Functional Electrical Stimulation to Dorsiflexors and Plantar Flexors During Gait to Improve Walking in Adults With Chronic Hemiplegia
作者： David G. Embrey , Sandra L. Holtz , Gad Alon , Brenna A. Brandsma , Sarah Westcott McCoy
DOI: 10.1016/J.APMR.2009.12.024
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摘要: Abstract Embrey DG, Holtz SL, Alon G, Brandsma BA, McCoy SW. Functional electrical stimulation to dorsiflexors and plantar flexors during gait improve walking in adults with chronic hemiplegia. Objective To determine whether functional (FES) timed activate the improves of Design Randomized crossover trial. Setting Outpatient rehabilitation clinic. Participants Adults hemiplegia (N=28) a mean age ± SD 60±10.9 years 4.9±3.8 postincident. Interventions Intervention "A" included 3 months wearing FES system, which activated automatically for 6 8h/d, 7d/wk, plus 1h/d, 6d/wk. "B" 6d/wk without FES. Of 28 patients who completed study, 15 were randomly assigned group A-B, 13 B-A. Crossover occurred at months. Main Outcome Measures Variables measured pretreatment, months, Three primary outcomes selected priori 2 variables, 6-minute walk test Emory Ambulatory Profile, 1 participation variable, Stroke Impact Scale. Secondary impairment measures muscle strength spasticity. Assessments done stimulation. Results In phase 1, received treatment A (A-B group) showed improvement compared B (B-A on (P=.02), Profile (P=.08), Scale (P=.03). 2, A-B maintained all even Both groups improved significantly outcome measures, comparing 6-month initial (P≤.05). Conclusions An system that stimulates similar timing typical adult gait, combined daily walking, can ability
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