Deans' stroke musings: Feasibility and preliminary efficacy of gait training assisted by multichannel functional electrical stimulation in early stroke rehabilitation: A pilot randomized controlled trial

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.

Friday, March 19, 2021

Feasibility and preliminary efficacy of gait training assisted by multichannel functional electrical stimulation in early stroke rehabilitation: A pilot randomized controlled trial

Your feasibility definition is totally wrong, you should be measuring the feasibility of getting recovery done.

Feasibility and preliminary efficacy of gait training assisted by multichannel functional electrical stimulation in early stroke rehabilitation: A pilot randomized controlled trial

Neurorehabilitation and Neural Repair (NNR) , Volume 35(2) , Pgs. 131-144.

NARIC Accession Number: J85575. What's this?
ISSN: 1545-9683.
Author(s): van Bloemendaal, Maijke ; Bus, Sicco A. ; Nollet, Frans ; Geurts, Alexander C. H.; Beelen, Anita.
Publication Year: 2021.
Number of Pages: 14.
Abstract:

Study evaluated the feasibility and preliminary efficacy of up to 10 weeks of gait training assisted by multichannel functional electrical stimulation (MFES gait training) applied to the peroneal nerve and knee flexor or extensor muscle on the recovery of gait symmetry and walking capacity in patients starting in the subacute phase after stroke. Forty inpatient participants (≤31 days after stroke) were randomized to MFES gait training (experimental group) or conventional gait training (control group). Gait training was delivered in 30-minute sessions each workday. Feasibility was determined by adherence (≥75 percent of sessions) and satisfaction with gait training (score ≥7 out of 10). Primary outcome for efficacy was step length symmetry. Secondary outcomes included other spatiotemporal gait parameters and walking capacity (Functional Gait Assessment and 10-Meter Walk Test). Linear mixed models estimated treatment effect post intervention and at 3-month follow-up. Thirty-seven participants completed the study protocol (19 experimental group participants). Feasibility was confirmed by good adherence (90 percent of the participants) and participant satisfaction (median score 8). Both groups improved on all outcomes over time. No significant group differences in recovery were found for any outcome. The findings suggest that MFES gait training is feasible early after stroke, but MFES efficacy for improving step length symmetry, other spatiotemporal gait parameters, or walking capacity could not be demonstrated.
Descriptor Terms: AMBULATION, ELECTRICAL STIMULATION, FEASIBILITY STUDIES, INTERVENTION, MOBILITY TRAINING, MUSCLES, NERVES, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: van Bloemendaal, Maijke , Bus, Sicco A. , Nollet, Frans , Geurts, Alexander C. H., Beelen, Anita. (2021). Feasibility and preliminary efficacy of gait training assisted by multichannel functional electrical stimulation in early stroke rehabilitation: A pilot randomized controlled trial. Neurorehabilitation and Neural Repair (NNR) , 35(2), Pgs. 131-144. Retrieved 3/19/2021, from REHABDATA database.