Spatiotemporal, kinematic and kinetic assessment of the effects of a foot drop stimulator for home‑based rehabilitation of patients with chronic stroke: A randomized clinical trial

At least in the US, once you're chronic you are no longer seeing doctors or therapists so this would never be usable, and insurance would have long ago stopped paying. The benefits? of the US medical system, they all accrue to insurance companies, never the patients.

 Spatiotemporal, kinematic and kinetic assessment of the effects of a foot drop stimulator for home‑based rehabilitation of patients with chronic stroke: A randomized clinical trial

Journal of NeuroEngineering and Rehabilitation , Volume 19(56)

NARIC Accession Number: J89309.  What's this?
ISSN: 1743-0003.
Author(s): Mao, Yu R.; Zhao, Jiang L.; Bian, Min J.; Lo, Wai L. A.; Leng, Yan; Bian, Rui H.; Huang, Dong F..
Publication Year: 2022.
Number of Pages: 12.

Abstract: 

Study explored the ability of a portable peroneal nerve-targeting electrical stimulator to improve gait ability by adjusting the foot-ankle position during walking in patients with chronic stroke undergoing home-based rehabilitation. Thirty-one patients with chronic stroke and ankle-foot motor impairment were randomized to receive 3 weeks of gait training, which involved using the transcutaneous peroneal nerve stimulator while walking (tPNS group) or conventional home and/or community gait training therapy (CT group). Functional assessments were performed before and after the 3-week intervention. The outcome measures included spatiotemporal gait parameters, three-dimensional kinematic and kinetic data on the ankle-foot joint, and a clinical motor and balance function assessment based on the Fugl-Meyer Assessment of Lower Extremity (FMA-LE) score and Berg Balance Scale (BBS). Additionally, 16 age-matched healthy adults served as a baseline control of three-dimensional gait data for both trial groups. The FMA-LE and BBS scores improved in both the tPNS groups and CT groups from before to after training. Participants in the tPNS group exhibited significant differences in spatiotemporal gait parameters, including double-feet support, stride length, and walking speed of affected side, and the unaffected foot off within a gait cycle after training. Additionally, the tPNS group exhibited significant differences in kinematic parameters during gait cycles after 3 weeks of training. The use of a portable tPNS device during walking tasks appeared to improve spatiotemporal gait parameters and ankle and foot angles more effectively than conventional home rehabilitation in patients with chronic stroke.
Descriptor Terms: AMBULATION, BIOENGINEERING, ELECTRICAL STIMULATION, HOME BASED, INTERVENTION, MOBILITY IMPAIRMENTS, MOBILITY TRAINING, REHABILITATION, STROKE.


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Citation: Mao, Yu R., Zhao, Jiang L., Bian, Min J., Lo, Wai L. A., Leng, Yan, Bian, Rui H., Huang, Dong F.. (2022). Spatiotemporal, kinematic and kinetic assessment of the effects of a foot drop stimulator for home‑based rehabilitation of patients with chronic stroke: A randomized clinical trial.  Journal of NeuroEngineering and Rehabilitation , 19(56) Retrieved 8/22/2022, from REHABDATA database.