The Effects of Electrical Stimulation of Lower Extremity Muscles on Balance in Stroke Patients: A Systematic Review of Literatures

Mahmoudi, Zeinab; Mohammadi, Roghayeh; Sadeghi, Tahereh; Kalbasi, Gita

doi:10.1016/j.jstrokecerebrovasdis.2021.105793

Cited by 9 publications

(14 citation statements)

References 24 publications

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“…Records excluded (n = 1255) characteristics of the included reviews, grouped by patient population. The majority of the reviews focused on stroke populations (n = 16), 29,[31][32][33][34][35][36][37][38][39][40][41][42][43][44][45] followed by SCI (n = 5), 30,[46][47][48][49] MS (n = 2) 50,51 and one with mixed populations. 52 No reviews of PD, adult CP or TBI were found.…”

Section: Included Reviewsmentioning

confidence: 99%

“…However, for two reviews it was not clear whether the interventions in the included studies investigated FES or NMES as defined in this umbrella review. 35,43 The majority (n = 15) of the reviews included studies reporting on both single and multi-channel stimulation, 29,30,[35][36][37][38][39][40][41][42][43]45,[50][51][52] with two reviews including only studies which investigated the effect of singlechannel stimulation. 32,33 The remaining reviews did not report this information.…”

Section: Included Reviewsmentioning

confidence: 99%

“…32,33 The remaining reviews did not report this information. 31,34,44,[46][47][48][49] Fourteen reviews stated that studies of both surface and implanted FES were included, [29][30][31]35,[37][38][39]41,49,50,52 with six reviews only including studies using surface stimulation 31,33,36,40,42,51 ; in four reviews the inclusion criteria for this were not reported. 34,[46][47][48] Information on the type of signal switch was only provided in four reviews.…”

Section: Included Reviewsmentioning

confidence: 99%

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Is functional electrical stimulation effective in improving walking in adults with lower limb impairment due to an upper motor neuron lesion? An umbrella review

et al. 2023

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PurposeTo conduct an umbrella review of systematic reviews on functional electrical stimulation (FES) to improve walking in adults with an upper motor neuron lesion.MethodsFive electronic databases were searched, focusing on the effect of FES on walking. The methodological quality of reviews was evaluated using AMSTAR2 and certainty of evidence was established through the GRADE approach.ResultsThe methodological quality of the 24 eligible reviews (stroke, n = 16; spinal cord injury (SCI), n = 5; multiple sclerosis (MS); n = 2; mixed population, n = 1) ranged from critically low to high.Stroke reviews concluded that FES improved walking speed through an orthotic (immediate) effect and had a therapeutic benefit (i.e., over time) compared to usual care (low certainty evidence). There was low‐to‐moderate certainty evidence that FES was no better or worse than an Ankle Foot Orthosis regarding walking speed post 6 months. MS reviews concluded that FES had an orthotic but no therapeutic effect on walking. SCI reviews concluded that FES with or without treadmill training improved speed but combined with an orthosis was no better than orthosis alone. FES may improve quality of life and reduce falls in MS and stroke populations.ConclusionFES has orthotic and therapeutic benefits. Certainty of evidence was low‐to‐moderate, mostly due to high risk of bias, low sample sizes, and wide variation in outcome measures. Future trials must be of higher quality, use agreed outcome measures, including measures other than walking speed, and examine the effects of FES for adults with cerebral palsy, traumatic and acquired brain injury, and Parkinson's disease.

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Section: Included Reviewsmentioning

confidence: 99%

Section: Included Reviewsmentioning

confidence: 99%

Section: Included Reviewsmentioning

confidence: 99%

See 1 more Smart Citation

Is functional electrical stimulation effective in improving walking in adults with lower limb impairment due to an upper motor neuron lesion? An umbrella review

et al. 2023

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“…A recent meta-analysis reported that FES significantly improved the gait speed of stroke patients compared to the control group [ 8 ]. In a systematic literature review, combining FES with conventional therapy was helpful in improving the balance function of stroke patients [ 9 ].…”

Section: Motor Rehabilitation For Lower Limb Functionmentioning

confidence: 99%

Update on Stroke Rehabilitation in Motor Impairment

Kim

2022

Brain Neurorehabil

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Motor impairment due to stroke limits patients’ mobility, activities of daily living, and negatively affects their return to the workplace. It also reduces patients’ quality of life and increases the socioeconomic burden of stroke. Therefore, optimizing the recovery of motor impairment after stroke is a very important goal for both individuals and society as a whole. The emergence and improvement of various technologies in the Fourth Industrial Revolution have exerted a major influence on the development of new rehabilitation methods and efficiency enhancements for existing methods. This review categorizes rehabilitation methods that promote the recovery of motor function into upper limb function and lower limb function and summarizes recent advances in stroke rehabilitation. Although debate continues regarding the effects of some rehabilitation therapies, it is hoped that the evidence will be improved through ongoing research so that clinicians can treat patients with a higher level of evidence.

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“…Strength is the basis for all sports activities performed by taekwondo athletes, an excellent sport can only have an advantage in a high-intensity competition if it has sufficient physical reserves. 1 Strength quality is the core of physical training, the size of muscle strength not only plays an important leading role in sports performance, but also directly affects the development and improvement of other sports qualities. However, when the technical and tactical levels of the athletes on both sides are similar, the competition of the joints and muscles between the athletes has been transformed into a confrontation of strength and quality, in the fierce taekwondo competition, the strong athlete can finally gain the upper hand in the competition and gain a competitive advantage.…”

Section: Introductionmentioning

confidence: 99%

Impact of Muscle Strengthening on Joint Strength in Tae Kwon Do Athletes

Qiu

2023

Rev Bras Med Esporte

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Introduction: Taekwondo athletes' knee flexor and extensor muscle groups reveal the joint's biomechanical characteristics when tested and may suggest a direction for individual strength training in Tae Kwon Do athletes. Objective: Evaluate the impact of muscle strengthening on joint strength in Tae Kwon Do athletes. Methods: The study was conducted through a literature review, experimental test, and logical analysis. Results: The strength of the flexion muscle group in Taekwondo athletes was significantly higher than that of extension. The flexion-extension ratio is high. This characteristic may be related to the athletes' habit of supporting body weight with the left leg and attacking with the right leg. Conclusion: Strength training of the knee flexors is indicated for Tae Kwon Do athletes, balancing the muscular balance by raising the flexor fatigue index close to that of the extensors, improving the strength and endurance of the knee flexor muscles. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.

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The Effects of Electrical Stimulation of Lower Extremity Muscles on Balance in Stroke Patients: A Systematic Review of Literatures

Cited by 9 publications

References 24 publications

Is functional electrical stimulation effective in improving walking in adults with lower limb impairment due to an upper motor neuron lesion? An umbrella review

Is functional electrical stimulation effective in improving walking in adults with lower limb impairment due to an upper motor neuron lesion? An umbrella review

Update on Stroke Rehabilitation in Motor Impairment

Impact of Muscle Strengthening on Joint Strength in Tae Kwon Do Athletes

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