot drop in people with multiple sclerosis

2018 ◽  
Vol 42 (4) ◽  
pp. 510-518
Author(s):  
Linda (Miller) Renfrew ◽  
Paul Flowers ◽  
Anna C. Lord ◽  
Danny Rafferty ◽  
Angus K. McFadyen ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Foot Drop

Significant Impact of Implantable Functional Electrical Stimulation on Gait Parameters: A Kinetic Analysis in Foot Drop Patients

2019 ◽  
Vol 127 ◽  
pp. e236-e241 ◽  
Author(s):  
Jörn Bucklitsch ◽  
Andreas Müller ◽  
Albert Weitner ◽  
Natalie Filmann ◽  
Andrei Patriciu ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Kinetic Analysis ◽  
Functional Electrical Stimulation ◽  
Foot Drop ◽  
Gait Parameters

scholarly journals A foot drop compensation device based on surface multi-field functional electrical stimulation—Usability study in a clinical environment

2019 ◽  
Vol 6 ◽  
pp. 205566831986214
Author(s):  
Eukene Imatz-Ojanguren ◽  
Gema Sánchez-Márquez ◽  
Jose Ramón Asiain-Aristu ◽  
Joxean Cueto-Mendo ◽  
Edurne Jaunarena-Goicoechea ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Brain Injury ◽  
Functional Electrical Stimulation ◽  
Foot Drop ◽  
Average Score ◽  
Therapeutic Effects ◽  
Usability Study ◽  
Clinical Environment ◽  
System Usability Scale ◽  
Clinical Environments

Introduction Functional electrical stimulation applies electrical pulses to the peripheral nerves to artificially achieve a sensory/motor function. When applied for the compensation of foot drop it provides both assistive and therapeutic effects. Multi-field electrodes have shown great potential but may increase the complexity of these systems. Usability aspects should be checked to ensure their success in clinical environments. Methods We developed the Fesia Walk device, based on a surface multi-field electrode and an automatic calibration algorithm, and carried out a usability study to check the feasibility of integrating this device in therapeutic programs in clinical environments. The study included 4 therapists and 10 acquired brain injury subjects (8 stroke and 2 traumatic brain injury). Results Therapists and users were “very satisfied” with the device according to the Quebec User Evaluation of Satisfaction with Assistive Technology scale, with average scores of 4.1 and 4.2 out of 5, respectively. Therapists considered the Fesia Walk device as “excellent” according to the System Usability Scale with an average score of 85.6 out of 100. Conclusions This study showed us that it is feasible to include surface multi-field technology while keeping a device simple and intuitive for successful integration in common neurorehabilitation programs.

Gait phase detection from sciatic nerve recordings in functional electrical stimulation systems for foot drop correction

2013 ◽  
Vol 34 (5) ◽  
pp. 541-565 ◽  
Author(s):  
Jun-Uk Chu ◽  
Kang-Il Song ◽  
Sungmin Han ◽  
Soo Hyun Lee ◽  
Ji Yoon Kang ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Sciatic Nerve ◽  
Functional Electrical Stimulation ◽  
Foot Drop ◽  
Phase Detection ◽  
Gait Phase ◽  
Nerve Recordings
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