Does cycling induced by functional electrical stimulation enhance motor recovery in the subacute phase after stroke? A systematic review and meta-analysis

Well maybe you want it for this. You ignored studies without eStim. Isn't there anyone in the stroke medical world that can put two and two together and write some fucking protocols? This crappy guideline shit needs to go by the wayside as useless.

Effects of stationary cycling exercise on the balance and gait abilities of chronic stroke patients January 2016

[Conclusion] This study demonstrated that stationary cycling exercise training is an effective intervention for increasing the balance and gait abilities of chronic stroke patients.

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Does cycling induced by functional electrical stimulation enhance motor recovery in the subacute phase after stroke? A systematic review and meta-analysis 

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Emilia Ambrosini, Monica Parati, Giorgio Ferriero, ...

First Published July 2, 2020 Research Article

https://doi.org/10.1177/0269215520938423

Article information

Abstract

Objective:

To investigate the effects of cycling with functional electrical stimulation on walking, muscle power and tone, balance and activities of daily living in subacute stroke survivors.

Data Sources:

Ten electronic databases were searched from inception to February 2020.

Review methods:

Inclusion criteria were: subacute stroke survivors (<6 months since stroke), an experimental group performing any type of cycling training with electrical stimulation, alone or in addition to usual care, and a control group performing usual care alone. Two reviewers assessed eligibility, extracted data and analyzed the risks of bias. Standardized Mean Difference (SMD) or Mean Difference (MD) with 95% Confidence Intervals (CI) were estimated using fixed- or random-effects models to evaluate the training effect.

Results:

Seven randomized controlled trials recruiting a total of 273 stroke survivors were included in the meta-analyses. There was a statistically significant, but not clinically relevant, effect of cycling with electrical stimulation compared to usual care on walking (six studies, SMD [95% CI] = 0.40 [0.13, 0.67]; P = 0.004), capability to maintain a sitting position (three studies, MD [95% CI] = 7.92 [1.01, 14.82]; P = 0.02) and work produced by the paretic leg during pedaling (2 studies, MD [95% CI] = 8.13 [1.03, 15.25]; P = 0.02). No significant between-group differences were found for muscular power, tone, standing balance, and activities of daily living.

Conclusions:

Cycling training with functional electrical stimulation cannot be recommended in terms of being better than usual care in subacute stroke survivors. Further investigations are required to confirm these results, to determine the optimal training parameters and to evaluate long-term effects.

Keywords Stroke, rehabilitation, functional electrical stimulation, cycling, meta-analysis

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Effects of stationary cycling exercise on the balance and gait abilities of chronic stroke patients

I would have preferred this to treadmills. I could have gotten exhausted doing this thus increasing my neurogenesis.

Effects of stationary cycling exercise on the balance and gait abilities of chronic stroke patients

Kim SJ¹, Cho HY², Kim YL¹, Lee SM¹.

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Abstract

[Purpose] The objective of this study was to investigate the effects of stationary cycling exercise on the balance and gait abilities of chronic stroke patients. [Subjects] Thirty-two chronic stroke patients were randomly assigned to an experimental group (n=16) or a control group (n=16). [Methods] All of the subjects received the standard rehabilitation program for 30 minutes, while the experimental group additionally participated in a daily session of stationary cycling exercise for 30 minutes, 5 times per week for 6 weeks. To assess balance function, the Berg Balance Scale and timed up-and-go test were used. The 10-m walking test was conducted to assess gait function. [Results] Both groups showed significant improvements in balance and gait abilities. The improvements in the Berg Balance Scale and timed up-and-go test scores (balance), and 10-m walking test score (gait) in the stationary cycling exercise group were significantly greater than those in the control group. [Conclusion] This study demonstrated that stationary cycling exercise training is an effective intervention for increasing the balance and gait abilities of chronic stroke patients. Therefore, we suggest that stationary cycling training is suitable for stroke rehabilitation and may be used in clinical practice.

KEYWORDS:

Balance; Gait; Stationary cycling

PMID:

26696731

[PubMed]

PMCID:

PMC4681938

Free PMC Article