Concurrent impact of bilateral multiple joint functional electrical stimulation and treadmill walking on gait and spasticity in post-stroke survivors: a pilot study

Hakakzadeh, Azadeh; Shariat, Ardalan; Honarpishe, Roshanak; Moradi, Vahideh; Ghannadi, Shima; Sangelaji, Bahram; Nakhostin Ansari, Noureddin; Hasson, Scott; Ingle, Lee

Abstract

Background: Stroke causes multi-joint gait deficits, so a major objective of post-stroke rehabilitation is to regain normal gait function. Design and Setting: A case series completed at a neuroscience institute. Aim: The aim of the study was to determine the concurrent impact of functional electrical stimulation (FES) during treadmill walking on gait speed, knee extensors spasticity and ankle plantar flexors spasticity in post-stroke survivors. Participants: Six post-stroke survivors with altered gait patterns and ankle plantar flexors spasticity (4=male; age 56.8 ± 4.8 years; Body Mass Index (BMI) 26.2 ±4.3; since onset of stroke: 30.8 ±10.4 months; side of hemiplegia [L/R]: 3:3) were recruited. Intervention: Nine treatment sessions using FES bilaterally while walking on a treadmill. Main Outcome Measures: Primary outcome measures included the Modified Modified Ashworth Scale (MMAS), Timed Up and Go test (TUG), 10-m walking test, gait speed, and Functional ambulation category (FAC). Secondary outcome measures included the Step Length Test (SLT), and active range of motion (ROM) of the affected ankle and the knee. Measurements were taken at baseline (T0), at the end of last treatment (T1), and one month after the final treatment session (T2). Results: The TUG, 10-m walking test, gait speed, FAC, active ROM, and SLT all significantly improved following treatment (P

Citation

Hakakzadeh, A., Shariat, A., Honarpishe, R., Moradi, V., Ghannadi, S., Sangelaji, B., …Ingle, L. (in press). Concurrent impact of bilateral multiple joint functional electrical stimulation and treadmill walking on gait and spasticity in post-stroke survivors: a pilot study. Physiotherapy theory and practice, https://doi.org/10.1080/09593985.2019.1685035

• Journal Article Type: Article
• Acceptance Date: Oct 15, 2019
• Online Publication Date: Oct 30, 2019
• Deposit Date: Nov 8, 2019
• Publicly Available Date: Oct 31, 2020
• Journal: Physiotherapy Theory and Practice
• Print ISSN: 0959-3985
• Electronic ISSN: 1532-5040
• Publisher: Taylor and Francis
• Peer Reviewed: Peer Reviewed
• DOI: https://doi.org/10.1080/09593985.2019.1685035
• Keywords: Functional electrical stimulation; Gait; Neurorehabilitation; Stroke
• Public URL: https://hull-repository.worktribe.com/output/2950282
• Publisher URL: https://www.tandfonline.com/doi/full/10.1080/09593985.2019.1685035