Journal of International Academy of Physical Therapy Research (국제물리치료학회지)

International Academy of Physical Therapy Research (국제물리치료연구학회)
권호 표지
DOI QR코드

DOI QR Code

Effect of Electric Stimulation Training on Walking Ability of Patients with Foot Drop after Stroke

  • Choi, Jongbae (Department of Occupational Therapy, Kyunghee University Medical Center) ;
  • Ma, Sungryoung (Department of Occupational Therapy, Shinsung University) ;
  • Yang, Jongeun (Department of Occupational Therapy, Bethesda Hospital Rehabilitation Center)
  • Received : 2019.10.05
  • Accepted : 2019.11.20
  • Published : 2019.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Background: Foot drop is a common symptom after stroke and causes walking disorders. Therefore, its proper treatment is important for improving the walking ability of patients with foot drop. Objective: This study aimed to investigate the effects of electrostimulation during walking on the walking ability of patients with foot drop after stroke. Design: Quasi-experial study. Methods: The study enrolled 18 patients with foot drop after stroke. All subjects were assigned to the experimental or control group. The experimental group underwent electric stimulation during walking, while the control group used ankle foot orthoses. Both groups received treatment 20 minutes a day 5 times a week for 4 weeks. Outcome measures were assessed for walking and balance ability using the 10-m walking test (10MWT), 6-min walking test (6MWT), and Timed Up and Go test (TUG) Results: After the intervention, both groups showed significant improvements in 6MWT and TUG results. However, the experimental group showed significantly better improvement on all tests than the control group. Conclusion: The foot drop stimulator effectively improved the walking and balance ability of patients with foot drop after stroke.

Keywords

References

  1. Prenton S, Hollands KL, Kenney LP. Functional electrical stimulation versus ankle foot orthoses for foot-drop: a meta-analysis of orthotic effects. J Rehabil Med. 2016;48(8):646-56. https://doi.org/10.2340/16501977-2136
  2. Berenpas F, Schiemanck S, Beelen A, et al. Kinematic and kinetic benefits of implantable peroneal nerve stimulation in people with post-stroke drop foot using an ankle-foot orthosis. Restor Neuro Neurosci. 2018;36(4):547-58.
  3. Zollo L, Zaccheddu N, Ciancio AL, et al. Comparative analysis and quantitative evaluation of ankle-foot orthoses for foot drop in chronic hemiparetic patients. Eur J Phys Rehabil Med. 2015;51(2):185-96.
  4. Gatti MA, Freixes O, Fernández SA, et al. Effects of ankle foot orthosis in stiff knee gait in adults with hemiplegia. J Biomech. 2012;45(15):2658-61. https://doi.org/10.1016/j.jbiomech.2012.08.015
  5. Ring H, Treger I, Gruendlinger L, et al. Neuroprosthesis for footdrop compared with an ankle-foot orthosis: effects on postural control during walking. J Stroke Cerebrovasc Dis. 2009;18(1):41-7. https://doi.org/10.1016/j.jstrokecerebrovasdis.2008.08.006
  6. Kluding PM, Dunning K, O'Dell MW, et al. Foot drop stimulation versus ankle foot orthosis after stroke: 30-week outcomes. Stroke. 2013;44(6):1660-9. https://doi.org/10.1161/STROKEAHA.111.000334
  7. Prenton S, Hollands KL, Kenney LP, et al. Functional electrical stimulation and ankle foot orthoses provide equivalent therapeutic effects on foot drop: a meta-analysis providing direction for future research. J Rehabil Med. 2018;50(2):129-39. https://doi.org/10.2340/16501977-2289
  8. Park JS, Lee SH, Yoo WG, et al. Immediate effect of a wearable foot drop stimulator to prevent foot drop on the gait ability of patients with hemiplegia after stroke. Assist Technol. 2019;16:1-5. https://doi.org/10.1080/10400435.2004.10132069
  9. Suiter DM, Leder SB, Ruark JL. Effects of neuromuscular electrical stimulation on submental muscle activity. Dysphagia. 2006;21(1):56-60. https://doi.org/10.1007/s00455-005-9010-7
  10. Eraifej J, Clark W, France B, et al. Effectiveness of upper limb functional electrical stimulation after stroke for the improvement of activities of daily living and motor function: a systematic review and meta-analysis. Syst Rev. 2017;6(1):40. https://doi.org/10.1186/s13643-017-0435-5
  11. Van Loo MA, Moseley AM, Bosman JM. Test-retest reliability of walking speed, step length and step width measurement after traumatic brain injury: a pilot study. Brain Inj. 2004;18(10):1041-8. https://doi.org/10.1080/02699050410001672314
  12. Bohannon RW, Crouch R. Minimal clinically important difference for change in 6-minute walk test distance of adults with pathology: a systematic review. J Eval Clin Pract. 2017;23(2):377-81. https://doi.org/10.1111/jep.12629
  13. Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  14. Karniel N, Raveh E, Schwartz I, et al. Functional electrical stimulation compared with ankle-foot orthosis in subacute post stroke patients with foot drop: A pilot study. Assist Technol. 2019;4:1-8. https://doi.org/10.1080/10400435.1992.10132187
  15. Mettler JA, Bennett SM, Doucet BM, et al. Neuromuscular Electrical Stimulation and Anabolic Signaling in Patients with Stroke. J Stroke Cerebrovasc Dis. 2017;26(12):2954-63. https://doi.org/10.1016/j.jstrokecerebrovasdis.2017.07.019
  16. He YL, Gao Y, Fan BY. Effectiveness of neuromuscular electrical stimulation combined with rehabilitation training for treatment of poststroke limb spasticity. Medicine (Baltimore). 2019;98(39):e17261 https://doi.org/10.1097/MD.0000000000017261
  17. Yen HC, Chen WS, Jeng JS. Standard early rehabilitation and lower limb transcutaneous nerve or neuromuscular electrical stimulation in acute stroke patients: a randomized controlled pilot study. Clin Rehabil. 2019;33(8):1344-54. https://doi.org/10.1177/0269215519841420