Your browser doesn't support javascript.
loading
Cycling using functional electrical stimulation therapy to improve motor function and activity in post-stroke individuals in early subacute phase: a systematic review with meta-analysis.
Galvão, Wagner Rodrigues; Castro Silva, Luana Karoline; Formiga, Magno Ferreira; Thé, George André Pereira; Faria, Christina Danielli Coelho de Morais; Viana, Ramon Távora; Lima, Lidiane Andréa Oliveira.
Afiliação
  • Galvão WR; Master Program in Physiotherapy and Functioning, Federal University of Ceará, Fortaleza, Brazil. wagnerrodriguesg17@gmail.com.
  • Castro Silva LK; Master Program in Physiotherapy and Functioning, Federal University of Ceará, Fortaleza, Brazil.
  • Formiga MF; Master Program in Physiotherapy and Functioning, Federal University of Ceará, Fortaleza, Brazil.
  • Thé GAP; Department of Teleinformatics Engineering, Federal University of Ceará, Fortaleza, Brazil.
  • Faria CDCM; Department of Physiotherapy, Federal University of Minas Gerais, Belo Horizonte, Brazil.
  • Viana RT; Department of Physiotherapy, Federal University of Ceará, Fortaleza, Brazil.
  • Lima LAO; Master Program in Physiotherapy and Functioning, Federal University of Ceará, Fortaleza, Brazil.
Biomed Eng Online ; 23(1): 1, 2024 Jan 02.
Article em En | MEDLINE | ID: mdl-38167021
ABSTRACT

BACKGROUND:

Stroke necessitates interventions to rehabilitate individuals with disabilities, and the application of functional electrical stimulation therapy (FEST) has demonstrated potential in this regard. This study aimed to analyze the efficacy and effectiveness of cycling using FEST to improve motor function and lower limb activity in post-stroke individuals.

METHODS:

We performed a systematic review according to the recommendations of the PRISMA checklist, searching MEDLINE, Cochrane, EMBASE, LILACS, and PEDro databases by July 2022, without any date or language limitations. Studies were selected using the following terms stroke, electrical stimulation therapy, cycling, and clinical trials. Randomized or quasi-randomized clinical trials that investigated the effectiveness of cycling using FEST combined with exercise programs and cycling using FEST alone for motor function and activity in subacute post-stroke individuals were included. The quality of included trials was assessed using the PEDro scores. Outcome data were extracted from eligible studies and combined in random-effects meta-analyses. The quality of evidence was determined according to the Grading of Recommendations Assessment, Development, and Evaluation system.

RESULTS:

Five randomized clinical trials involving 187 participants were included. Moderate-quality evidence indicates that cycling using FEST combined with exercise programs promotes relevant benefits in trunk control (MD 9 points, 95% CI 0.36-17.64) and walking distance (MD 94.84 m, 95% CI 39.63-150.05, I = 0%), the other outcomes had similar benefits. Cycling using FEST alone compared to exercise programs promotes similar benefits in strength, balance, walking speed, walking distance, and activities of daily living.

CONCLUSION:

This systematic review provides low- to moderate-quality evidence that cycling using FEST may be an effective strategy to consider in improving motor function and activity outcomes for post-stroke individuals in the early subacute phase. REVIEW REGISTRATION PROSPERO (CRD42022345282).
Assuntos
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Terapia por Estimulação Elétrica / Acidente Vascular Cerebral / Reabilitação do Acidente Vascular Cerebral Tipo de estudo: Clinical_trials / Guideline / Systematic_reviews Limite: Humans Idioma: En Revista: Biomed Eng Online Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Terapia por Estimulação Elétrica / Acidente Vascular Cerebral / Reabilitação do Acidente Vascular Cerebral Tipo de estudo: Clinical_trials / Guideline / Systematic_reviews Limite: Humans Idioma: En Revista: Biomed Eng Online Ano de publicação: 2024 Tipo de documento: Article