論文

国際誌
2020年11月18日

Effect of Functional Electrical Stimulation of the Gluteus Medius during Gait in Patients following a Stroke

BioMed Research International
  • Sota Araki
  • Masayuki Kawada
  • Takasuke Miyazaki
  • Yuki Nakai
  • Yasufumi Takeshita
  • Yuta Matsuzawa
  • Yuya Yamaguchi
  • Akihiko Ohwatashi
  • Ryuji Tojo
  • Toshihiro Nakamura
  • Shintaro Nakatsuji
  • Ryoji Kiyama
  • Art ras Razbadauskas
  • 全て表示

2020
開始ページ
8659845
終了ページ
8659845
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1155/2020/8659845

Many stroke patients rely on cane or ankle-foot orthosis during gait rehabilitation. The purpose of this study was to investigate the immediate effect of functional electrical stimulation (FES) to the gluteus medius (GMed) and tibialis anterior (TA) on gait performance in stroke patients, including those who needed assistive devices. Fourteen stroke patients were enrolled in this study (mean poststroke duration: 194.9 ± 189.6 d; mean age: 72.8 ± 10.7 y). Participants walked 14 m at a comfortable velocity with and without FES to the GMed and TA. After an adaptation period, lower-limb motion was measured using magnetic inertial measurement units attached to the pelvis and the lower limb of the affected side. Motion range of angle of the affected thigh and shank segments in the sagittal plane, motion range of the affected hip and knee extension-flexion angle, step time, and stride time were calculated from inertial measurement units during the middle ten walking strides. Gait velocity, cadence, and stride length were also calculated. These gait indicators, both with and without FES, were compared. Gait velocity was significantly faster with FES (p = 0.035). Similarly, stride length and motion range of the shank of the affected side were significantly greater with FES (stride length: p = 0.018; motion range of the shank: p = 0.026). Meanwhile, cadence showed no significant difference (p = 0.238) in gait with or without FES. Similarly, range of motion of the affected hip joint, knee joint, and thigh did not differ significantly depending on FES condition (p = 0.115-0.529). FES to the GMed and TA during gait produced an improvement in gait velocity, stride length, and motion range of the shank. Our results will allow therapists to use FES on stroke patients with varying conditions.

リンク情報
DOI
https://doi.org/10.1155/2020/8659845
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/35721669
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9201370
ID情報
  • DOI : 10.1155/2020/8659845
  • ORCIDのPut Code : 83777629
  • PubMed ID : 35721669
  • PubMed Central 記事ID : PMC9201370

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