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Breathing-controlled Electrical Stimulation (BreEStim) for Management of Neuropathic Pain and Spasticity
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Functional electrical stimulation in neurological disorders.

O K Sujith1

  • 1Pacific Parkinson's Research Center, UBC Hospital, University of British Columbia, British Columbia, Canada. sujith@interchange.ubc.ca

European Journal of Neurology
|April 9, 2008
PubMed
Summary

Functional electrical stimulation (FES) can improve motor function in neurological disorders. This review explores FES applications, mechanisms, and its potential role in enhancing gait for Parkinson's disease patients.

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Biomedical Engineering

Background:

  • Functional electrical stimulation (FES) activates skeletal muscles to enhance impaired motor function.
  • FES is utilized in neurological conditions such as hemiplegia, foot drop, paraplegia, and spinal cord injuries.
  • Advanced Parkinson's disease (PD) presents gait abnormalities like freezing, often unresponsive to conventional treatments.

Purpose of the Study:

  • To review the clinical applications, mechanisms, and complications of FES.
  • To discuss gait issues in PD and current treatment limitations.
  • To explore the potential of FES in improving parkinsonian gait and advocate for further research.

Main Methods:

  • Literature review of FES applications in neurological disorders.
  • Analysis of FES mechanisms and associated complications.
  • Review of gait abnormalities in Parkinson's disease and treatment options.

Main Results:

  • FES has diverse clinical applications for motor function improvement.
  • Current treatments for PD gait freezing are often insufficient.
  • FES shows promise for improving gait in parkinsonism.

Conclusions:

  • FES is a valuable therapeutic modality for various neurological conditions.
  • There is a need for continued research into FES for Parkinson's disease gait.
  • FES may offer a novel approach to managing gait disturbances in parkinsonism.