Your PT can determine whether this will change anything in your stroke protocol.
http://www.dl.begellhouse.com/journals/4b27cbfc562e21b8,forthcoming,7621.html
sukanta sabut
MS Ramaiah Institute of Technology
Sangeeta D Bhattacharya
School of Medical Science & Technology, IIT Kharagpur
Manjunatha Mahadevappa
School of Medical Science & Technology, IIT Kharagpur
ABSTRACT
This review presents the technical developments and clinical
applications of functional electrical stimulation (FES) in recovery of
gait and motor functions in post-stroke rehabilitation. The method
reviewed includes the incidence of stroke, stimulator design,
brain-computer interfaces (BCI) based FES system, clinical applications
of FES in recovery of gait and motor functions. Developments of
different types of foot drop stimulator are reviewed starting with
hard-wired and microprocessor-based surface stimulator systems. The
replacement of foot switch by the use of artificial and �natural�
sensors as the primary control in drop foot stimulators is reviewed. We
also evaluated the clinical effects of FES applications in gait, motor
control and functional abilities compared to conventional therapy alone
during post-stroke rehabilitation. The literature suggests that the FES
has a positive therapeutic effect when combined with the conventional
rehabilitation program (CRP), on recovery of gait, motor functions,
energy cost and functional abilities in subjects with stroke. In
conclusion, we recommend that FES could be used as therapy along with
the CRP in post-stroke rehabilitation process. Future research would
make possible the design of cost effective FES system and the analysis
of applications of FES in stroke subjects to optimize the rehabilitation
process. We argued the need for rigorous technological development,
clinical studies, and collaboration between clinicians and engineers for
FES system.
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