Thursday, March 10, 2016

Brain-controlled functional electrical stimulation therapy for gait rehabilitation after stroke: A safety study

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http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J72749&phrase=no&rec=129623
Journal of NeuroEngineering and Rehabilitation , Volume 12(57)

NARIC Accession Number: J72749.  What's this?
ISSN: 1743-0003.
Author(s): McCrimmon, Colin M.; King, Christine E.; Wang, Po T.; Cramer, Steven C.; Nenadic, Zoran; Do, An H..
Publication Year: 2015.
Number of Pages: 12.
Abstract: Study explored the safety and feasibility of a foot-drop-targeted brain-computer interface (BCI)-controlled functional electrical stimulation (FES) physical therapy in chronic stroke survivors. Nine subjects operated an electroencephalogram-based BCI-FES system for foot dorsiflexion in 12 one-hour sessions over four weeks. Gait speed, dorsiflexion active range of motion (AROM), six-minute walk distance (6MWD), and Fugl-Meyer leg motor (FM-LM) scores were assessed before, during, and after therapy. The primary safety outcome measure was the proportion of subjects that deteriorated in gait speed by ≥0.16 meters per second at one week or four weeks post-therapy. The secondary outcome measures were the proportion of subjects that experienced a clinically relevant decrease in dorsiflexion AROM (≥2.5 degrees), 6MWD (≥20 percent), and FM-LM score (≥10 percent) at either post-therapy assessment. None of the subjects experienced a clinically significant deterioration in gait speed, dorsiflexion AROM, 6MWT distance, or FM-LM score at either post-therapy assessment. Five subjects demonstrated a detectable increase in gait speed, three subjects demonstrated a detectable increase in dorsiflexion AROM, five subjects demonstrated a detectable increase in 6MWD, and three subjects demonstrated a detectable increase in FM-LM. Linear mixed models of gait speed, dorsiflexion AROM, 6MWD, and FM-LM scores suggest that BCI-FES therapy is associated with an increase in lower motor performance at a statistically, yet not clinically, significant level. BCI-FES therapy appears to be safe. If it is shown to improve post-stroke gait function in future studies, it could provide a new gait rehabilitation option for severely impaired patients.
Descriptor Terms: BRAIN, COMPUTERS, ELECTRICAL STIMULATION, ELECTROPHYSIOLOGY, FEASIBILITY STUDIES, PHYSICAL THERAPY, SAFETY, STROKE.

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Get this Document: http://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-015-0050-4.

Citation: McCrimmon, Colin M., King, Christine E., Wang, Po T., Cramer, Steven C., Nenadic, Zoran, Do, An H.. (2015). Brain-controlled functional electrical stimulation therapy for gait rehabilitation after stroke: A safety study. Journal of NeuroEngineering and Rehabilitation, 12(57) Retrieved 3/10/2016, from REHABDATA database.

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