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A 6-Month Home-Based Functional Electrical Stimulation Program for Foot Drop in a Post-Stroke Patient: Considerations on a Time Course Analysis of Walking Performance.
David, Romain; Billot, Maxime; Ojardias, Etienne; Parratte, Bernard; Roulaud, Manuel; Ounajim, Amine; Louis, Frédéric; Meklat, Hachemi; Foucault, Philippe; Lombard, Christophe; Jossart, Anne; Mainini, Laura; Lavallière, Martin; Goudman, Lisa; Moens, Maarten; Laroche, Davy; Salga, Marjorie; Genêt, François; Daviet, Jean-Christophe; Perrochon, Anaick; Compagnat, Maxence; Rigoard, Philippe.
Afiliação
  • David R; PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86000 Poitiers, France.
  • Billot M; Department of Physical and Rehabilitation Medicine, Poitiers University Hospital, 86000 Poitiers, France.
  • Ojardias E; PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86000 Poitiers, France.
  • Parratte B; Physical Medicine and Rehabilitation Department, University Hospital of Saint-Etienne, 42270 Saint-Etienne, France.
  • Roulaud M; PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86000 Poitiers, France.
  • Ounajim A; PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86000 Poitiers, France.
  • Louis F; PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86000 Poitiers, France.
  • Meklat H; Department of Physical and Rehabilitation Medicine le Grand Feu, Rue de la Verrerie, 79000 Niort, France.
  • Foucault P; Department of Physical and Rehabilitation Medicine Richelieu, Rue Philippe-Vincent, 17028 La Rochelle, France.
  • Lombard C; Department of Physical and Rehabilitation Medicine Richelieu, Rue Philippe-Vincent, 17028 La Rochelle, France.
  • Jossart A; Department of Physical and Rehabilitation Medicine Richelieu, Rue Philippe-Vincent, 17028 La Rochelle, France.
  • Mainini L; Department of Physical and Rehabilitation Medicine, Poitiers University Hospital, 86000 Poitiers, France.
  • Lavallière M; Department of Physical and Rehabilitation Medicine, Poitiers University Hospital, 86000 Poitiers, France.
  • Goudman L; Module de Kinésiologie, Département des Sciences de la Santé, CISD, & Lab BioNR, Université du Québec à Chicoutimi, Chicoutimi, QC G7H 2B1, Canada.
  • Moens M; Department of Neurosurgery, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium.
  • Laroche D; STIMULUS Consortium (reSearch and TeachIng neuroModULation Uz bruSsel), Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels, Belgium.
  • Salga M; Research Foundation-Flanders (FWO), 1090 Brussels, Belgium.
  • Genêt F; Department of Neurosurgery, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium.
  • Daviet JC; STIMULUS Consortium (reSearch and TeachIng neuroModULation Uz bruSsel), Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels, Belgium.
  • Perrochon A; Department of Radiology, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium.
  • Compagnat M; INSERM UMR1093 Cognition, Action and Sensorimotor Plasticity Research Unit, UFR des Sciences du Sport, Université Bourgogne Franche-Comté, 21078 Dijon, France.
  • Rigoard P; INSERM, Centre d'Investigation Clinique 1432, Module Plurithematique, Plateforme d'Investigation Technologique, CHU Dijon-Bourgogne, Centre d'Investigation Clinique, Module Plurithématique, Plateforme d'Investigation Technologique, 21079 Dijon, France.
Article em En | MEDLINE | ID: mdl-35954558
Foot drop is a common disability in post-stroke patients and represents a challenge for the clinician. To date, ankle foot orthosis (AFO) combined with conventional rehabilitation is the gold standard of rehabilitation management. AFO has a palliative mechanical action without actively restoring the associated neural function. Functional electrical stimulation (FES), consisting of stimulation of the peroneal nerve pathway, represents an alternative approach. By providing an FES device (Bioness L-300, BIONESS, Valencia, CA, USA) for 6 months to a post-stroke 22-year-old woman with a foot drop, our goal was to quantify its potential benefit on walking capacity. The gait parameters and the temporal evolution of the speed were collected with a specific connected sole device (Feet Me®) during the 10-m walking, the time up and go, and the 6-minute walking tests with AFO, FES, or without any device (NO). As a result, the walking speed changes on 10-m were clinically significant with an increase from the baseline to 6 months in AFO (+0.14 m.s-1), FES (+0.36 m.s-1) and NO (+0.32 m.s-1) conditions. In addition, the speed decreased at about 4-min in the 6-minute walking test in NO and AFO conditions, while the speed increased in the FES conditions at baseline and after 1, 3, and 6 months. In addition to the walking performance improvement, monitoring the gait speed in an endurance test after an ecological rehabilitation training program helps to examine the walking performance in post-stroke patients and to propose a specific rehabilitation program.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Terapia por Estimulação Elétrica / Acidente Vascular Cerebral / Transtornos Neurológicos da Marcha / Neuropatias Fibulares / Reabilitação do Acidente Vascular Cerebral Tipo de estudo: Etiology_studies Limite: Adult / Female / Humans Idioma: En Revista: Int J Environ Res Public Health Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Terapia por Estimulação Elétrica / Acidente Vascular Cerebral / Transtornos Neurológicos da Marcha / Neuropatias Fibulares / Reabilitação do Acidente Vascular Cerebral Tipo de estudo: Etiology_studies Limite: Adult / Female / Humans Idioma: En Revista: Int J Environ Res Public Health Ano de publicação: 2022 Tipo de documento: Article