scholarly journals A Four-Week, Task-Specific Neuroprosthesis Program for a Person With No Active Wrist or Finger Movement Because of Chronic Stroke

2008 ◽  
Vol 88 (3) ◽  
pp. 397-405 ◽  
Author(s):  
Kari Dunning ◽  
Ashley Berberich ◽  
Bethany Albers ◽  
Kelly Mortellite ◽  
Peter G Levine ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Chronic Stroke ◽  
Finger Movement ◽  
Specific Training ◽  
Treatment Regimens ◽  
Before And After ◽  
Specific Outcome

Background and PurposeThis case report describes a task-specific training protocol incorporating functional electrical stimulation for a person who had chronic stroke and who initially exhibited no active wrist or finger movement.Case DescriptionA 63-year-old man with hemiparesis caused by an ischemic stroke 7 years before the intervention described here received task-specific training incorporating an electrical stimulation neuroprosthesis 3 hours per day, 5 days per week, for 4 weeks. Testing was conducted before and after the intervention and again 6 weeks later with stroke-specific outcome measures.OutcomesIncreases in function and quality of life were observed after the intervention.DiscussionAn intervention incorporating task-specific training with functional electrical stimulation appears to have increased function and quality of life in a person with chronic stroke. This type of intervention might provide a pathway by which people with similar impairments would become eligible for more advanced treatment regimens, such as modified constraint-induced therapy.

scholarly journals The Efficacy of Functional Electrical Stimulation of the Abdominal Muscles in the Treatment of Chronic Constipation in Patients with Multiple Sclerosis: A Pilot Study

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Christine Singleton ◽  
Abdel Magid Bakheit ◽  
Carla Peace
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Electrical Stimulation ◽  
Pilot Study ◽  
Transit Time ◽  
Functional Electrical Stimulation ◽  
Chronic Constipation ◽  
Abdominal Muscles ◽  
Related Quality

Chronic constipation in patients with multiple sclerosis (MS) is common and the current methods of treatment are ineffective in some patients. Anecdotal observations suggest that functional electrical stimulation (FES) of the abdominal muscles may be effective in the management of constipation in these patients.Patients and Methods. In this exploratory investigation we studied the effects of FES on the whole gut transit time (WGTT) and the colonic transit time (CTT). In addition, we evaluated the treatment effect on the patients’ constipation-related quality of life and on the use of laxatives and the use of manual bowel evacuation. FES was given for 30 minutes twice a day for a period of six weeks. Four female patients were studied.Results. The WGTT and CTT and constipation-related quality of life improved in all patients. The patients’ use of laxatives was reduced. No adverse effects of FES treatment were reported.Conclusion. The findings of this pilot study suggest that FES applied to the abdominal muscles may be an effective treatment modality for severe chronic constipation in patients with MS.

The effectiveness of functional electrical stimulation of the legs in patients with heart failure: A systematic review and meta-analysis of randomized controlled trials

2021 ◽  
pp. 026921552110569
Author(s):  
Hsun-Yi Wang ◽  
Yu-Hsuan Chen ◽  
Yi-Chun Kuan ◽  
Shih-Wei Huang ◽  
Li-Fong Lin ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Electrical Stimulation ◽  
Confidence Interval ◽  
Randomized Controlled Trials ◽  
Functional Electrical Stimulation ◽  
Controlled Trials ◽  
Randomized Controlled ◽  
Patients With Heart Failure

Objective To investigate the effectiveness of functional electrical stimulation of the legs in patients with heart failure. Methods Data were obtained from PubMed, Cochrane Library, and Embase databases until August 12, 2021. We included randomized controlled trials that evaluated the effects of functional electrical stimulation applied to the legs of patients with heart failure, namely changes in cardiopulmonary function, muscle strength, and quality of life. Results In total, 14 randomized controlled trials (consisting of 518 patients) were included in our article. Pooled estimates demonstrated that functional electrical stimulation significantly improved peak oxygen consumption (peak VO2; standardized mean difference = 0.33, 95% confidence interval = 0.07–0.59, eight randomized controlled trials, n = 321), 6-min walking distance (mean difference = 48.03 m, 95% confidence interval = 28.50–67.57 m, 10 randomized controlled trials, n = 380), and Minnesota Living with Heart Failure Questionnaire quality of life score (mean difference =  − 8.23, 95% confidence interval =  − 12.64 to − 3.83, nine randomized controlled trials, n = 383). Muscle strength of lower extremities was not significantly improved in the functional electrical stimulation group compared with that in the control group (standardized mean difference = 0.26, 95% confidence interval =  − 0.18 to 0.71, five randomized controlled trials, n = 218). Furthermore, the subgroup analysis revealed that functional electrical stimulation significantly improved peak VO2, 6-min walking distance, and Minnesota Living with Heart Failure Questionnaire quality of life score in the heart failure with reduced ejection fraction and heart failure with preserved ejection fraction subgroups. Conclusion Functional electrical stimulation can effectively improve the cardiopulmonary function and quality of life in patients with heart failure. However, functional electrical stimulation did not significantly improve muscle strength in the legs.

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 for Foot Drop in Multiple Sclerosis

US Neurology ◽  
2015 ◽  
Vol 11 (01) ◽  
pp. 10 ◽  
Author(s):  
Geraldine P Dapul ◽  
Francois Bethoux ◽  
◽  
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Electrical Stimulation ◽  
Effective Treatment ◽  
Functional Electrical Stimulation ◽  
Treatment Strategy ◽  
Foot Drop ◽  
Walking Ability ◽  
Gait Performance

Functional electrical stimulation is an effective treatment strategy for the management of foot drop in various neurologic conditions, as demonstrated in improvements in gait performance, mobility, physiologic cost, perceived walking ability, balance, fall frequency, and quality of life. In this article, we review the current literature on the effects of functional electrical stimulation for foot drop in persons with multiple sclerosis.

Effect of functional electrical stimulation on the proprioception, motor function of the paretic upper limb, and patient quality of life: A case report

2016 ◽  
Vol 29 (4) ◽  
pp. 507-514 ◽  
Author(s):  
Carlos Bustamante ◽  
Francisco Brevis ◽  
Sebastián Canales ◽  
Sebastián Millón ◽  
Rodrigo Pascual
Keyword(s):  
Quality Of Life ◽  
Electrical Stimulation ◽  
Case Report ◽  
Motor Function ◽  
Upper Limb ◽  
Functional Electrical Stimulation

scholarly journals Comparison of functional electrical stimulation associated with kinesiotherapy and kinesiotherapy alone in patients with hemiparesis during the subacute phase of ischemic cerebrovascular accident

2013 ◽  
Vol 71 (4) ◽  
pp. 244-248 ◽  
Author(s):  
Paulo Cesar Modesto ◽  
Fernando Campos Gomes Pinto
Keyword(s):  
Quality Of Life ◽  
Electrical Stimulation ◽  
Functional Capacity ◽  
Functional Electrical Stimulation ◽  
Cerebrovascular Accident ◽  
Social Aspects ◽  
Group I ◽  
Pretreatment Period ◽  
Therapy Sessions

Objective: To compare the functional electrical stimulation associated with functional kinesiotherapy alone in patients after ischemic cerebrovascular accident. Methods: The study included 20 patients who were divided into two groups: Group I (GI): functional electrical stimulation plus functional kinesiotherapy and Group II (GII): functional kinesiotherapy. We evaluated active and passive range of motion, in knee flexion and extension muscle strength, activities of daily living and quality of life. The evaluations were conducted in the pretreatment period, after 10 sessions and after 20 physical therapy sessions. Results: There was a significant improvement in all variables studied for both groups. However, significant improvements for the sub-items functional capacity and social aspects were seen only in the patients treated with associated functional electrical stimulation and kinesiotherapy. Conclusion: Although both groups of patients improved with the treatment, the association of functional electrical stimulation and kinesiotherapy showed superiority in two quality of life items, in the sub-items functional capacity and social aspects.

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