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.


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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.