Smart protocols for physical therapy of foot drop based on functional electrical stimulation : A case study
(2021) In Healthcare 9(5).- Abstract
Functional electrical stimulation (FES) is used for treating foot drop by delivering electrical pulses to the anterior tibialis muscle during the swing phase of gait. This treatment requires that a patient can walk, which is mostly possible in the later phases of rehabilitation. In the early phase of recovery, the therapy conventionally consists of stretching exercises, and less commonly of FES delivered cyclically. Nevertheless, both approaches minimize patient engagement, which is inconsistent with recent findings that the full rehabilitation potential could be achieved by an active psycho-physical engagement of the patient during physical therapy. Following this notion, we proposed smart protocols whereby the patient sits and ankle... (More)
Functional electrical stimulation (FES) is used for treating foot drop by delivering electrical pulses to the anterior tibialis muscle during the swing phase of gait. This treatment requires that a patient can walk, which is mostly possible in the later phases of rehabilitation. In the early phase of recovery, the therapy conventionally consists of stretching exercises, and less commonly of FES delivered cyclically. Nevertheless, both approaches minimize patient engagement, which is inconsistent with recent findings that the full rehabilitation potential could be achieved by an active psycho-physical engagement of the patient during physical therapy. Following this notion, we proposed smart protocols whereby the patient sits and ankle movements are FES-induced by self-control. In six smart protocols, movements of the paretic ankle were governed by the non-paretic ankle with different control strategies, while in the seventh voluntary movements of the paretic ankle were used for stimulation triggering. One stroke survivor in the acute phase of recovery participated in the study. During the therapy, the patient’s voluntary ankle range of motion increased and reached the value of normal gait after 15 sessions. Statistical analysis did not reveal the differences between the protocols in FES-induced movements.
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- author
- Malešević, Jovana ; Konstantinović, Ljubica ; Bijelić, Goran and Malešević, Nebojša LU
- organization
- publishing date
- 2021-05-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Contralateral control, Foot drop, Functional electrical stimulation, Physical therapy, Range of motion, Smart protocols, Stroke
- in
- Healthcare
- volume
- 9
- issue
- 5
- article number
- 502
- publisher
- MDPI AG
- external identifiers
-
- pmid:33925814
- scopus:85105499481
- ISSN
- 2227-9032
- DOI
- 10.3390/healthcare9050502
- language
- English
- LU publication?
- yes
- additional info
- Funding Information: Funding: The APC was funded by Lund University Library.
- id
- d225df8d-8dab-4c73-bad6-6c8969cb81fd
- date added to LUP
- 2021-06-08 08:34:25
- date last changed
- 2024-06-15 12:14:45
@article{d225df8d-8dab-4c73-bad6-6c8969cb81fd,
abstract = {{<p>Functional electrical stimulation (FES) is used for treating foot drop by delivering electrical pulses to the anterior tibialis muscle during the swing phase of gait. This treatment requires that a patient can walk, which is mostly possible in the later phases of rehabilitation. In the early phase of recovery, the therapy conventionally consists of stretching exercises, and less commonly of FES delivered cyclically. Nevertheless, both approaches minimize patient engagement, which is inconsistent with recent findings that the full rehabilitation potential could be achieved by an active psycho-physical engagement of the patient during physical therapy. Following this notion, we proposed smart protocols whereby the patient sits and ankle movements are FES-induced by self-control. In six smart protocols, movements of the paretic ankle were governed by the non-paretic ankle with different control strategies, while in the seventh voluntary movements of the paretic ankle were used for stimulation triggering. One stroke survivor in the acute phase of recovery participated in the study. During the therapy, the patient’s voluntary ankle range of motion increased and reached the value of normal gait after 15 sessions. Statistical analysis did not reveal the differences between the protocols in FES-induced movements.</p>}},
author = {{Malešević, Jovana and Konstantinović, Ljubica and Bijelić, Goran and Malešević, Nebojša}},
issn = {{2227-9032}},
keywords = {{Contralateral control; Foot drop; Functional electrical stimulation; Physical therapy; Range of motion; Smart protocols; Stroke}},
language = {{eng}},
month = {{05}},
number = {{5}},
publisher = {{MDPI AG}},
series = {{Healthcare}},
title = {{Smart protocols for physical therapy of foot drop based on functional electrical stimulation : A case study}},
url = {{http://dx.doi.org/10.3390/healthcare9050502}},
doi = {{10.3390/healthcare9050502}},
volume = {{9}},
year = {{2021}},
}