Treadmill gait training combined with functional electrical stimulation on hip abductor and ankle dorsiflexor muscles for chronic hemiparesis

Cho, Minkwon; Kim, Jung-Hyun; Chung, Yijung

doi:10.1016/j.gaitpost.2015.04.009

Cited by 34 publications

(14 citation statements)

References 26 publications

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“…These studies proved that the electrical stimulation can assist patients for nerve retraining and improve gait during treadmill gait training. Cho et al [ 29 ] used the similar device to investigate effects of electrical stimulation applied to both tibialis anterior and medius muscles on patients trained on moving treadmill. The results of their experiments also showed patients received stimulations on both groups of muscles improved their gait during four weeks of practice more than patients exercising without application of FES on their muscles.…”

Section: Introductionmentioning

confidence: 99%

A Wearable Body Controlling Device for Application of Functional Electrical Stimulation

Taghavi

Luecke

Jeffery

2018

Sensors

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In this research, we describe a new balancing device used to stabilize the rear quarters of a patient dog with spinal cord injuries. Our approach uses inertial measurement sensing and direct leg actuation to lay a foundation for eventual muscle control by means of direct functional electrical stimulation (FES). During this phase of development, we designed and built a mechanical test-bed to develop the control and stimulation algorithms before we use the device on our animal subjects. We designed the bionic test-bed to mimic the typical walking gait of a dog and use it to develop and test the functionality of the balancing device for stabilization of patient dogs with hindquarter paralysis. We present analysis for various muscle stimulation and balancing strategies, and our device can be used by veterinarians to tailor the stimulation strength and temporal distribution for any individual patient dog. We develop stabilizing muscle stimulation strategies using the robotic test-bed to enhance walking stability. We present experimental results using the bionic test-bed to demonstrate that the balancing device can provide an effective sensing strategy and deliver the required motion control commands for stabilizing an actual dog with a spinal cord injury.

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Section: Introductionmentioning

confidence: 99%

A Wearable Body Controlling Device for Application of Functional Electrical Stimulation

Taghavi

Luecke

Jeffery

2018

Sensors

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“… 10 However, applications of implementing FES devices into individual rehabilitation therapies for these patients still has some limitations. 11 FES technologies have major applications in various therapies, including drop foot stimulation, 12 gait training combined with FES, 13 and even upper-limb or lower-limb rehabilitation. 14 , 15 In some paraplegic patients, FES have been extensively considered as a tool to restore walking function, although implementing such devices is practically difficult because there are numerous degrees of freedom related to walking.…”

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confidence: 99%

Development of practical functional electrical stimulation cycling systems based on an electromyography study of the Cybathlon 2016

et al. 2017

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The purpose of this study was to develop a functional electrical stimulation (FES) system based on the motor driving concept for use by spinal cord injury patients participating in the FES Cycling competition at the Cybathlon 2016. The proposed FES system consists of a low-power control system, a precise processor unit, and a 4-channel stimulation unit. Self-adhesive carbon conductive electrodes were utilized for stimulation. A 26-year-old SCI patient was qualified to participate in the competition. The pilot patient underwent training for 16 months, which included experience with FES stimulation, performing FES cycling, and reducing spasticity, to practice using the FES system. In addition, using surface electromyography (EMG) during cycling, the muscle activation pattern for generating the stimulation profile was applied and resulted in good performance. The best FES cycling performance the pilot achieved was 1000 meters translation with the cycling system during twelve minutes of using the FES system. The pilot achieved an 1000 meters translation mobility within an average of 16 minutes of cycling. Nevertheless, the system must be further investigated regarding muscle fatigue and other factors that may affect the stimulation conditions.

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“…Compared with previous studies in which the gait speed was increased in persons with stroke when FES was applied to the Gm and TA [28,29], it was anticipated that stair climbing speed would also increase with the same intervention. Therefore, in future studies, it is necessary to reaffirm the effect of FES on the Gm and TA muscles on left-right instability during stair climbing in persons with stroke.…”

Section: Discussionmentioning

confidence: 89%

The effects of functional electrical stimulation applied to the gluteus medius and tibialis anterior on stair climbing ability in persons with stroke

Jung

Chung

2018

PTRS

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The aim of this research was to investigate the effects of functional electrical stimulation (FES) applied to the gluteus medius (Gm) and tibialis anterior (TA) during stair climbing in persons with stroke compared to FES applied to the TA only during stair climbing, and during stair climbing without FES in persons with stroke. Design: Cross-sectional study. Methods: Twenty subjects with stroke participated in this study. Subjects were included if: 1) they were diagnosed as stroke at least 6 months before; 2) had Mini Mental State Examination-Korean score of 24 or higher; 3) were able to climb a flight of 10 stairs independently (with or without walking aid). The patients walked 10 stairs 3 times with FES applied to the Gm and TA, only TA, or no FES. There was a 1-minute rest period between each bout. The assessments were made using the Timed Up & Down Test and the Wii Balance Board. Results: Stair climbing with FES applied to the Gm and TA was significantly faster than stair climbing with FES applied to the TA only and without FES (p<0.05). Stair climbing with FES applied to the Gm and TA exhibited significantly greater sway velocity than stair climbing without FES (p<0.05). However, maximal sway distances were not significantly different between groups. Conclusions: Stair climbing with FES applied to the Gm and TA can be an important component of a rehabilitation program for improving stair climbing ability in persons with stroke.

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Treadmill gait training combined with functional electrical stimulation on hip abductor and ankle dorsiflexor muscles for chronic hemiparesis

Cited by 34 publications

References 26 publications

A Wearable Body Controlling Device for Application of Functional Electrical Stimulation

A Wearable Body Controlling Device for Application of Functional Electrical Stimulation

Development of practical functional electrical stimulation cycling systems based on an electromyography study of the Cybathlon 2016

The effects of functional electrical stimulation applied to the gluteus medius and tibialis anterior on stair climbing ability in persons with stroke

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