Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 4 , Pages 536-540 , April 2006

Neuromuscular Electric Stimulation Effect on Lower-Extremity Motor Recovery and Gait Kinematics of Patients With Stroke: A Randomized Controlled Trial

  • Gunes Yavuzer, MD

      Affiliations

    • Department of Physical Medicine & Rehabilitation, Ankara University Faculty of Medicine, Ankara, Turkey
    • Department of Rehabilitation Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands
    • Corresponding Author InformationReprint requests to Gunes Yavuzer, MD, Mustafa Kemal Mahallesi, Barış Sitesi 87. sok No: 24, Ankara 06800, Turkey
  • ,
  • Duygu Geler-Külcü, MD

      Affiliations

    • Department of Physical Medicine & Rehabilitation, Ankara University Faculty of Medicine, Ankara, Turkey
  • ,
  • Birkan Sonel-Tur, MD

      Affiliations

    • Department of Physical Medicine & Rehabilitation, Ankara University Faculty of Medicine, Ankara, Turkey
  • ,
  • Sehim Kutlay, MD

      Affiliations

    • Department of Physical Medicine & Rehabilitation, Ankara University Faculty of Medicine, Ankara, Turkey
  • ,
  • Süreyya Ergin, MD

      Affiliations

    • Department of Physical Medicine & Rehabilitation, Ankara University Faculty of Medicine, Ankara, Turkey
  • ,
  • Henk J. Stam, MD, PhD

      Affiliations

    • Department of Rehabilitation Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands

References 

  1. Duncan PW , Goldstein LB , Matchar D , Divine GW , Feussner J . Measurement of motor recovery after stroke (outcome assessment and sample size requirements) . Stroke . 1992;23:1084–1089
  2. De Quervain IA , Simon SR , Leurgans S , Pease WS , McAllister D . Gait pattern in the early recovery period after stroke . J Bone Joint Surg Am . 1996;78:1506–1514
  3. Lehmann JF , Condon SM , Price R , deLateur BJ . Gait abnormalities in hemiplegia (their correction by ankle-foot orthoses) . Arch Phys Med Rehabil . 1987;68:763–771
  4. Tyson SF . Trunk kinematics in hemiplegic gait and the effect of walking aids . Clin Rehabil . 1999;13:295–300
  5. Burridge JH , Wood DE , Taylor PN , McLellan DL . Indices to describe different muscle activation patterns, identified during treadmill walking, in people with spastic drop-foot . Med Eng Physics . 2001;23:427–434
  6. Roth EJ , Harvey RL . Rehabilitation of stroke syndromes . In:  Braddom RL editors. Handbook of physical medicine and rehabilitation . 2nd ed.. Philadelphia: WB Saunders; 2004;p. 727–756
  7. Sawner K , Lavigne J . Brunnstrom’s movement therapy in hemiplegia (a neurophysiological approach) . Philadelphia: JB Lippincott; 1992;
  8. Burridge JH , Taylor PN , Hagan SA , Wood DE , Swain ID . The effects of common peroneal stimulation on the effort and speed of walking (a randomized controlled trial with chronic hemiplegic patients) . Clin Rehabil . 1997;11:201–210
  9. Voigt M , Sinkjaer T . Kinematic and kinetic analysis of the walking pattern in hemiplegic patients with drop-foot using a peroneal nerve stimulator . Clin Biomech (Bristol, Avon) . 2000;15:340–351
  10. Kottink AI , Buschman HP , Kenney LP , et al.   The sensitivity and selectivity of an implantable two-channel peroneal nerve stimulator system for restoration of dropped foot . Neuromodulation . 2004;7:277–283
  11. Bogataj U , Gros N , Klajic M , Acimovic R , Malezic M . The rehabilitation of gait in patients with hemiplegia (a comparison between conventional therapy and multichannel functional electrical stimulation therapy) . Phys Ther . 1995;75:490–502
  12. Daly JJ , Ruff RL . Electrically induced recovery of volitional gait components for older stroke patients . Am J Phys Med Rehabil . 2000;79:349–360
  13. Kottink AI , Oostendorp LJ , Buurke JH , Nene AV , Hermens HJ , IJzerman MJ . The orthotic effect of functional electrical stimulation on the improvement of walking in stroke patients with a dropped foot (a systematic review) . Artif Organs . 2004;28:577–586
  14. Kenney L , Bultstra G , Buschman R , et al.   An implantable two channel drop foot stimulator (initial clinical results) . Artif Organs . 2002;26:267–270
  15. Waters RL , McNeal D , Perry J . Experimental correction of electrical stimulation of the peroneal nerve . J Bone Joint Surg Am . 1975;57:1047–1054
  16. Gök H , Küçükdeveci A , Altınkaynak H , Yavuzer G , Ergin S . Effects of ankle-foot orthoses on hemiparetic gait . Clin Rehabil . 2003;17:137–139
  17. Thompson AK , Stein RB . Short-term effects of functional electrical stimulation on motor-evoked potentials in ankle flexor and extensor muscles . Exp Brain Res . 2004;159:491–500
  18. Khaslavskaia S , Ladouceur M , Sinkjaer T . Increase in tibialis anterior motor cortex excitability following repetitive electrical stimulation of the common peroneal nerve . Exp Brain Res . 2002;145:309–315
  19. Chae J , Bethoux F , Bohinc T , Dobos L , Davis T , Friedl A . Neuromuscular stimulation for upper extremity motor and functional recovery in acute hemiplegia . Stroke . 1998;29:975–979
  20. Foulkes MA , Wolf PA , Price TR , Mohr JP , Hier DB . The stroke data bank (design, methods, and baseline characteristics) . Stroke . 1988;19:547–554
  21. Chae J , Yu D . Neuromuscular stimulation for motor relearning in hemiplegia . Crit Rev Phys Med Rehabil Med . 1999;11:279–297
  22. Johnson CA , Burridge JH , Strike PW , Wood DE , Swain ID . The effect of combined use of botulinum toxin type A and functional electric stimulation in the treatment of spastic drop foot after stroke (a preliminary investigation) . Arch Phys Med Rehabil . 2004;85:902–909
  23. DeVahl J . Neuromuscular electrical stimulation in rehabilitation . In:  Gersh MR editors. Electrotherapy in rehabilitation . Philadelphia: FA Davis; 1992;p. 218–268
  24. Burridge JH , Swain ID , Taylor PN . Functional electrical stimulation (a review of the literature published on common peroneal nerve stimulation for the correction of dropped foot) . Rev Clin Geriatr . 1998;8:155–161
  25. Chen CL , Chen HC , Tang SF , Wu CY , Cheng PT , Hong WH . Gait performance with compensatory adaptations in stroke patients with different degrees of motor recovery . Am J Phys Med Rehabil . 2003;82:925–935
  26. Carey JR , Anderson KM , Kimberley TJ , Lewis SM , Auerbach EJ , Ugurbil K . fMRI analysis of ankle movement tracking in subject with stroke . Exp Brain Res . 2004;154:281–290
  27. Dobkin BH , Firestine A , West M , Saremi K , Woods R . Ankle dorsiflexion as an fMRI paradigm to assay motor control for walking during rehabilitation . Neuroimage . 2004;23:370–381
  28. Asanuma H , Keller A . Neurobiological basis of motor relearning and memory . Concepts Neurosci . 1991;2:1–30
  29. Taub E , Wolf SL . Constraint induced movement techniques to facilitate upper extremity use in stroke patients . Top Stroke Rehabil . 1997;3:38–61
  30. Hesse SA , Bertelt C , Jahnke MT , et al.   Treadmill training with partial body weight support compared with physiotherapy in non-ambulatory hemiparetic patients . Stroke . 1995;26:976–981
  31. Cunha IT , Lim PC , Qureshy H , Henson H , Monga T , Protas EJ . A comparison of regular rehabilitation and regular rehabilitation with supported treadmill ambulation training for acute stroke patients . J Rehabil Res Dev . 2001;38:245–255
  32. Plautz EJ , Milliken GW , Nudo RJ . Effects of repetitive motor training on movement representations in adult squirrel monkeys (role of use versus learning) . Neurobiol Learn Mem . 2000;74:27–55
  33. Kleim JA , Barbay S , Nudo RJ . Functional reorganization of the rat motor cortex following motor skill learning . J Neurophysiol . 1998;80:3321–3325
  34. Ring H , Rosenthal N . Controlled study of neuroprosthetic functional electrical stimulation in sub-acute post stroke rehabilitation . J Rehabil Med . 2005;37:32–36
  35. Landers M . Treatment-induced neuroplasticity following focal injury to the motor cortex . Int J Rehabil Res . 2004;27:1–5
  36. Chae J . Neuromuscular electrical stimulation for motor relearning in hemiparesis . Phys Med Rehabil Clin N Am . 2003;14(Suppl):93–109
  37. Kroon JR , IJzerman MJ , Chae J , Lankhorst GJ , Zilvold G . Relation between stimulation and clinical outcome in studies using electrical stimulation to improve motor control of the upper extremity in stroke . J Rehabil Med . 2005;37:65–74
  38. Yan T , Hui-Chan CW , Li LS . Functional electrical stimulation improves motor recovery of the lower extremity and walking ability of subjects with first acute stroke . Stroke . 2005;36:80–85
  39. Jorgensen HS , Nakayama H , Raaschou HO , Olsen TS . Recovery of walking function in stroke patients (the Copenhagen stroke study) . Arch Phys Med Rehabil . 1995;76:27–32
  40. Bohannon RW , Walsh S . Nature, reliability, and predictive value of muscle performance measures in patients with hemiparesis following stroke . Arch Phys Med Rehabil . 1992;73:721–725
  41. Roth EJ , Merbitz C , Mroczek K . Hemiplegic gait (relationships between walking speed and other temporal parameters) . Am J Phys Med Rehabil . 1997;76:128–133
  42. Dettman MA , Linder MT , Sepic SB . Relationships among walking performance, postural stability, and functional assessments of the hemiplegic patient . Am J Phys Med . 1987;66:77–90
  43. Vallbo AB , Olausson H , Wessberg J . Unmyelinated afferents constitute a second coding tactile stimuli of the human hairy skin . J Neurophysiol . 1999;81:2753–2763
  44. Johansson BB , Haker E , von Arbin M , et al.   Acupuncture and transcutaneous nerve stimulation in stroke rehabilitation . Stroke . 2001;32:707–713

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(06)00048-7

doi: 10.1016/j.apmr.2005.12.041

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 4 , Pages 536-540 , April 2006