Rehabilitation of Lower Limbs Based on Functional Electrical Stimulation Systems

2012 ◽  
pp. 83-106
Author(s):  
W Liu ◽  
K Zhu ◽  
Yong Xiao
2016 ◽  
Vol 26 (2) ◽  
Author(s):  
Deepesh Kumar ◽  
Sunny Verma ◽  
Sutapa Bhattacharya ◽  
Uttama Lahiri

Neurological disorders often manifest themselves in the form of movement deficit on the part of the patient. Conventional rehabilitation often used to address these deficits, though powerful are often monotonous in nature. Adequate audio-visual stimulation can prove to be motivational. In the research presented here we indicate the applicability of audio-visual stimulation to rehabilitation exercises to address at least some of the movement deficits for upper and lower limbs. Added to the audio-visual stimulation, we also use Functional Electrical Stimulation (FES). In our presented research we also show the applicability of FES in conjunction with audio-visual stimulation delivered through VR-based platform for grasping skills of patients with movement disorder.


2010 ◽  
Vol 2010.46 (0) ◽  
pp. 175-176
Author(s):  
Yusuke AKIYAMA ◽  
Takehiro IWAMI ◽  
Yoshikazu KOBAYASHI ◽  
Yoichi SHIMADA ◽  
Toshiki MATSUNAGA

2010 ◽  
Vol 15 (6) ◽  
pp. 563-579 ◽  
Author(s):  
Apostolos Karavidas ◽  
Sophia M. Arapi ◽  
Vlassios Pyrgakis ◽  
Stamatis Adamopoulos

2021 ◽  
Vol 1 ◽  
pp. 1362-1372
Author(s):  
Delia Andini ◽  
Wahyu Ersila

Abstract Stroke sufferers who survive experience gait disorders because of damage to brain blood vessels that occurs when the arteries that supply blood to the brain are blocked, so that brain cells lose their oxygen supply which can lead to complaints of feeling weak in the lower limbs and the legs tend to wither or drop foot. . The Drop Foot Gait Rehabilitation Program is essential for improving muscle strength and muscle contraction. One of the Rehabilitation for Drop Foot Gait Post Stroke is FES. This study aims to analyze the effect of Functional Electrical Stimulation to correct Drop Foot Gait post stroke from various references. Selection of articles on literature review it uses PICO. Article writing using search literature through PubMed, Science Direct and Google Scholar with the inclusion criteria and exclusion criteria that have been determined. Literature restricted from 2010 – 2020. From result literature review The five articles show that the results of the characteristics of the respondents based on the gender of male 54.9% and female 45.1%, the results of the characteristics of the respondents based on the age of 100% less than 50 years, and the results of 4 articles of the characteristics of the respondents based on increasing gait using Berg Balance Scale measuring instrument is the average value of pre-test 5.40 and post-test average of 3.57 with a difference of 1.83. The results of a literature review of 1 article using a measuring toolElectroencephalogram that is with the results of the pre-test score of 5.5 and the post-test average of 0.8 with a difference of 4.7. So there is an increase in the patient's gaitDrop Foot Gait Post Stroke using Functional Electrical Stimulation (FES). Functional Electrical Stimulation has an effect on improving the gait of Drop Foot patients after stroke. As a basis for further research, especially regarding. Functional Electrical Stimulation to improve Drop Foot Gait after stroke.Keywords : strokes; post stroke;berg balance scale; drop foot gaitpost stroke Abstrak Penderita Stroke yang bertahan hidup mengalami gangguan berjalan akibat terjadinya kerusakan pembuluh darah otak yang terjadi ketika arteri yang memasok darah ke otak tersumbat, sehingga sel sel otak kehilangan suplai oksigen yang mengakibatkan keluhan merasa lemah pada anggota gerak bawah dan kaki cenderung layuh atau Drop Foot. rogram Rehabilitasi Drop Foot Gait sangat penting untuk meningkatkan kekuatan otot dan kontraksi otot. Salah satu Rehabilitasi untuk Drop Foot Gait Pasca Stroke adalah Functional Electrical Stimulation. Penelitian ini bertujuan untuk menganalisa pengaruh Functional Electrical Stimulation untuk memperbaiki Drop Foot Gait pasca stroke dari berbagai referensi. Pemilihan artikel pada literature review ini menggunakan PICO. Penulisan artikel menggunakan penelusuran literature melalui PubMed, Science Direct dan Google Scholar dengan kriteria inklusi dan kriteria eksklusi yang telah ditentukan. Literature diberi batasan dari tahun 2010 – 2020. Dari hasil literature review kelima artikel menunjukan bahwa hasil dari karakteristik responden berdasarkan jenis kelamin laki-laki 54,9% dan perempuan 45,1%, hasil dari karakteristik responden berdasarkan usia dari 4 artikel yaitu dengan rentang usia 20-80 tahun dan 1 artikel dengan rata-rata usia 60,7 tahun, hasil 4 artikel dari karakteristik responden berdasarkan peningkatan gaya berjalan menggunakan alat ukur Berg Balance Scale yaitu nilai rata-rata pre test 5,40 dan rata-rata post-test 3,57 dengan selisih 1,83. Hasil literature review 1 artikel menggunakan alat ukur Electroensefalogram mendapatkan hasil nilai pre test 5,5 dan post test 0,8 dengan selisih 4,7. Sehingga ada peningkatan gaya berjalan pada pasien Drop Foot Gait Pasca Stroke menggunakan Functional Electrical Stimulation (FES). Functional Electrical Stimulation berpengaruh untuk memperbaiki gaya berajalan pasien Drop Foot pasca stroke. sebagai dasar untuk penelitian-penelitian lebih lanjut khususnya mengenai Functional Electrical Stimulation untuk memperbaiki Drop Foot Gait pasca stroke dan direkomendasikan untuk profesi fisioterapi sebagai bahan literasi untuk pemberian intervensi pada kasus Drop Foot Gait Pasca Stroke menggunakan FES.Kata Kunci : stroke; pasca stroke; berg balance scale; drop foot gait post stroke.


2021 ◽  
Vol 12 ◽  
Author(s):  
Chia-Ying Fang ◽  
Angela Shin-Yu Lien ◽  
Jia-Ling Tsai ◽  
Hsiao-Chu Yang ◽  
Hsiao-Lung Chan ◽  
...  

Background: To investigate the effect and dose-response of functional electrical stimulation cycling (FES-cycling) training on spasticity in the individuals with spinal cord injury (SCI).Method: Five electronic databases [PubMed, Scopus, Medline (Proquest), Embase, and Cochrane Central Register of Controlled Trials (CENTRAL)] were searched before September 2021. The human trials and studies of English language were only included. Two authors independently reviewed and extracted the searched studies. The primary outcome measure was spasticity assessed by Modified Ashworth Scale or Ashworth Scale for lower limbs. The secondary outcome measures were walking abilities, such as 6 Min Walk Test (6MWT), Timed Up and Go (TUG), and lower limbs muscle strength (LEMS). A subgroup analysis was performed to investigate the efficacious threshold number of training sessions. A meta-regression analysis was used to examine the linear relationship between the training sessions and the effect on spasticity.Results: A total of 764 studies were identified. After screening, 12 selected studies were used for the qualitative synthesis, in which eight of them were quantitatively analyzed. Eight studies included ninety-nine subjects in total with SCI (male: female = 83:16). The time since injury was from less than 4 weeks to 17 years. The age ranged from 20 to 67 years. American Spinal Injury Association (ASIA) impairment level of the number of participants was 59 for ASIA A, 11 for ASIA B, 18 for ASIA C, and 11 for ASIA D. There were 43 subjects with tetraplegia and 56 subjects with paraplegia. Spasticity decreased significantly (95% CI = − 1.538 to − 0.182, p = 0.013) in favor of FES-cycling training. The walking ability and LEMS also improved significantly in favor of FES-cycling training. The subgroup analysis showed that spasticity decreased significantly only in more than 20 training sessions (95% CI = − 1.749 to − 0.149, p = 0.020). The meta-regression analysis showed training sessions and spasticity were not significantly associated (coefficient = − 0.0025, SE = 0.0129, p = 0.849, R2 analog = 0.37).Conclusion: Functional electrical stimulation-cycling training can improve spasticity, walking ability, and the strength of the lower limbs in the individuals with SCI. The number of training sessions is not linearly related to the decrease of spasticity. Twenty sessions of FES-cycling training are required to obtain the efficacy to decrease spasticity.


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