Dual-channel functional electrical stimulation improvements in speed-based gait classifications

Shmuel Springer, Yocheved Laufer, Meni Becher, Jean Jacques Vatine

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Functional electrical stimulation (FES) is becoming an accepted treatment method for enhancing gait performance in patients who present with gait difficulties resulting from hemiparesis. The purpose of this study was to test whether individuals with hemiparesis who have varied gait speeds, which place them in different functional categories, benefit to the same extent from the application of FES. Methods: Thirty-six subjects with chronic hemiparesis demonstrating foot-drop and deficits in knee and/or hip control were fitted with a dual-channel FES system activating the dorsiflexors and hamstring muscles. Gait was assessed during a 2-minute walk test with and without stimulation. A second assessment was conducted after 6 weeks of daily use. Analysis was performed with the subjects stratified into three functional ambulation classes according to their initial gait categories. Results: The dual-channel FES improved the gait velocity of all three subgroups. No minimal gait velocity was required in order to gain benefits from FES. For example, subjects with limited household ambulation capabilities improved their gait speed by 63.3% (from 0.30 ± 0.09 m/sec to 0.49 ± 0.20 m/sec; P < 0.01), while subjects with functional community ambulation capabilities improved their gait speed by 25.5% (from 0.90 ± 0.11 m/sec to 1.13 ± 0.22 m/sec; P < 0.01). Conclusion: Dual-channel FES positively affects gait velocity in patients with chronic hemiparesis, regardless of their initial gait velocity. Furthermore, gait velocity gains may be large enough to change an individual's ambulation status to a higher functional category.

Original languageEnglish
Pages (from-to)271-277
Number of pages7
JournalClinical Interventions in Aging
Volume8
DOIs
StatePublished - 27 Feb 2013

Keywords

  • Ambulation
  • Functional electrical stimulation
  • Gait velocity
  • Hemiparesis

Fingerprint

Dive into the research topics of 'Dual-channel functional electrical stimulation improvements in speed-based gait classifications'. Together they form a unique fingerprint.

Cite this