Archives of Physical Medicine and Rehabilitation
Volume 91, Issue 4 , Pages 505-512 , April 2010

Effects of Combining Electric Stimulation With Active Ankle Dorsiflexion While Standing on a Rocker Board: A Pilot Study for Subjects With Spastic Foot After Stroke

  • Ju-Shao Cheng, MS

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taipei
  • ,
  • Yea-Ru Yang, PhD

      Affiliations

    • Department of Physical Therapy and Assistive Technology, National Yang-Ming University, Taipei
  • ,
  • Shih-Jung Cheng, MD

      Affiliations

    • Department of Neurology, Mackay Memorial Hospital, Taipei
  • ,
  • Pei-Yi Lin, MS

      Affiliations

    • Institute of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan
  • ,
  • Ray-Yau Wang, PhD, PT

      Affiliations

    • Department of Physical Therapy and Assistive Technology, National Yang-Ming University, Taipei
    • Corresponding Author InformationCorrespondence to Ray-Yau Wang, PT, PhD, 155, Sec 2, Li-Nong St, Taipei, Taiwan

References 

  1. de Haart M, Geurts AC, Huidekoper SC, Fasotti L. van Limbeek J (Recovery of standing balance in postacute stroke patients: a rehabilitation cohort study). Arch Phys Med Rehabil. 2004;85:886–895
  2. Marigold DS. Eng JJ (The relationship of asymmetric weight-bearing with postural sway and visual reliance in stroke). Gait Posture. 2006;23:249–255
  3. Hsu AL, Tang PF. Jan MH (Analysis of impairments influencing gait velocity and asymmetry of hemiplegic patients after mild to moderate stroke). Arch Phys Med Rehabil. 2003;84:1185–1193
  4. 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
  5. Lin PY, Yang YR, Cheng SJ. Wang RY (The relation between ankle impairments and gait velocity and symmetry in people with stroke). Arch Phys Med Rehabil. 2006;87:562–568
  6. Chung SG, van Rey E, Bai Z, Rymer WZ, Roth EJ. Zhang LQ (Separate quantification of reflex and nonreflex components of spastic hypertonia in chronic hemiparesis). Arch Phys Med Rehabil. 2008;89:700–710
  7. Levin MF. Hui-Chan C (Ankle spasticity is inversely correlated with antagonist voluntary contraction in hemiparetic subjects). Electromyogr Clin Neurophysiol. 1994;34:415–425
  8. Morita H, Crone C, Christenhuis D, Petersen NT. Nielsen JB (Modulation of presynaptic inhibition and disynaptic reciprocal Ia inhibition during voluntary movement in spasticity). Brain. 2001;124:826–837
  9. Lamontagne A, Malouin F. Richards CL (Locomotor-specific measure of spasticity of plantarflexor muscles after stroke). Arch Phys Med Rehabil. 2001;82:1696–1704
  10. Kottink AI, Hermens HJ, Nene AV, et al. A randomized controlled trial of an implantable 2-channel peroneal nerve stimulator on walking speed and activity in poststroke hemiplegia. Arch Phys Med Rehabil. 2007;88:971–978
  11. 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
  12. Ziemann U, Ilic TV, Pauli C, Meintzschel F, Ruge D. Learning modifies subsequent induction of long-term potentiation-like and long-term depression-like plasticity in human motor cortex. J Neurosci. 2004;24:1666–1672
  13. Ng SS, Hui-Chan CW. Transcutaneous electrical nerve stimulation combined with task-related training improves lower limb functions in subjects with chronic stroke. Stroke. 2007;38:2953–2959
  14. Yavuzer G, Geler-Kulcu D, Sonel-Tur B, Kutlay S, Ergin S, Stam HJ. Neuromuscular electric stimulation effect on lower-extremity motor recovery and gait kinematics of patients with stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2006;87:536–540
  15. Janssen TW, Beltman JM, Elich P, et al. Effects of electric stimulation-assisted cycling training in people with chronic stroke. Arch Phys Med Rehabil. 2008;89:463–469
  16. Baker JG. NeuroCom system operator's manual. Clackamas: NeuroCom International; 2001;
  17. Perotto AO. Anatomical guide for the electromyographer: the limbs and trunk. Springfield: CC Thomas; 1994;
  18. Norkin CC, White DJ. Measurement of joint motion: a guide to goniometry. Philadelphia: FA Davis; 2003;
  19. Winter DA, Scott SH. Technique for interpretation of electromyography for concentric and eccentric contractions in gait. J Electromyogr Kinesiol. 1991;1:263–269
  20. Wang RY, Lin PY, Lee CC, Yang YR. Gait and balance performance improvements attributable to ankle-foot orthosis in subjects with hemiparesis. Am J Phys Med Rehabil. 2007;86:556–562
  21. Bilney B, Morris M. Webster K (Concurrent related validity of the GAITRite walkway system for quantification of the spatial and temporal parameters of gait). Gait Posture. 2003;17:68–74
  22. McDonough AL, Batavia M, Chen FC, Kwon S. Ziai J (The validity and reliability of the GAITRite system's measurements: a preliminary evaluation). Arch Phys Med Rehabil. 2001;82:419–425
  23. Wolf SL, Catlin PA, Gage K, Gurucharri K, Robertson R, Stephen K. Establishing the reliability and validity of measurements of walking time using the Emory Functional Ambulation Profile. Phys Ther. 1999;79:1122–1133
  24. Bakhtiary AH, Fatemy E. Does electrical stimulation reduce spasticity after stroke? (A randomized controlled study). Clin Rehabil. 2008;22:418–425
  25. Santos M, Zahner LH, McKiernan BJ, Mahnken JD, Quaney B. Neuromuscular electrical stimulation improves severe hand dysfunction for individuals with chronic stroke: a pilot study. J Neurol Phys Ther. 2006;30:175–183
  26. Powell J, Pandyan AD, Granat M, Cameron M, Stott DJ. Electrical stimulation of wrist extensors in poststroke hemiplegia. Stroke. 1999;30:1384–1389
  27. Selles RW, Li X, Lin F, Chung SG, Roth EJ, Zhang LQ. Feedback-controlled and programmed stretching of the ankle plantarflexors and dorsiflexors in stroke: effects of a 4-week intervention program. Arch Phys Med Rehabil. 2005;86:2330–2336
  28. Yang YR, Wang RY, Lin KH, Chu MY, Chan RC. Task-oriented progressive resistance strength training improves muscle strength and functional performance in individuals with stroke. Clin Rehabil. 2006;20:860–870
  29. Salbach NM, Mayo NE, Wood-Dauphinee S, Hanley JA, Richards CL, Cote R. A task-orientated intervention enhances walking distance and speed in the first year post stroke: a randomized controlled trial. Clin Rehabil. 2004;18:509–519
  30. Patterson KK, Parafianowicz I, Danells CJ, et al. Gait asymmetry in community-ambulating stroke survivors. Arch Phys Med Rehabil. 2008;89:304–310
  31. Kim CM, Eng JJ. Symmetry in vertical ground reaction force is accompanied by symmetry in temporal but not distance variables of gait in persons with stroke. Gait Posture. 2003;18:23–28
  32. Dault MC, de Haart M, Geurts AC, Arts IM, Nienhuis B. Effects of visual center of pressure feedback on postural control in young and elderly healthy adults and in stroke patients. Hum Mov Sci. 2003;22:221–236
  33. Said CM, Goldie PA, Patla AE, Culham E, Sparrow WA, Morris ME. Balance during obstacle crossing following stroke. Gait Posture. 2008;27:23–30

 Supported by the National Science Council of the Republic of China (grant no. NSC96-2628-B-010-007-MY2).

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

 Reprints are not available from the author.

PII: S0003-9993(09)00990-3

doi: 10.1016/j.apmr.2009.11.022

Archives of Physical Medicine and Rehabilitation
Volume 91, Issue 4 , Pages 505-512 , April 2010