Background And Purpose: Studies have suggested that peroneal nerve functional electrical stimulation (peroneal FES) during walking improves gait in patients with chronic stroke. The effect of peroneal FES during the acute stages of stroke recovery is not known. The purposes of this case report are: (1) to describe differences between walking with and without a neuroprosthesis during the first few weeks after stroke, (2) to offer a clinical perspective on decision making for the use of peroneal FES during acute rehabilitation, and (3) to determine the feasibility of rehabilitation with peroneal FES neuroprostheses during the acute phases of stroke recovery.
Case Description: This case report describes 2 patients with different clinical presentations but both receiving inpatient rehabilitation less than 2 weeks after stroke. Each patient received peroneal FES via a neuroprothesis as tolerated while gait training in therapy.
Outcomes: One patient immediately increased gait speed (128%) and decreased time to perform the Timed "Up & Go" Test (40%) using the neuroprothesis. Both patients immediately increased the 6-Minute Walk Test distance using the neuroprothesis (121% and 101%). The patient who underwent testing with the instrumented walking system also demonstrated improved gait symmetry. After 1 to 3 weeks of using the neuroprothesis, the difference between outcomes with and without the neuroprothesis decreased.
Discussion: 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.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.2522/ptj.20080241 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Feasibility of Telerehabilitation-Monitored Functional Electrical Stimulation on Walking and Quality of Life in People With Multiple Sclerosis: A Case Series.
Int J MS Care
May 2024
Department of Physical Therapy and Rehabilitation Science, University of California at San Francisco, San Francisco, CA.
Background: Foot drop in people with multiple sclerosis (MS) commonly leads to decreased mobility and quality of life (QOL). Functional electrical stimulation (FES) of the peroneal nerve can improve the gait of people with foot drop, yet various barriers restrict widespread use. The purpose of this case series was to examine the feasibility of a telerehabilitation-monitored FES device and report changes in functional mobility and QOL in people with moderate MS-related disability.
View Article and Find Full Text PDFThe Orthotic Effects of Different Functional Electrical Stimulation Protocols on Walking Performance in Individuals with Incomplete Spinal Cord Injury: A Case Series.
Top Spinal Cord Inj Rehabil
January 2024
The KITE Research Institute, Toronto Rehabilitation Institute - University Health Network, Toronto, ON, Canada.
Background: Functional electrical stimulation (FES) of paralyzed muscles can facilitate walking after spinal cord injury (SCI).
Objectives: To test the orthotic effects of different FES walking protocols on lower joint kinematics and walking speed.
Methods: Three adults with incomplete SCI participated in this study.
Concept Mapping to Define Components for an Occupation-Based Intervention for Parkinson's Disease and Anxiety.
J Parkinsons Dis
January 2024
Department of Occupational Therapy, and Human Nutrition and Dietetics, School of health Sciences, Glasgow Caledonian University, Glasgow, Scotland, UK.
Background: Anxiety, a common symptom of Parkinson's disease (PD), results in reduced life quality, reduced participation in meaningful roles and daily activities, and increased health burden. There are no evidence-based interventions to reduce the impact of anxiety in PD on participation.
Objective: This study aimed to identify the key components required for the co-production of an occupation- and community-based intervention for people with PD-related anxiety.
Foot drop is a gait disturbance characterized by difficulty in performing ankle dorsiflexion during the swing phase of the gait cycle. Current available evidence shows that functional electrical stimulation (FES) on the musculature responsible for dorsal ankle flexion during gait can have positive effects on walking ability. This study aims to present a proof of concept for a novel easy-to-use FES system and evaluates the biomechanical effects during gait in stroke patients, compared to unassisted walking.
View Article and Find Full Text PDFFunctional electrical stimulation during walking in children with unilateral spastic cerebral palsy: A randomized cross-over trial.
Dev Med Child Neurol
May 2024
School of Mental Health and Neurosciences, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands.
Article Synopsis
- The study aimed to investigate whether functional electrical stimulation (FES) of the peroneal nerve can enhance body functions and activities in children with unilateral spastic cerebral palsy (CP).
- Conducted with 25 children aged 4-18, the trial compared FES treatment to conventional methods like ankle foot orthoses (AFO) over a period of 12 weeks each, with outcomes measured through various scales.
- Results showed that FES wasn’t significantly better than AFO in achieving set goals, though it did improve ankle range of motion, highlighting the importance of careful patient selection and ongoing evaluation for effective treatment.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!