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Gait training assisted by multi-channel functional electrical stimulation early after stroke: study protocol for a

Maijke van Bloemendaal1,2, Sicco A Bus3, Charlotte E de Boer4

  • 1Merem Rehabilitation Centre De Trappenberg, Huizen, The Netherlands. mbloemendaal@trappenberg.merem.nl.

Trials
|October 8, 2016
PubMed
Summary

This study explores multi-channel functional electrical stimulation (MFES)-assisted gait training for subacute stroke patients. Early results suggest MFES may improve gait symmetry and walking capacity, informing future trials.

Keywords:
Functional Electrical StimulationGaitLower LimbSpatiotemporal ParametersStrokeTraining

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Area of Science:

  • Neurorehabilitation
  • Biomechanics
  • Clinical Trials

Background:

  • Stroke survivors often experience lower limb paresis, leading to gait asymmetry and reduced walking capacity.
  • Current evidence for functional electrical stimulation (FES) primarily focuses on chronic stroke and orthotic effects.
  • Multi-channel functional electrical stimulation (MFES) offers a potential therapeutic approach for subacute stroke gait rehabilitation.

Purpose of the Study:

  • To investigate the therapeutic effects of MFES-assisted gait training on spatiotemporal gait symmetry and walking capacity in subacute stroke patients.
  • To provide preliminary evidence on the feasibility and effectiveness of early MFES-assisted gait rehabilitation.
  • To inform the design of future large-scale, multi-center trials.

Main Methods:

  • A randomized controlled trial involving 40 adult subacute stroke patients within 31 days of onset.
  • Intervention group received MFES-assisted gait training; control group received conventional gait training.
  • Training delivered in 30-minute sessions, 5 days/week for up to 10 weeks, with assessments at baseline, bi-weekly, post-intervention, and 3-month follow-up.

Main Results:

  • Primary outcome measure is the step length symmetry ratio.
  • Assessments include spatial and temporal gait parameters and walking capacity.
  • Data collection is ongoing, with preliminary findings to guide larger trials.

Conclusions:

  • This study will offer initial insights into the efficacy of MFES for early stroke gait recovery.
  • Findings are expected to support the development of more robust clinical trials.
  • MFES-assisted gait training shows promise as a novel rehabilitation strategy for subacute stroke.