Effects of Dual-Channel Functional Electrical Stimulation on Gait Performance in Patients with Hemiparesis

The study objective was to assess the effect of functional electrical stimulation (FES) applied to the peroneal nerve and thigh muscles on gait performance in subjects with hemiparesis. Participants were 45 subjects (age 57.8 ± 14.8 years) with hemiparesis (5.37 ± 5.43 years since diagnosis) demonst...

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Main Authors: Shmuel Springer, Jean-Jacques Vatine, Ronit Lipson, Alon Wolf, Yocheved Laufer
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/2012/530906
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author Shmuel Springer
Jean-Jacques Vatine
Ronit Lipson
Alon Wolf
Yocheved Laufer
author_facet Shmuel Springer
Jean-Jacques Vatine
Ronit Lipson
Alon Wolf
Yocheved Laufer
author_sort Shmuel Springer
collection DOAJ
description The study objective was to assess the effect of functional electrical stimulation (FES) applied to the peroneal nerve and thigh muscles on gait performance in subjects with hemiparesis. Participants were 45 subjects (age 57.8 ± 14.8 years) with hemiparesis (5.37 ± 5.43 years since diagnosis) demonstrating a foot-drop and impaired knee control. Thigh stimulation was applied either to the quadriceps or hamstrings muscles, depending on the dysfunction most affecting gait. Gait was assessed during a two-minute walk test with/without stimulation and with peroneal stimulation alone. A second assessment was conducted after six weeks of daily use. The addition of thigh muscles stimulation to peroneal stimulation significantly enhanced gait velocity measures at the initial and second evaluation. Gait symmetry was enhanced by the dual-channel stimulation only at the initial evaluation, and single-limb stance percentage only at the second assessment. For example, after six weeks, the two-minute gait speed with peroneal stimulation and with the dual channel was 0.66 ± 0.30 m/sec and 0.70 ± 0.31 m/sec, respectively (). In conclusion, dual-channel FES may enhance gait performance in subjects with hemiparesis more than peroneal FES alone.
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spelling doaj-art-422edd1dc7534b209281b0e1ce72a9ae2025-02-03T06:04:55ZengWileyThe Scientific World Journal1537-744X2012-01-01201210.1100/2012/530906530906Effects of Dual-Channel Functional Electrical Stimulation on Gait Performance in Patients with HemiparesisShmuel Springer0Jean-Jacques Vatine1Ronit Lipson2Alon Wolf3Yocheved Laufer4Department of Physical Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, 31905 Haifa, IsraelOutpatient and Research Division, Reuth Medical Center, 67728 Tel Aviv, IsraelClinical Department, Bioness Neuromodulation, 43654 Ra’anana, IsraelBiorobotics and Biomechanics Lab, Faculty of Mechanical Engineering, Technion-Israel Institute of Technology, 32000 Haifa, IsraelDepartment of Physical Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, 31905 Haifa, IsraelThe study objective was to assess the effect of functional electrical stimulation (FES) applied to the peroneal nerve and thigh muscles on gait performance in subjects with hemiparesis. Participants were 45 subjects (age 57.8 ± 14.8 years) with hemiparesis (5.37 ± 5.43 years since diagnosis) demonstrating a foot-drop and impaired knee control. Thigh stimulation was applied either to the quadriceps or hamstrings muscles, depending on the dysfunction most affecting gait. Gait was assessed during a two-minute walk test with/without stimulation and with peroneal stimulation alone. A second assessment was conducted after six weeks of daily use. The addition of thigh muscles stimulation to peroneal stimulation significantly enhanced gait velocity measures at the initial and second evaluation. Gait symmetry was enhanced by the dual-channel stimulation only at the initial evaluation, and single-limb stance percentage only at the second assessment. For example, after six weeks, the two-minute gait speed with peroneal stimulation and with the dual channel was 0.66 ± 0.30 m/sec and 0.70 ± 0.31 m/sec, respectively (). In conclusion, dual-channel FES may enhance gait performance in subjects with hemiparesis more than peroneal FES alone.http://dx.doi.org/10.1100/2012/530906
spellingShingle Shmuel Springer
Jean-Jacques Vatine
Ronit Lipson
Alon Wolf
Yocheved Laufer
Effects of Dual-Channel Functional Electrical Stimulation on Gait Performance in Patients with Hemiparesis
The Scientific World Journal
title Effects of Dual-Channel Functional Electrical Stimulation on Gait Performance in Patients with Hemiparesis
title_full Effects of Dual-Channel Functional Electrical Stimulation on Gait Performance in Patients with Hemiparesis
title_fullStr Effects of Dual-Channel Functional Electrical Stimulation on Gait Performance in Patients with Hemiparesis
title_full_unstemmed Effects of Dual-Channel Functional Electrical Stimulation on Gait Performance in Patients with Hemiparesis
title_short Effects of Dual-Channel Functional Electrical Stimulation on Gait Performance in Patients with Hemiparesis
title_sort effects of dual channel functional electrical stimulation on gait performance in patients with hemiparesis
url http://dx.doi.org/10.1100/2012/530906
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