International Journal of Neurologic Physical Therapy

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Effect of Functional Electrical Stimulation on Gait Restoration After Stroke - A Review

Received: 07 November 2019    Accepted: 05 December 2019    Published: 17 December 2019
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Abstract

Stroke is one of the leading cause of disability and death throughout the world. Among the hospitalized neurological patients, 60% acquire gait disturbance. Functional electrical stimulation (FES) is a form of electrical current which helps to contract the weak muscles in the patient with stroke. Several studies were conducted to identify the effectiveness of FES on gait performance. Therefore the purpose of the article was to identify the good quality RCTs and find their results regarding the effectiveness of FES on gait performance of stroke patient. 5 randomized control trials were identified from the Physiotherapy Evidence Database (PEDro) and their score was 5 and above. A careful analysis was performed to make synopsis of those articles and presented in table with description. The first 4 studies found that a combination approach such as Mirror Therapy, Action Observational Training, Brain-computer interface and standard rehabilitation along with FES is effective in gait performance than the FES alone. One study compared the effectiveness of dual and four channels FES where they found 4 channels FES is more effective than dual channel. Therefore the review concluded that FES combined with other treatment modalities is beneficial to restore gait performance of patient with stroke.

DOI 10.11648/j.ijnpt.20190502.15
Published in International Journal of Neurologic Physical Therapy (Volume 5, Issue 2, December 2019)
Page(s) 63-68
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Functional Electrical Stimulation (FES), Stroke, Gait, Abnormality

References
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[3] World Health Organization. (2014). Stroke, Cerebrovascular accident. Global status report on non-communicable diseases, Retrieved on 1st March, 2018 from http://www.who.int/topics/cerebrovascular_accident/en/.
[4] Parmer, P., Sumaria, S., and Hashi, S., 2011. Stroke: Classification and Diagnosis. The Pharmaceutical Journal. Retrieved on January 16, 2011, from https://www.pharmaceutical-journal.com.
[5] Ferri, C. P., Schoenborn, C., Kalra, L., Acosta, D., Guerra, M., Huang, Y., Jacob, K. S., Rodriguez, J. J. L., Salas, A., Sosa, A. L. and Williams, J. D., 2011. Prevalence of stroke and related burden among older people living in Latin America, India and China. Journal of Neurology, Neurosurgery & Psychiatry, 82 (10), pp. 1074-1082.
[6] Stolze, H., Klebe, S., Baecker, C., Zechlin, C., Friege, L., Pohle, S. and Deuschl, G., 2005. Prevalence of gait disorders in hospitalized neurological patients. Movement disorders: official journal of the Movement Disorder Society, 20 (1),. 89-94.
[7] Olney, S. J. and Richards, C., 1996. Hemiparetic gait following stroke. Part I: Characteristics. Gait & posture, 4 (2), pp. 136-148.
[8] Patterson, K. K., Gage, W. H., Brooks, D., Black, S. E. and McIlroy, W. E., 2010. Changes in gait symmetry and velocity after stroke: across-sectional study from weeks to years after stroke. Neurorehabilitation and Neural Repair, 24 (9), pp. 783-790.
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[11] Ji, S. G., Cha, H. G., Kim, M. K. and Lee, C. R., 2014. The effect of mirror therapy integrating functional electrical stimulation on the gait of stroke patients. Journal of physical therapy science, 26 (4), pp.497-499.
[12] Park, C. S. and Kang, K. Y., 2013. The effects of additional action observational training for functional electrical stimulation treatment on weight bearing, stability and gait velocity of hemiplegic patients. Journal of physical therapy science, 25 (9), pp. 1173-1175.
[13] Chung, E., Park, S., Jang, Y., and Lee, B., 2015. Effects of brain-computer interface-based functional electrical stimulation on balance and gait function in patients with stroke: preliminary results. Journal of Physical Therapy Science. 27 (2), pp. 513–516.
[14] Tan, Z., Liu, H., Yan, T., Jin, D., He, X., Zheng, X., Xu, S. and Tan, C., 2014. The effectiveness of functional electrical stimulation based on a normal gait pattern on subjects with early stroke: a randomized controlled trial. BioMed research international, 2014.
[15] lon G, Levitt AF, McCarthy PA. Functional electrical stimulation (FES) may modify the poor prognosis of stroke survivors with severe motor loss of the upper extremity: a preliminary study. American journal of physical medicine & rehabilitation. 2008 Aug 1; 87 (8): 627-36.
[16] Kottink AI, Oostendorp L J, Buurke JH, Nene AV, Hermens HJ, IJzerman MJ. The orthotic effect of functional electrical stimulation on the improvement of walking in stroke patients with a dropped foot: a systematic review. Artificial organs. 2004 Jun; 28 (6): 577-86.
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Author Information
  • Department of Physiotherapy, Bangladesh Health Professions Institute (BHPI), CRP, Dhaka, Bangladesh

  • School of Science and Technology, Bangladesh Open University, Former Associate Professor of Physiotherapy, BHPI, Dhaka, Bangladesh

  • Department of Physiotherapy, Bangladesh Health Professions Institute (BHPI), CRP, Dhaka, Bangladesh

  • Department of Forensic Medicine, Enam Medical College and Hospital, Savar, Dhaka, Bangladesh

Cite This Article
  • APA Style

    Asma Islam, Mohammad Habibur Rahman, Md. Obaidul Haque, Shamima Islam. (2019). Effect of Functional Electrical Stimulation on Gait Restoration After Stroke - A Review. International Journal of Neurologic Physical Therapy, 5(2), 63-68. https://doi.org/10.11648/j.ijnpt.20190502.15

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    ACS Style

    Asma Islam; Mohammad Habibur Rahman; Md. Obaidul Haque; Shamima Islam. Effect of Functional Electrical Stimulation on Gait Restoration After Stroke - A Review. Int. J. Neurol. Phys. Ther. 2019, 5(2), 63-68. doi: 10.11648/j.ijnpt.20190502.15

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    AMA Style

    Asma Islam, Mohammad Habibur Rahman, Md. Obaidul Haque, Shamima Islam. Effect of Functional Electrical Stimulation on Gait Restoration After Stroke - A Review. Int J Neurol Phys Ther. 2019;5(2):63-68. doi: 10.11648/j.ijnpt.20190502.15

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  • @article{10.11648/j.ijnpt.20190502.15,
      author = {Asma Islam and Mohammad Habibur Rahman and Md. Obaidul Haque and Shamima Islam},
      title = {Effect of Functional Electrical Stimulation on Gait Restoration After Stroke - A Review},
      journal = {International Journal of Neurologic Physical Therapy},
      volume = {5},
      number = {2},
      pages = {63-68},
      doi = {10.11648/j.ijnpt.20190502.15},
      url = {https://doi.org/10.11648/j.ijnpt.20190502.15},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijnpt.20190502.15},
      abstract = {Stroke is one of the leading cause of disability and death throughout the world. Among the hospitalized neurological patients, 60% acquire gait disturbance. Functional electrical stimulation (FES) is a form of electrical current which helps to contract the weak muscles in the patient with stroke. Several studies were conducted to identify the effectiveness of FES on gait performance. Therefore the purpose of the article was to identify the good quality RCTs and find their results regarding the effectiveness of FES on gait performance of stroke patient. 5 randomized control trials were identified from the Physiotherapy Evidence Database (PEDro) and their score was 5 and above. A careful analysis was performed to make synopsis of those articles and presented in table with description. The first 4 studies found that a combination approach such as Mirror Therapy, Action Observational Training, Brain-computer interface and standard rehabilitation along with FES is effective in gait performance than the FES alone. One study compared the effectiveness of dual and four channels FES where they found 4 channels FES is more effective than dual channel. Therefore the review concluded that FES combined with other treatment modalities is beneficial to restore gait performance of patient with stroke.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Effect of Functional Electrical Stimulation on Gait Restoration After Stroke - A Review
    AU  - Asma Islam
    AU  - Mohammad Habibur Rahman
    AU  - Md. Obaidul Haque
    AU  - Shamima Islam
    Y1  - 2019/12/17
    PY  - 2019
    N1  - https://doi.org/10.11648/j.ijnpt.20190502.15
    DO  - 10.11648/j.ijnpt.20190502.15
    T2  - International Journal of Neurologic Physical Therapy
    JF  - International Journal of Neurologic Physical Therapy
    JO  - International Journal of Neurologic Physical Therapy
    SP  - 63
    EP  - 68
    PB  - Science Publishing Group
    SN  - 2575-1778
    UR  - https://doi.org/10.11648/j.ijnpt.20190502.15
    AB  - Stroke is one of the leading cause of disability and death throughout the world. Among the hospitalized neurological patients, 60% acquire gait disturbance. Functional electrical stimulation (FES) is a form of electrical current which helps to contract the weak muscles in the patient with stroke. Several studies were conducted to identify the effectiveness of FES on gait performance. Therefore the purpose of the article was to identify the good quality RCTs and find their results regarding the effectiveness of FES on gait performance of stroke patient. 5 randomized control trials were identified from the Physiotherapy Evidence Database (PEDro) and their score was 5 and above. A careful analysis was performed to make synopsis of those articles and presented in table with description. The first 4 studies found that a combination approach such as Mirror Therapy, Action Observational Training, Brain-computer interface and standard rehabilitation along with FES is effective in gait performance than the FES alone. One study compared the effectiveness of dual and four channels FES where they found 4 channels FES is more effective than dual channel. Therefore the review concluded that FES combined with other treatment modalities is beneficial to restore gait performance of patient with stroke.
    VL  - 5
    IS  - 2
    ER  - 

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