Deans' stroke musings: Training and orthotic effects related to functional electrical stimulation of the peroneal nerve in stroke

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, August 20, 2019

Training and orthotic effects related to functional electrical stimulation of the peroneal nerve in stroke

I see no written protocol, so useless for other survivors. With no objective starting point none of this is repeatable.

Training and orthotic effects related to functional electrical stimulation of the peroneal nerve in stroke

Journal of Rehabilitation Medicine (formerly the Scandinavian Journal of Rehabilitation Medicine) , Volume 49(2) , Pgs. 113-119.

NARIC Accession Number: J81387. What's this?
ISSN: 1650-1977.
Author(s): Street, Tamsyn; Swain, Ian; Taylor, Paul.
Publication Year: 2017.
Number of Pages: 7.
Abstract: Study examined the evidence for a training effect of functional electrical stimulation (FES) on the lower limb in 104 patients more than six month post stroke. An “orthotic effect” describes the immediate improvement in walking observed with FES compared with that without FES. A “training or therapeutic effect” describes a long-term improvement in walking without the FES after using FES for several weeks. Training and orthotic effects were determined from walking speed over 10 meters, associated minimal (>0.05 meters per second [m/s]) and substantial (>0.10 m/s) clinically important differences, and Functional Ambulation Category (FAC), ranging from household walking to independent walking in the community. An overall significant training effect was found that was not a clinically important difference (0.02 m/s); however, "community" FAC (≥ 0.8 m/s) and "most limited community walkers" FAC (0.4-0.58 m/s), but not "household walkers" (< 0.4 m/s), benefitted from a clinically important difference. A highly significant, substantial clinically important orthotic effect (0.10 m/s) was found. In terms of overall improvement of one or more FACs, 23 percent achieved this due to a training effect, compared with 43 percent due to an orthotic effect. The findings suggest that FES provides a training effect in those who are less impaired. Further work, which optimizes the use of the device for restoration of function, rather than as an orthotic device, will provide greater clarity on the effectiveness of FES for eliciting a training effect.
Descriptor Terms: AMBULATION, ELECTRICAL STIMULATION, MOBILITY IMPAIRMENTS, NERVES, OUTCOMES, STROKE, THERAPEUTIC TRAINING.

Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://www.medicaljournals.se/jrm/content/abstract/10.2340/16501977-2181.

Citation: Street, Tamsyn, Swain, Ian, Taylor, Paul. (2017). Training and orthotic effects related to functional electrical stimulation of the peroneal nerve in stroke. Journal of Rehabilitation Medicine (formerly the Scandinavian Journal of Rehabilitation Medicine) , 49(2), Pgs. 113-119. Retrieved 8/20/2019, from REHABDATA database.