scholarly journals Treatment of Dysphagia with Biofeedback and Functional Electrical Stimulation in a Patient with Wallenberg Syndrome: A Prospective Case Report

2021 ◽  
pp. 789-796
Author(s):  
Daniela Jakobsen ◽  
Rainer Seidl ◽  
Ingrid Poulsen ◽  
Derek John Curtis
Keyword(s):  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Positive Attitude ◽  
Ease Of Use ◽  
Intervention Period ◽  
Endoscopic Evaluation ◽  
Wallenberg Syndrome ◽  
Measurable Change ◽  
Penetration Aspiration Scale

Biofeedback games and automated functional electrical stimulation (FES) can be used in the treatment of dysphagia. This case study aims to evaluate the effect of the treatment on a 77-year-old man with chronic Wallenberg syndrome and his and the therapist’s experiences when using this therapy form. The participant received intensive treatment for nine days with Facial Oral Tract Therapy, biofeedback games and FES. The Penetration Aspiration Scale was scored using Functional Endoscopic Evaluation of Swallowing at baseline and the end of the intervention period. Swallowing-specific parameters were measured daily, and interviews were conducted with the patient and therapist during the intervention period. The patient and therapist both expressed a positive attitude to the ease of use and usefulness of this technology, despite there being no measurable change in the participant’s swallowing and eating function and only small improvements in swallowing parameters. The experience from this study was that biofeedback games and FES gave only small improvements in swallowing for this participant but were motivating and easy to use. Further research is needed to investigate the effect of this therapy on other participants with a more robust research design.

scholarly journals Cadence Tracking and Disturbance Rejection in Functional Electrical Stimulation Cycling for Paraplegic Subjects: A Case Study

2017 ◽  
Vol 41 (11) ◽  
pp. E185-E195 ◽  
Author(s):  
Lucas O. da Fonseca ◽  
Antônio P.L. Bó ◽  
Juliana A. Guimarães ◽  
Miguel E. Gutierrez ◽  
Emerson Fachin-Martins
Keyword(s):  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Disturbance Rejection

scholarly journals The effect of abdominal functional electrical stimulation on bowel function in multiple sclerosis: a cohort study

2020 ◽  
Vol 6 (3) ◽  
pp. 205521732094153
Author(s):  
Sophia D Lin ◽  
Jane E Butler ◽  
Claire L Boswell-Ruys ◽  
Phu D Hoang ◽  
Tom Jarvis ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Electrical Stimulation ◽  
Standard Deviation ◽  
Functional Electrical Stimulation ◽  
Colonic Transit ◽  
Intervention Period ◽  
Transit Times ◽  
Related Quality

Background Chronic constipation is prevalent in people with multiple sclerosis, with current treatments usually only partially effective. Objectives This study aims to evaluate the efficacy of abdominal functional electrical stimulation to reduce whole gut and colonic transit times and improve bowel and bladder-related quality of life. Methods A total of 23 people with multiple sclerosis who fulfilled the Rome III criteria for functional constipation applied abdominal functional electrical stimulation for 1 hour per day, 5 days per week, for 6 weeks. Whole gut and colonic transit times and bowel and bladder-related quality of life were measured before and after the intervention period. Results Whole gut (mean 81.3 (standard deviation 28.7) hours pre vs. 96.1 (standard deviation 53.6) hours post-intervention, P = 0.160) and colonic transit time (65.1 (31.4) vs. 74.8 (51.1) hours, P = 0.304) were unchanged following 6 weeks of abdominal functional electrical stimulation. There was a significant improvement in bowel (mean 1.78 (SD: 0.64) pre vs. 1.28 (SD: 0.54) post, P = 0.001) and bladder (50.6 (26.49) vs. 64.5 (21.92), p = 0.007) related quality of life after the intervention period. Conclusion While abdominal functional electrical stimulation did not reduce whole gut and colonic transit times for people with multiple sclerosis, a significant improvement in bowel and bladder-related quality of life was reported.

Functional electrical stimulation using microstimulators to correct foot drop: a case study

2004 ◽  
Vol 82 (8-9) ◽  
pp. 784-792 ◽  
Author(s):  
D J Weber ◽  
R B Stein ◽  
K M Chan ◽  
G E Loeb ◽  
F J.R Richmond ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Peroneal Nerve ◽  
Walking Speed ◽  
Common Peroneal Nerve ◽  
Foot Drop ◽  
Cost Index ◽  
Cord Injury ◽  
Stimulation Of

This paper presents a case study that tested the feasibility and efficacy of using injectable microstimulators (BIONs®) in a functional electrical stimulation (FES) device to correct foot drop. Compared with surface stimulation of the common peroneal nerve, stimulation with BIONs provides more selective activation of specific muscles. For example, stimulation of the tibialis anterior (TA) and extensor digitorum longus (EDL) muscles with BIONs produces ankle flexion without excessive inversion or eversion of the foot (i.e., balanced flexion). Efficacy was assessed using a 3-dimensional motion analysis of the ankle and foot trajectories during walking with and without stimulation. Without stimulation, the toe on the affected leg drags across the ground. BION stimulation of the TA muscle and deep peroneal nerve (which innervates TA and EDL) elevates the foot such that the toe clears the ground by 3 cm, which is equivalent to the toe clearance in the less affected leg. The physiological cost index (PCI) measured effort during walking. The PCI equals the change in heart rate (from rest to activity) divided by the walking speed; units are beats per metre. The PCI is high without stimulation (2.29 ± 0.37, mean ± SD) and greatly reduced with surface (1.29 ± 0.10) and BIONic stimulation (1.46 ± 0.24). Also, walking speed increased from 9.4 ± 0.4 m/min without stimulation to 19.6 ± 2.0 m/min with surface and 17.8 ± 0.7 m/min with BIONic stimulation. These results suggest that FES delivered by a BION is an alternative to surface stimulation and provides selective control of muscle activation.Key words: FES, BION, foot drop, stroke, spinal cord injury.

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