scholarly journals CYCLING TRAINING AND FUNCTIONAL ELECTRICAL STIMULATION FOR POST-STROKE PATIENTS

2018 ◽  
Vol 24 (4) ◽  
pp. 300-302 ◽  
Author(s):  
Ardalan Shariat ◽  
Noureddin Nakhostin Ansari ◽  
Brandon S. Shaw ◽  
Ramin Kordi ◽  
Mehdi Kargarfard ◽  
...  
Keyword(s):  
Developing Countries ◽  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Cycling Performance ◽  
Stroke Patients ◽  
Functional Rehabilitation ◽  
Level Of Evidence ◽  
Stroke Incidence ◽  
Post Stroke ◽  
Cycling Training

ABSTRACT Introducion: Stroke is one of the leading causes of morbidity and mortality in adults worldwide. The prevalence of stroke in developing countries such as South Africa and Iran is growing, especially in an increasingly younger population. In Iran, the annual stroke incidence ranges from 23 to 103 per 100,000 inhabitants, with the rate being higher in those aged 15-45 years. Problematically, almost 50% of stroke patients face difficulties in performing activities of daily living, hence the importance of functional rehabilitation. These factors necessitate cost-effective solutions in developing countries, where there is insufficient research focused on practical solutions for treatment/rehabilitation. Objective: We hypothesize that while progressive cycling training would activate cortical regions and that cycling speed feedback could lead to additional cortical activations and resultant improvements in cycling performance, combined cycling training and functional electrical stimulation would result in superior improvements in cycling performance, aerobic capacity, and functional performance in post-stroke patients. Conclusions: Ultimately, we expect this hypothesis to provide a useful framework for facilitating combined cycling and functional electrical stimulation rehabilitation research in post-stroke patient populations. Level of Evidence V; Expert opinion.

scholarly journals PMS104 - EFFICIENCY EXAMINATION OF FUNCTIONAL ELECTRICAL STIMULATION IN THE REHABILITATION OF GAIT AMONG POST-STROKE PATIENTS

2018 ◽  
Vol 21 ◽  
pp. S305
Author(s):  
A. Pallag ◽  
V. Bors ◽  
D. Horváth ◽  
L. Gelányi ◽  
I. Boncz ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Stroke Patients ◽  
Post Stroke

scholarly journals Predictive simulation of post-stroke gait with functional electrical stimulation

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Gilmar F. Santos ◽  
Eike Jakubowitz ◽  
Nicolas Pronost ◽  
Thomas Bonis ◽  
Christof Hurschler
Keyword(s):  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Inverse Dynamics ◽  
Knee Extensor ◽  
Treatment Programs ◽  
Knee Extensors ◽  
Drop Foot ◽  
Stroke Patients ◽  
Post Stroke ◽  
Knee Hyperextension

AbstractPost-stroke patients present various gait abnormalities such as drop foot, stiff-knee gait (SKG), and knee hyperextension. Functional electrical stimulation (FES) improves drop foot gait although the mechanistic basis for this effect is not well understood. To answer this question, we evaluated the gait of a post-stroke patient walking with and without FES by inverse dynamics analysis and compared the results to an optimal control framework. The effect of FES and cause-effect relationship of changes in knee and ankle muscle strength were investigated; personalized muscle–tendon parameters allowed the prediction of pathologic gait. We also predicted healthy gait patterns at different speeds to simulate the subject walking without impairment. The passive moment of the knee played an important role in the estimation of muscle force with knee hyperextension, which was decreased during FES and knee extensor strengthening. Weakening the knee extensors and strengthening the flexors improved SKG. During FES, weak ankle plantarflexors and strong ankle dorsiflexors resulted in increased ankle dorsiflexion, which reduced drop foot. FES also improved gait speed and reduced circumduction. These findings provide insight into compensatory strategies adopted by post-stroke patients that can guide the design of individualized rehabilitation and treatment programs.

scholarly journals Functional electrical stimulation reduces pain and shoulder subluxation in chronic post-stroke patients?

2020 ◽  
pp. 1-5
Author(s):  
Willian Vasconcellos da Silva ◽  
Gabriele Natane de Medeiros Cirne ◽  
Edson Meneses da Silva Filho ◽  
Enio Walker Azevedo Cacho ◽  
Johnnatas Mikael Lopes ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Total Duration ◽  
Chronic Phase ◽  
Control Group ◽  
Mcgill Pain Questionnaire ◽  
Therapeutic Effects ◽  
Stroke Patients ◽  
Post Stroke ◽  
Scale Scores

Background: Shoulder subluxation is a common complication of cerebral vascular accident (stroke) and the use of Functional Electrical Stimulation (FES) within the rehabilitation process is extremely important. Objective: To analyze the therapeutic effects of FES in the treatment of chronic shoulder subluxation in post-stroke patients. Method: This is a case study of patients with radiologically subluxation confirmed, who were randomly divided into two groups: Control Group (CG) and Treatment Group (TG). Patients were assessed before and after treatment and at the 2-month follow-up. The assessment consisted of the modified Ashworth scale; passive goniometry; Fugl-Meyer scale; McGill pain questionnaire and evaluation of shoulder subluxation by radiography. The CG did not receive physiotherapeutic intervention; and TG underwent 20 sessions of motor kinesiotherapy and FES associated with functional exercises with a total duration of 1 hour, three times a week, for 7 weeks. The data were analyzed descriptively. Results: The mean age of CG participants was 82.5 ± 1.5 years and of the TG was 70.5 ± 13.5 years. All of them were retired, sedentary, non-smokers/alcoholics and had hemiparesis on the left side. There was an approximate increase of 10o for most joint movements of the shoulder, improvement in McGill scale scores and reduction of shoulder subluxation in TG patients. Conclusion: FES associated with functional movements was effective in reducing the degree of subluxation of the shoulder joint and decreased pain in subjectsin the chronic phase of the post-stroke.

scholarly journals Functional electrical stimulation reduces pain and shoulder subluxation in chronic post-stroke patients?

2018 ◽  
Vol 16 ◽  
Author(s):  
Willian Vasconcellos da Silva ◽  
Gabriele Natane de Medeiros Cirne ◽  
Edson Meneses da Silva ◽  
Enio Walker Azevedo Cacho ◽  
Johnnatas Mikael Lopes ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Stroke Patients ◽  
Post Stroke

scholarly journals Predictive Simulation of Post-Stroke Gait and Effects of Functional Electrical Stimulation: A Case Report

2021 ◽  
Author(s):  
Gilmar F. Santos ◽  
Eike Jakubowitz ◽  
Nicolas Pronost ◽  
Thomas Bonis ◽  
Christof Hurschler
Keyword(s):  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Inverse Dynamics ◽  
Knee Extensor ◽  
Treatment Programs ◽  
Knee Extensors ◽  
Drop Foot ◽  
Stroke Patients ◽  
Post Stroke ◽  
Knee Hyperextension

Abstract Post-stroke patients present various gait abnormalities such as drop foot, stiff-knee gait (SKG), and knee hyperextension. Functional electrical stimulation (FES) improves drop foot gait although the mechanistic basis for this effect is not well understood. To answer this question, we evaluated the gait of a post-stroke patient walking with and without FES by inverse dynamics analysis and compared the results to an optimal control framework. The effect of FES and cause-effect relationship of changes in knee and ankle muscle strength were investigated; personalized muscle-tendon parameters allowed the prediction of pathologic gait. We also predicted healthy gait patterns at different speeds to simulate the subject walking without impairment. The passive moment of the knee played an important role in the estimation of muscle force with knee hyperextension, which was decreased during FES and knee extensor strengthening. Weakening the knee extensors and strengthening the flexors improved SKG. During FES, weak ankle plantarflexors and strong ankle dorsiflexors resulted in increased ankle dorsiflexion, which reduced drop foot. FES also improved gait speed and reduced circumduction. These findings provide insight into compensatory strategies adopted by post-stroke patients that can guide the design of individualized rehabilitation and treatment programs.

scholarly journals Functional Electrical Stimulation dengan Pulsa Biphasic Untuk Membantu Fungsi Ekstremitas Atas Pasien Pasca Stroke

2021 ◽  
Vol 23 (1) ◽  
pp. 40
Author(s):  
Deny Arifianto
Keyword(s):  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Stroke Rehabilitation ◽  
Good Accuracy ◽  
Stroke Patients ◽  
Peak Voltage ◽  
Post Stroke ◽  
Effective Current ◽  
Voltage Frequency ◽  
The Brain

Abstract Stroke or nerve function disorders caused by disruption of blood flow to the brain that arises suddenly or quickly with symptoms or signs that correspond to the affected area. One of the post-stroke rehabilitation using electrical stimulation, also known as an electro stimulator. This study aims to design Functional electrical stimulation (FES), which aims to stimulate the peripheral nervous system with biphasic pulses. Stimulation for patients with MMT 1 was optimal at a frequency of 22-30 Hz. In post-stroke patients with MMT inclusion characteristics 0-3, a minimum voltage, frequency and pulse width value of 200 Vp, 22 Hz, and 20 s is required with a power of 0.00146 Watt. Studies have shown that this electro stimulator device had good accuracy and has high peak voltage values and low effective current. It can be considered because it provides comfort and safety for medical therapy equipment. 

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