Functional electrical stimulation assisted cycling of patients with subacute stroke: Kinetic and kinematic analysis

Clinical Biomechanics

Volumn 23, Issue 8, 2008, Pages 1086-1094

  Szecsi, J ^a,b   Krewer, C ^a   Muller F ^a   Straube, A ^b  

^a Neurologische Klinik   (Germany)

^b UNIVERSITY OF MUNICH   (Germany)

Author keywords

FES cycling; Hemiparesis; Isometric torque; Pedaling; Smoothness; Stimulation intensity

Indexed keywords

CORRELATION METHODS; TORQUE;

CLINICAL APPLICATIONS; FES CYCLING; FUNCTIONAL ELECTRICAL STIMULATION; HEMIPARESIS; ISOMETRIC MEASUREMENTS; ISOMETRIC TORQUE; KINEMATIC ANALYSIS; PEDALING; SENSITIVE PARAMETER; SMOOTHNESS; SPEARMAN'S RANK CORRELATION; STIMULATION INTENSITY; TEST BEDS;

FUNCTIONAL ELECTRIC STIMULATION;

ADULT; AGED; ARTICLE; BIOMECHANICS; CLINICAL ARTICLE; CONTROLLED STUDY; CORRELATION COEFFICIENT; CYCLING; ERGOMETRY; FEMALE; FUNCTIONAL ELECTRICAL STIMULATION; HEMIPLEGIA; HUMAN; KINEMATICS; KINETICS; MALE; NON INVASIVE MEASUREMENT; PRIORITY JOURNAL; RECORDING; STATISTICAL SIGNIFICANCE; STROKE; TORQUE; TREATMENT OUTCOME;

AGED; AGED, 80 AND OVER; BICYCLING; BIOMECHANICS; CROSS-SECTIONAL STUDIES; ELECTRIC STIMULATION THERAPY; FEMALE; HUMANS; ISOMETRIC CONTRACTION; KINETICS; MALE; MIDDLE AGED; PARESIS; STROKE; TORQUE; VOLITION;

EID: 49649083521     PISSN: 02680033     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.clinbiomech.2008.05.001     Document Type: Article

References (32)

1. Bobath B. Adult Hemiplegia: Evaluation and Treatment (1994), Butterworth-Heinemann Ltd., Oxford
2. Brown D.A., and Kautz S.A. Increased workload enhances force output during pedaling exercise in persons with poststroke hemiplegia. Stroke 29 (1998) 598-606
3. Brown D.A., and Kautz S.A. Speed-dependent reductions of force output in people with postroke hemiparesis. Phys. Ther. 79 (1999) 919-930
4. Brown D.A., Kautz S.A., and Dairaghi C.A. Muscle activity adapts to anti-gravity posture during pedalling in persons with post-stroke hemiplegia. Brain 120 Pt 5 (1997) 825-837
5. Burridge J.H., Taylor P.N., Hagan S.A., Wood D.E., and Swain I.D. The effects of common peroneal stimulation on the effort and speed of walking: a randomized controlled trial with chronic hemiplegic patients. Clin. Rehabil. 11 (1997) 201-210
6. Chen H.Y., Chen S.C., Chen J.J., Fu L.L., and Wang Y.L. Kinesiological and kinematical analysis for stroke subjects with asymmetrical cycling movement patterns. J. Electromyogr. Kinesiol. 15 (2005) 587-595
7. Chen, J.J., Chen, H.Y., Chen, S.C., Chen, C.C., 2006. Clinical applications of FES-cycling to SCI and stroke subjects for smoother and symmetrical movement patterns. In: 11th Annual Conference of the Functional Electrical Stimulation Society. Miyagi-Zao, Japan.
8. Dietz V., Ketelsen U.P., Berger W., and Quintern J. Motor unit involvement in spastic paresis. Relationship between leg muscle activation and histochemistry. J. Neurol. Sci. 75 (1986) 89-103
9. Ferrante, S., Pedrocchi, A., Ferrigno, G., Molteni, F., 2006. FES-cycling treatment on hemiplegic patients: preliminary results. In: 11th Annual Conference of the Functional Electrical Stimulation Society. Miyagi-Zao, Japan.
10. Giuliani C.A., Harro C.C., and Rosecrance J.C. The effects of bicycle pedalling on the temporal-distance and EMG characteristics of walking in hemiplegic subjects. Phys. Ther. 69 (1989) 367-371
11. Glaser R.M. Functional neuromuscular stimulation. Exercise conditioning of spinal cord injured patients. Int. J. Sports Med. 15 (1994) 142-148
12. Glenn W.W., and Phelps M.L. Diaphragm pacing by electrical stimulation of the phrenic nerve. Neurosurgery 17 (1985) 974-984
13. Glinsky J., Harvey L., and Van es P. Efficacy of electrical stimulation to increase muscle strength in people with neurological conditions: a systematic review. Physiother. Res. Int. 12 (2007) 175-194
14. Hachisuka K., Umezu Y., and Ogata H. Disuse muscle atrophy of lower limbs in hemiplegic patients. Arch. Phys. Med. Rehabil. 78 (1997) 13-18
15. Horstman, A.M., Beltman, M.J., Gerrits, K.H., Koppe, P., Janssen, T.W., Elich, P., De Haan, A., 2008. Intrinsic muscle strength and voluntary activation of both lower limbs and functional performance after stroke. Clin. Physiol. Funct. Imaging.
16. Hunt K.J., Stone B., Negard N.O., Schauer T., Fraser M.H., Cathcart A.J., Ferrario C., Ward S.A., and Grant S. Control strategies for integration of electric motor assist and functional electrical stimulation in paraplegic cycling: utility for exercise testing and mobile cycling. IEEE Trans. Neural Syst. Rehabil. Eng. 12 (2004) 89-101
17. Hwang I.S., Lee H.M., Cherng R.J., and Chen J.J. Electromyographic analysis of locomotion for healthy and hemiparetic subjects--study of performance variability and rail effect on treadmill. Gait Posture 18 (2003) 1-12
18. Kralj A., Acimovic R., and Stanic U. Enhancement of hemiplegic patient rehabilitation by means of functional electrical stimulation. Prosthet. Orthot. Int. 17 (1993) 107-114
19. Malezic M., and Hesse S. Restoration of gait by functional electrical stimulation in paraplegic patients: a modified programme of treatment. Paraplegia 33 (1995) 126-131
20. Malezic M., Kljajic M., Acimovic-Janezic R., Gros N., Krajnik J., and Stanic U. Therapeutic effects of multisite electric stimulation of gait in motor-disabled patients. Arch. Phys. Med. Rehabil. 68 (1987) 553-560
21. Malezic M., Hesse S., Schewe H., and Mauritz K.H. Restoration of standing, weight-shift and gait by multichannel electrical stimulation in hemiparetic patients. Int. J. Rehabil. Res. 17 (1994) 169-179
22. McComas A.J., Sica R.E., Upton A.R., and Aguilera N. Functional changes in motoneurones of hemiparetic patients. J. Neurol. Neurosurg. Psychiatry 36 (1973) 183-193
23. Mohr T., Podenphant J., Biering-Sorensen F., Galbo H., Thamsborg G., and Kjaer M. Increased bone mineral density after prolonged electrically induced cycle training of paralyzed limbs in spinal cord injured man. Calcif. Tissue Int. 61 (1997) 22-25
24. Pape K.E., Kirsch S.E., and Bugaresti J.M. New therapies in spastic cerebral palsy. Contemp. pediatr. (1990) 13
25. Perkins, T.A., De, N., Fitzwater, R., Phillips, G.F., Wood, D.E., 2001. Leg powered paraplegic cycling system using surface functional electrical stimulation. In: IFESS. Proceedings of the 7th Vienna International Workshop on Functional Electrical Stimulation. Vienna, Austria.
26. Perkins T.A., De N.D.N., Hatcher N.A., Swain I.D., and Wood D.E. Control of leg-powered paraplegic cycling using stimulation of the lumbo-sacral anterior spinal nerve roots. IEEE Trans. Neural Syst. Rehabil. Eng. 10 (2002) 158-164
27. Potempa K., Lopez M., Braun L.T., Szidon J.P., Fogg L., and Tincknell T. Physiological outcomes of aerobic exercise training in hemiparetic stroke patients. Stroke 26 (1995) 101-105
28. Rosecrance J.C., and Giuliani C.A. Kinematic analysis of lower-limb movement during ergometer pedaling in hemiplegic and nonhemiplegic subjects. Phys. Ther. 71 (1991) 334-343
29. Szecsi J., Fornusek C., Krause P., and Straube A. Low-frequency rectangular pulse is superior to middle frequency alternating current stimulation in cycling of people with spinal cord injury. Arch. Phys. Med. Rehabil. 88 (2007) 338-345
30. Szecsi J., Krause P., Krafczyk S., Brandt T., and Straube A. Functional output improvement in FES cycling by means of forced smooth pedaling. Med. Sci. Sports Exerc. 39 (2007) 764-780
31. Yan T., Hui-Chan C.W., and Li L.S. Functional electrical stimulation improves motor recovery of the lower extremity and walking ability of subjects with first acute stroke: a randomized placebo-controlled trial. Stroke 36 (2005) 80-85
32. Zorowitz R.D. Neurorehabilitation of the stroke survivor. In: Selzer M.E., Clark S., Cohen L.G., Duncan P.W., and Gage F.H. (Eds). Textbook of Neural Repair and Rehabilitation (2006), Cambridge University press, Cambridge