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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

Authors

Azadeh Hakakzadeh

Ardalan Shariat

Roshanak Honarpishe

Vahideh Moradi

Shima Ghannadi

Bahram Sangelaji

Noureddin Nakhostin Ansari

Scott Hasson



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 flexor spasticity in post-stroke survivors. Participants: Six post-stroke survivors with altered gait patterns and ankle plantar flexor 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

Journal Article Type Article
Journal Physiotherapy Theory and Practice
Print ISSN 0959-3985
Electronic ISSN 1532-5040
Publisher Taylor & Francis
Peer Reviewed Peer Reviewed
APA6 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,
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