Volume 5, Issue 2, December 2019, Page: 63-68
Effect of Functional Electrical Stimulation on Gait Restoration After Stroke - A Review
Asma Islam, Department of Physiotherapy, Bangladesh Health Professions Institute (BHPI), CRP, Dhaka, Bangladesh
Mohammad Habibur Rahman, School of Science and Technology, Bangladesh Open University, Former Associate Professor of Physiotherapy, BHPI, Dhaka, Bangladesh
Md. Obaidul Haque, Department of Physiotherapy, Bangladesh Health Professions Institute (BHPI), CRP, Dhaka, Bangladesh
Shamima Islam, Department of Forensic Medicine, Enam Medical College and Hospital, Savar, Dhaka, Bangladesh
Received: Nov. 7, 2019;       Accepted: Dec. 5, 2019;       Published: Dec. 17, 2019
DOI: 10.11648/j.ijnpt.20190502.15      View  338      Downloads  179
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.
Keywords
Functional Electrical Stimulation (FES), Stroke, Gait, Abnormality
To cite this article
Asma Islam, Mohammad Habibur Rahman, Md. Obaidul Haque, Shamima Islam, Effect of Functional Electrical Stimulation on Gait Restoration After Stroke - A Review, International Journal of Neurologic Physical Therapy. Vol. 5, No. 2, 2019, pp. 63-68. doi: 10.11648/j.ijnpt.20190502.15
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Aho, K., Harmsen, P., Hatano, S., Marquardsen, J., Smirnov, V. E., & Strasser, T. 1980. Cerebrovascular disease in the community: results of a WHO collaborative study. Bulletin of the World Health Organization, 58 (1),113.
[2]
Sacco, R. L., Kasner, S. E., Broderick, J. P., Caplan, L. R., Connors, J. J., Culebras, A., Elkind, M. S., George, M. G., Hamdan, A. D., Higashida, R. T. and Hoh, B. L., 2013. An updated definition of stroke for the 21st century: a statement for health care professionals from the American Heart Association/American Stroke Association. Stroke, 44 (7), pp. 2064-2089.
[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.
[9]
Peckham, P. H. and Knutson, J. S., 2005. Functional electrical stimulation for neuromuscular applications. Annual Review of Biomedical Engineering., 7, pp. 327-360.
[10]
Yan, T., Hui-Chan, C. W. and Li, L. S., 2005. Functional electrical stimulation improves motor recovery of the lower extremity and walking ability of subjects with first acute stroke: a randomized placebo-controlled trial. Stroke, 36 (1), pp. 80-85.
[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.
[17]
Hebert D, Lindsay MP, McIntyre A, Kirton A, Rumney PG, Bagg S, Bayley M, Dowlatshahi D, Dukelow S, Garnhum M, Glasser E. Canadian stroke best practice recommendations: stroke rehabilitation practic eguidelines, update 2015. International Journal of Stroke. 2016 Jun; 11 (4): 459-84.
[18]
Singh-Curry V, Husain M. Rehabilitation in practice: Hemispatial neglect: approaches to rehabilitation. Clinical Rehabilitation. 2010 Aug; 24 (8): 675-84.
[19]
Rosén E, Sunnerhagen KS, Kreuter M. Fear of falling, balance, and gait velocity in patients with stroke. Physiotherapy theory and practice. 2005 Jan 1; 21 (2): 113-20.
[20]
Auchstaetter, N., Luc, J., Lukye, S., Lynd, K., Schemenauer, S., Whittaker, M. and Musselman, K. E., 2016. Physical therapists 'use of functional electrical stimulation for clients with stroke: frequency, barriers, and facilitators. Physicaltherapy, 96v (7), vpp. 995-1005.
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