Cycling Induced by Electrical Stimulation Improves Motor Recovery in Postacute Hemiparetic Patients

Ambrosini, Emilia; Ferrante, Simona; Pedrocchi, Alessandra; Ferrigno, Giancarlo; Molteni, Franco

doi:10.1161/strokeaha.110.599068

Cited by 123 publications

(96 citation statements)

References 26 publications

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“…631 Similarly, a meta-analysis revealed the effectiveness of NMES at improving gait speed in subjects after stroke. 632 Several RCTs have observed improved recovery of gait function after stroke in the chronic 550,[633][634][635] and acute phases 636,637 when NMES was applied in conjunction with a conventional rehabilitation program. Studies comparing the use of an AFO to NMES in controlling foot drop during walking have found similar results.…”

mentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,187

840

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e98Purpose-The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods-Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council's Scientific Statement Oversight Committee and the AHA's Manuscript Oversight Committee. The panel reviewed relevant articles on adults using computerized searches of the medical literature through 2014. The evidence is organized within the context of the AHA framework and is classified according to the joint AHA/American College of Cardiology and supplementary AHA methods of classifying the level of certainty and the class and level of evidence. The document underwent extensive AHA internal and external peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results-Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication and coordination among these team members are paramount in maximizing the effectiveness

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mentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,187

840

View full text Add to dashboard Cite

show abstract

“…[8][9][10][11][12][13][14][15][16][17][18][19] Using surface electrical stimulation to muscles of the lower extremities, the FES cycle can provide for passive, active with volitional control, or FES-assisted cycling. The newest FES devices allow the individual to remain seated in a supported position in front of the cycle ergometer, minimizing the need for wheelchair transfers.…”

mentioning

confidence: 99%

Outcomes After Functional Electrical Stimulation Cycle Training in Individuals with Multiple Sclerosis Who Are Nonambulatory

Backus¹,

Burdett²,

Hawkins³

et al. 2017

International Journal of MS Care

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Background: Exercise is safe and beneficial for people with multiple sclerosis (MS). Functional electrical stimulation (FES) cycling offers people with significant weakness and mobility challenges an option for exercise. We sought to evaluate the safety of FES cycling and its potential to improve fatigue, pain, spasticity, and quality of life in people with moderate-to-severe MS. Methods: Sixteen participants with MS who were nonambulatory cycled for 30 minutes two to three times a week for 1 month. Outcomes assessed included MS Quality of Life Inventory (MSQLI) subscales, Modified Ashworth Scale (MAS), and manual muscle test (MMT). Results: Fourteen participants (six women and eight men) with MS completed the training. All were able to maintain or increase their cycle time; half increased the resistance while cycling. Participants demonstrated a significant decrease in the Physical (P = .02) and Psychosocial (P < .01) subscales of the Modified Fatigue Impact Scale. There was no significant change in the other MSQLI subscale scores. There was no change in MAS and MMT scores. Type of MS and the use of antispasticity medications, disease-modifying therapies, or dalfampridine did not seem to influence response to training. There were no adverse events. Conclusions: Functional electrical stimulation cycling may be a viable and effective exercise option for people with moderate-to-severe MS. Further study is required to examine the parameters of FES cycling that are most effective for people with different MS symptoms and to fully explore the potential benefits of optimizing function and improving health in people with MS.

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“…For the rehabilitation purpose, many studies have used stationary FES cycling system such Copyright c 2016 The Institute of Electronics, Information and Communication Engineers as bicycle ergometer combined with FES [13]- [20]. From these studies, FES cycling has been shown to be effective in fitness or rehabilitation training mainly for stroke patients [10], [14], [17]- [19], [21].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Muscle Stimulation Groups for Simplified Practical FES Cycling Control with Cycling Wheelchair: An Experimental Test with Healthy Subjects

Watanabe

Karasawa

2016

IEICE Trans. Inf. & Syst.

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SUMMARYThe cycling wheelchair "Profhand" was developed in Japan as locomotion and lower limb rehabilitation device for hemiplegic subjects and elderly persons. Functional electrical stimulation (FES) control of paralyzed lower limbs enables application of the Profhand to paraplegic subjects as a rehabilitation device. In this paper, simplified muscle stimulation control for FES cycling with Profhand was examined for practical application, because cycling speed was low and not stable in our preliminary study and there was a difficulty in setting stimulation electrodes for the gluteus maximus. First, a guideline of target cycling speed to be achieved by FES cycling was determined from voluntary cycling with healthy subjects in order to evaluate FES cycling control. The cycling speed of 0.6m/s was determined as acceptable value and 1.0m/s was as ideal one. Then, stimulation to the gluteus maximus and that to the dorsiflexor muscles in addition to the quadriceps femoris were examined for simple FES cycling control for Profhand with healthy subjects. Stimulation timing was adjusted automatically during cycling based on muscle response time to electrical stimulation and cycling speed, which was shown to be effective for FES cycling control. Simple FES cycling control with Profhand removing stimulation to the gluteus maximus was found to be feasible. Stimulation to the dorsiflexor muscles with the quadriceps femoris was suggested to be effective for practical, simple FES cycling with Profhand in case of removing the gluteus maximus stimulation.

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Cycling Induced by Electrical Stimulation Improves Motor Recovery in Postacute Hemiparetic Patients

Abstract: Background and Purpose-This study assessed whether cycling induced by functional electrical stimulation (FES) was more effective than passive cycling with placebo stimulation in promoting motor recovery and walking ability in postacute hemiparetic patients. Methods-In

Cited by 123 publications

References 26 publications

Guidelines for Adult Stroke Rehabilitation and Recovery

Guidelines for Adult Stroke Rehabilitation and Recovery

Outcomes After Functional Electrical Stimulation Cycle Training in Individuals with Multiple Sclerosis Who Are Nonambulatory

Comparison of Muscle Stimulation Groups for Simplified Practical FES Cycling Control with Cycling Wheelchair: An Experimental Test with Healthy Subjects

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