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Gait evaluation in hemiparetic patients using subcutaneous peroneal electrical stimulation
M Kljajić1, M Malezic, R Aćimović
1J. Stefan Institute, Ljubljana, Slovenia.
Scandinavian Journal of Rehabilitation Medicine
|September 1, 1992
Summary
Implantable peroneal stimulators significantly improve gait in hemiparetic patients with drop foot. Long-term studies show sustained benefits, with reimplantation yielding similar positive outcomes.
Area of Science:
- Neurology
- Biomedical Engineering
- Rehabilitation Medicine
Background:
- Hemiparetic patients often experience drop foot, impacting gait.
- Implantable peroneal stimulators offer a potential solution for foot drop correction.
Purpose of the Study:
- To evaluate the long-term effectiveness of implantable peroneal stimulators in hemiparetic patients.
- To analyze gait parameters and muscle responses over time post-implantation.
Main Methods:
- Longitudinal study of 19 hemiparetic patients with peroneal stimulators.
- Comparison of gait parameters and M-waves before and after implantation.
- Analysis of reimplantation outcomes due to electrode displacement.
Main Results:
- Significant improvements in gait parameters were observed.
- Excessive foot eversion occurred in some patients.
- Reimplantation after 3.5 years resulted in similar gait patterns and responses.
Conclusions:
- Implantable peroneal stimulation is effective for improving gait in hemiparetic drop foot.
- Long-term efficacy is demonstrated, with reimplantation maintaining benefits.
- Monitoring for side effects like foot eversion is recommended.