scholarly journals Gambaran Funtional Electrical Stmulation (FES) Untuk Memperbaiki Drop Foot Gait Pasca Stroke: Literature Review

2021 ◽  
Vol 1 ◽  
pp. 86-97
Author(s):  
Delia Andini ◽  
Wahyu Ersila
Keyword(s):  
Electrical Stimulation ◽  
Literature Review ◽  
Functional Electrical Stimulation ◽  
Berg Balance Scale ◽  
Lower Limbs ◽  
Google Scholar ◽  
Drop Foot ◽  
Post Stroke ◽  
Balance Scale ◽  
Post Test

Abstract Stroke sufferers who survive experience gait disorders because of damage to brain blood vessels that occurs when the arteries that supply blood to the brain are blocked, so that brain cells lose their oxygen supply which can lead to complaints of feeling weak in the lower limbs and the legs tend to wither or drop foot. . The Drop Foot Gait Rehabilitation Program is essential for improving muscle strength and muscle contraction. One of the Rehabilitation for Drop Foot Gait Post Stroke is FES. This study aims to analyze the effect of Functional Electrical Stimulation to correct Drop Foot Gait post stroke from various references. Selection of articles on literature review it uses PICO. Article writing using search literature through PubMed, Science Direct and Google Scholar with the inclusion criteria and exclusion criteria that have been determined. Literature restricted from 2010 – 2020. From result literature review The five articles show that the results of the characteristics of the respondents based on the gender of male 54.9% and female 45.1%, the results of the characteristics of the respondents based on the age of 100% less than 50 years, and the results of 4 articles of the characteristics of the respondents based on increasing gait using Berg Balance Scale measuring instrument is the average value of pre-test 5.40 and post-test average of 3.57 with a difference of 1.83. The results of a literature review of 1 article using a measuring toolElectroencephalogram that is with the results of the pre-test score of 5.5 and the post-test average of 0.8 with a difference of 4.7. So there is an increase in the patient's gaitDrop Foot Gait Post Stroke using Functional Electrical Stimulation (FES). Functional Electrical Stimulation has an effect on improving the gait of Drop Foot patients after stroke. as a basis for further research, especially regardingFunctional Electrical Stimulation to improve Drop Foot Gait after stroke.Keywords : berg balance scale; drop foot gait post stroke; pasca stroke; stroke Abstrak Penderita Stroke yang bertahan hidup mengalami gangguan berjalan akibat terjadinya kerusakan pembuluh darah otak yang terjadi ketika arteri yang memasok darah ke otak tersumbat, sehingga sel sel otak kehilangan suplai oksigen yang mengakibatkan keluhan merasa lemah pada anggota gerak bawah dan kaki cenderung layuh atau Drop Foot. rogram Rehabilitasi Drop Foot Gait sangat penting untuk meningkatkan kekuatan otot dan kontraksi otot. Salah satu Rehabilitasi untuk Drop Foot Gait Pasca Stroke adalah Functional Electrical Stimulation Penelitian ini bertujuan untuk menganalisa pengaruh Functional Electrical Stimulation untuk memperbaiki Drop Foot Gait pasca stroke dari berbagai referensi. Pemilihan artikel pada literature review ini menggunakan PICO. Penulisan artikel menggunakan penelusuran literature melalui PubMed, Science Direct dan Google Scholar dengan kriteria inklusi dan kriteria eksklusi yang telah ditentukan. Literature diberi batasan dari tahun 2010 – 2020. Dari hasil literature review kelima artikel menunjukan bahwa hasil dari karakteristik responden berdasarkan jenis kelamin laki-laki 54,9% dan perempuan 45,1%, hasil dari karakteristik responden berdasarkan usia dari 4 artikel yaitu dengan rentang usia 20-80 tahun dan 1 artikel dengan rata-rata usia 60,7 tahun, hasil 4 artikel dari karakteristik responden berdasarkan peningkatan gaya berjalan menggunakan alat ukur Berg Balance Scale yaitu nilai rata-rata pre test 5,40 dan rata-rata post-test 3,57 dengan selisih 1,83. Hasil literature review 1 artikel menggunakan alat ukur Electroensefalogram mendapatkan hasil nilai pre test 5,5 dan post test 0,8 dengan selisih 4,7. Sehingga ada peningkatan gaya berjalan pada pasien Drop Foot Gait Pasca Stroke menggunakan Functional Electrical Stimulation (FES). Functional Electrical Stimulation berpengaruh untuk memperbaiki gaya berajalan pasien Drop Foot pasca stroke. sebagai dasar untuk penelitian-penelitian lebih lanjut khususnya mengenai Functional Electrical Stimulation untuk memperbaiki Drop Foot Gait pasca stroke dan direkomendasikan untuk profesi fisioterapi sebagai bahan literasi untuk pemberian intervensi pada kasus Drop Foot Gait Pasca Stroke menggunakan FES.Kata Kunci : berg balance scale; drop foot gait post stroke; pasca stroke; stroke.

Gambaran Funtional Electrical Stmulation (FES) Untuk Memperbaiki Drop Foot Gait Pasca Stroke: Literature Review

2021 ◽  
Vol 1 ◽  
pp. 1362-1372
Author(s):  
Delia Andini ◽  
Wahyu Ersila
Keyword(s):  
Electrical Stimulation ◽  
Literature Review ◽  
Functional Electrical Stimulation ◽  
Berg Balance Scale ◽  
Lower Limbs ◽  
Google Scholar ◽  
Drop Foot ◽  
Post Stroke ◽  
Balance Scale ◽  
Post Test

Abstract Stroke sufferers who survive experience gait disorders because of damage to brain blood vessels that occurs when the arteries that supply blood to the brain are blocked, so that brain cells lose their oxygen supply which can lead to complaints of feeling weak in the lower limbs and the legs tend to wither or drop foot. . The Drop Foot Gait Rehabilitation Program is essential for improving muscle strength and muscle contraction. One of the Rehabilitation for Drop Foot Gait Post Stroke is FES. This study aims to analyze the effect of Functional Electrical Stimulation to correct Drop Foot Gait post stroke from various references. Selection of articles on literature review it uses PICO. Article writing using search literature through PubMed, Science Direct and Google Scholar with the inclusion criteria and exclusion criteria that have been determined. Literature restricted from 2010 – 2020. From result literature review The five articles show that the results of the characteristics of the respondents based on the gender of male 54.9% and female 45.1%, the results of the characteristics of the respondents based on the age of 100% less than 50 years, and the results of 4 articles of the characteristics of the respondents based on increasing gait using Berg Balance Scale measuring instrument is the average value of pre-test 5.40 and post-test average of 3.57 with a difference of 1.83. The results of a literature review of 1 article using a measuring toolElectroencephalogram that is with the results of the pre-test score of 5.5 and the post-test average of 0.8 with a difference of 4.7. So there is an increase in the patient's gaitDrop Foot Gait Post Stroke using Functional Electrical Stimulation (FES). Functional Electrical Stimulation has an effect on improving the gait of Drop Foot patients after stroke. As a basis for further research, especially regarding. Functional Electrical Stimulation to improve Drop Foot Gait after stroke.Keywords : strokes; post stroke;berg balance scale; drop foot gaitpost stroke Abstrak Penderita Stroke yang bertahan hidup mengalami gangguan berjalan akibat terjadinya kerusakan pembuluh darah otak yang terjadi ketika arteri yang memasok darah ke otak tersumbat, sehingga sel sel otak kehilangan suplai oksigen yang mengakibatkan keluhan merasa lemah pada anggota gerak bawah dan kaki cenderung layuh atau Drop Foot. rogram Rehabilitasi Drop Foot Gait sangat penting untuk meningkatkan kekuatan otot dan kontraksi otot. Salah satu Rehabilitasi untuk Drop Foot Gait Pasca Stroke adalah Functional Electrical Stimulation. Penelitian ini bertujuan untuk menganalisa pengaruh Functional Electrical Stimulation untuk memperbaiki Drop Foot Gait pasca stroke dari berbagai referensi. Pemilihan artikel pada literature review ini menggunakan PICO. Penulisan artikel menggunakan penelusuran literature melalui PubMed, Science Direct dan Google Scholar dengan kriteria inklusi dan kriteria eksklusi yang telah ditentukan. Literature diberi batasan dari tahun 2010 – 2020. Dari hasil literature review kelima artikel menunjukan bahwa hasil dari karakteristik responden berdasarkan jenis kelamin laki-laki 54,9% dan perempuan 45,1%, hasil dari karakteristik responden berdasarkan usia dari 4 artikel yaitu dengan rentang usia 20-80 tahun dan 1 artikel dengan rata-rata usia 60,7 tahun, hasil 4 artikel dari karakteristik responden berdasarkan peningkatan gaya berjalan menggunakan alat ukur Berg Balance Scale yaitu nilai rata-rata pre test 5,40 dan rata-rata post-test 3,57 dengan selisih 1,83. Hasil literature review 1 artikel menggunakan alat ukur Electroensefalogram mendapatkan hasil nilai pre test 5,5 dan post test 0,8 dengan selisih 4,7. Sehingga ada peningkatan gaya berjalan pada pasien Drop Foot Gait Pasca Stroke menggunakan Functional Electrical Stimulation (FES). Functional Electrical Stimulation berpengaruh untuk memperbaiki gaya berajalan pasien Drop Foot pasca stroke. sebagai dasar untuk penelitian-penelitian lebih lanjut khususnya mengenai Functional Electrical Stimulation untuk memperbaiki Drop Foot Gait pasca stroke dan direkomendasikan untuk profesi fisioterapi sebagai bahan literasi untuk pemberian intervensi pada kasus Drop Foot Gait Pasca Stroke menggunakan FES.Kata Kunci : stroke; pasca stroke; berg balance scale; drop foot gait 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 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.

Gambaran Keseimbangan Pada Pasien Post Stroke Setelah Pemberian Latihan Berbasis Virtual Reality: Literature Review

2021 ◽  
Vol 1 ◽  
pp. 1565-1571
Author(s):  
Isy Anisa ◽  
A Abdurrachman
Keyword(s):  
Virtual Reality ◽  
Literature Review ◽  
Functional Limitations ◽  
Stable Condition ◽  
Computer Hardware ◽  
Google Scholar ◽  
Stroke Patients ◽  
Balance Disorders ◽  
Post Stroke ◽  
Post Test

AbstractPost-stroke is a condition where the stroke patient has gone through an emergency so that he is in a stable condition. Post-stroke patients can experience various functional limitations, one of which is balance disorders. Patients experiencing this type of disorder can be given balance exercises based on virtual reality. Virtual reality will provide visual, proprioceptive, and auditory stimulation trough computer hardware and software to engage in artificial environments that appear and feel similar to real world objects and events. This study aimed to describe balance of post-stroke patients after being given virtual reality-based exercises. The method used in this study was a literature review analysis with the PICO method. Five articles were obtained to be reviewed from several data bases such as PubMed (n=2) and Google Scholar (n=3). The results of the analysis of the five articles showed that the average age of the respondents was > 60 years; 51.7% were female and 48.3% were male; and the average value of pre-test as well as post-test were 42.1 and 47.2 with an increase of 5.1. In conclusion, there was an increase in the balance of post-stroke patients after undergoing virtual reality-based exercises with significant results. . Therefore, researchers or practitioners are suggested to develop a Virtual Reality method on balance disorders in post-stroke patients in the form of treatment and subsequent research.Keywords: Balance; Post Stroke; Virtual Reality AbstrakPost stroke merupakan kondisi dimana pasien stroke telah melalui keadaan darurat sehingga pasien dalam keadaan stabil. Pasien post stroke dapat mengalami berbagai keterbatasan fungsional salah satunya gangguan keseimbangan yang dapat diberikan latihan keseimbangan berbasis Virtual Reality. Virtual Reality akan memberikan stimulasi visual, proprioseptif, dan pendengaran melalui perangkat keras dan perangkat lunak komputer untuk terlibat dalam lingkungan buatan yang muncul dan terasa mirip dengan objek dan peristiwa dunia nyata. Peneltian ini bertujuan untuk mengetahui gambaran keseimbangan pada pasien post stroke setelah pemberian latihan berbasis Virtual Reality. Metode yang digunakan dalam penelitian ini yaitu analisis literature review dengan metode PICO, didapatkan lima artikel untuk direview dari beberapa data base seperti PubMed (n=2) dan Google Scholar (n=3). Hasil analisis lima artikel didapatkan responden rata-rata usia > 60 tahun dan jenis kelamin perempuan 51,7% dan laki-laki 48,3%, nilai rata-rata pre test dan post test 42,1 dan 47,2 dengan peningkatan sebesar 5,1. Kesimpulannya didapatkan gambaran adanya peningkatan keseimbangan pasien post stroke setelah pemberian latihan berbasis Virtual Reality dengan hasil yang signifikan. Saran untuk peneliti atau praktisi bisa mengembangkan metode Virtual Reality pada gangguan keseimbangan pasien post stroke dalam bentuk treatmen dan penelitian berikutnya.Kata kunci: Keseimbangan; Post Stroke; Virtual Reality

scholarly journals Audio-visual stimulation in conjunction with functional electrical stimulation to address upper limb and lower limb movement disorder

2016 ◽  
Vol 26 (2) ◽  
Author(s):  
Deepesh Kumar ◽  
Sunny Verma ◽  
Sutapa Bhattacharya ◽  
Uttama Lahiri
Keyword(s):  
Electrical Stimulation ◽  
Movement Disorder ◽  
Upper Limb ◽  
Functional Electrical Stimulation ◽  
Lower Limb ◽  
Neurological Disorders ◽  
Visual Stimulation ◽  
Lower Limbs ◽  
Lower Limb Movement ◽  
Rehabilitation Exercises

Neurological disorders often manifest themselves in the form of movement deficit on the part of the patient. Conventional rehabilitation often used to address these deficits, though powerful are often monotonous in nature. Adequate audio-visual stimulation can prove to be motivational. In the research presented here we indicate the applicability of audio-visual stimulation to rehabilitation exercises to address at least some of the movement deficits for upper and lower limbs. Added to the audio-visual stimulation, we also use Functional Electrical Stimulation (FES). In our presented research we also show the applicability of FES in conjunction with audio-visual stimulation delivered through VR-based platform for grasping skills of patients with movement disorder.

scholarly journals Ability of people with post-stroke hemiplegia to self-administer FES-assisted hand therapy video games at home: An exploratory case series

2019 ◽  
Vol 6 ◽  
pp. 205566831985400 ◽  
Author(s):  
Michael J Fu ◽  
Mary Y Harley ◽  
Terri Hisel ◽  
Robyn Busch ◽  
Richard Wilson ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Video Games ◽  
Upper Extremity ◽  
Functional Electrical Stimulation ◽  
Video Game ◽  
Cognitive Outcomes ◽  
Hand Therapy ◽  
Post Stroke ◽  
Game Therapy ◽  
At Home

Introduction This article describes the development and initial clinical testing of an innovative home-based treatment for upper extremity hemiplegia that integrates contralaterally controlled functional electrical stimulation with hand therapy video games. Methods We explored the ability of seven participants with moderate-to-severe hand impairment to self-administer 12 weeks of contralaterally controlled functional electrical stimulation video game therapy at home for 10 h/week and in-lab with a therapist for four h/week. Clinical suitability was assessed by device usage logs, qualitative surveys, and clinical motor and cognitive outcomes. Results Three participants completed the study with > 95% compliance and four did not. Factors linked to incompletion included development of trigger finger in the non-paretic hand, acceptance of a new full-time job, residence relocation, and persistence of drowsiness from anti-spasticity medication. Those who completed the treatment perceived qualitative benefits and experienced gains in motor and cognitive outcomes. Conclusion Individuals with moderate-to-severe chronic post-stroke upper extremity hemiplegia can self-administer contralaterally controlled functional electrical stimulation video game therapy for up to 90 min/day at home. We also identified social and physiological factors that may preclude its use for daily home treatment. Further studies are warranted and are in progress to estimate treatment effect and optimal dose of this intervention.

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