A 6-Month Home-Based Functional Electrical Stimulation Program for Foot Drop in a Post-Stroke Patient: Considerations on a Time Course Analysis of Walking Performance

被引：3

作者：

David, Romain ^{[1
,2
]}

Billot, Maxime ^{[1
]}

Ojardias, Etienne ^{[3
]}

Parratte, Bernard ^{[1
]}

Roulaud, Manuel ^{[1
]}

Ounajim, Amine ^{[1
]}

Louis, Frederic ^{[4
]}

Meklat, Hachemi ^{[5
]}

Foucault, Philippe ^{[5
]}

Lombard, Christophe ^{[5
]}

Jossart, Anne ^{[2
]}

Mainini, Laura ^{[2
]}

Lavalliere, Martin ^{[6
,7
]}

Goudman, Lisa ^{[8
,9
,10
]}

Moens, Maarten ^{[8
,9
,11
]}

Laroche, Davy ^{[12
,13
]}

Salga, Marjorie ^{[14
,15
]}

Genet, Francois ^{[14
,15
]}

Daviet, Jean-Christophe ^{[16
,17
]}

Perrochon, Anaick ^{[16
]}

Compagnat, Maxence ^{[16
,17
]}

Rigoard, Philippe ^{[1
,18
,19
]}

机构：

[1] Univ Poitiers Hosp, Predict Res Spine Neuromodulat Management & Thora, PRISMATICS Lab, F-86000 Poitiers, France

[2] Univ Poitiers Hosp, Dept Phys & Rehabil Med, F-86000 Poitiers, France

[3] Univ Hosp St Etienne, Phys Med & Rehabil Dept, F-42270 St Etienne, France

[4] Dept Phys & Rehabil Med Grand Feu, Rue Verrerie, F-79000 Niort, France

[5] Dept Phys & Rehabil Med Richelieu, Rue Philippe Vincent, F-17028 La Rochelle, France

[6] Univ Quebec Chicoutimi, Dept Sci Sante, Module Kinesiol, CISD, Chicoutimi, PQ G7H 2B1, Canada

[7] Univ Quebec Chicoutimi, Lab BioNR, Chicoutimi, PQ G7H 2B1, Canada

[8] Univ Ziekenhuis Brussel, Dept Neurosurg, Laarbeeklaan 101, B-1090 Brussels, Belgium

[9] Vrije Univ Brussel, STIMULUS Consortium ReS & TeachIng NeuroModULat U, Laarbeeklaan 103, B-1090 Brussels, Belgium

[10] Res Fdn Flanders FWO, B-1090 Brussels, Belgium

[11] Univ Ziekenhuis Brussel, Dept Radiol, Laarbeeklaan 101, B-1090 Brussels, Belgium

[12] Univ Bourgogne Franche Comte, Cognit Act & Sensorimotor Plast Res Unit, UFR Sci Sport, INSERM UMR1093, F-21078 Dijon, France

[13] CHU Dijon Bourgogne, Plateforme Invest Technol, Ctr Invest Clin 1432, INSERM,Module Plurithemat,Ctr Invest Clin, F-21079 Dijon, France

[14] Hop Raymond Poincare, AP HP, UPOH Unite Peri Operatoire Handicap, Perioperat Disabil Unit,Phys & Rehabil Med Dept, F-92380 Garches, France

[15] Versailles St Quentin En Yvelines Univ UVSQ, END ICAP Handicap Neuromusculaire Physiopathol Bi, Inserm U1179, UFR Simone Veil Sante, F-78180 Montigny Le Bretonneux, France

[16] Univ Limoges, HAVAE UR20217 Handicap Ageing Auton Environm, F-87000 Limoges, France

[17] Univ Hosp Ctr Limoges, Dept Phys Med & Rehabil, F-87000 Limoges, France

[18] Univ Poitiers Hosp, Dept Neuro Spine & Neuromodulat, F-86000 Poitiers, France

[19] Univ Poitiers, Ecole Natl Super Mecan & Aerotech Poitiers Futuro, ISAE ENSMA Inst Super Aeronaut & Espace, CNRS,Prime Inst UPR 3346, F-86000 Poitiers, France

来源：

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH | 2022年 / 19卷 / 15期

关键词：

foot drop; walking; rehabilitation; ankle-foot orthosis; mobility; functional electrical stimulation; BRAIN PLASTICITY; CHRONIC STROKE; AGE; REHABILITATION; ORTHOSIS; RECOVERY; MOBILITY; ADULTS;

D O I：

10.3390/ijerph19159204

中图分类号：

X [环境科学、安全科学];

学科分类号：

08 ; 0830 ;

摘要：

Foot drop is a common disability in post-stroke patients and represents a challenge for the clinician. To date, ankle foot orthosis (AFO) combined with conventional rehabilitation is the gold standard of rehabilitation management. AFO has a palliative mechanical action without actively restoring the associated neural function. Functional electrical stimulation (FES), consisting of stimulation of the peroneal nerve pathway, represents an alternative approach. By providing an FES device (Bioness L-300, BIONESS, Valencia, CA, USA) for 6 months to a post-stroke 22-year-old woman with a foot drop, our goal was to quantify its potential benefit on walking capacity. The gait parameters and the temporal evolution of the speed were collected with a specific connected sole device (Feet Me (R)) during the 10-m walking, the time up and go, and the 6-minute walking tests with AFO, FES, or without any device (NO). As a result, the walking speed changes on 10-m were clinically significant with an increase from the baseline to 6 months in AFO (+0.14 m.s(-1)), FES (+0.36 m.s(-1)) and NO (+0.32 m.s(-1)) conditions. In addition, the speed decreased at about 4-min in the 6-minute walking test in NO and AFO conditions, while the speed increased in the FES conditions at baseline and after 1, 3, and 6 months. In addition to the walking performance improvement, monitoring the gait speed in an endurance test after an ecological rehabilitation training program helps to examine the walking performance in post-stroke patients and to propose a specific rehabilitation program.

引用

页数：9

共 42 条

[21] Foot Drop Stimulation Versus Ankle Foot Orthosis After Stroke 30-Week Outcomes [J].