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Paradigms of Lower Extremity Electrical Stimulation Training After Spinal Cord Injury

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Published on: February 1, 2018

Implementing functional electrical stimulation clinical practice guidelines to support mobility: A stakeholder

Lisa Brown¹, Tamsyn Street², Adine Adonis³

¹Department of Physical Therapy, Boston University, Boston, MA, United States.

Frontiers in Rehabilitation Sciences

|February 13, 2023

Summary

Functional Electrical Stimulation (FES) helps mobility for neurological conditions. Barriers to using FES clinical guidelines include access and confidence, requiring education and support for better implementation.

Keywords:

clinical practice guidelines functional electrical stimulation neurorehabilitation rehabilitation upper motor neuron conditions

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Area of Science:

Neuroscience
Rehabilitation Engineering
Clinical Practice Guidelines

Background:

Functional Electrical Stimulation (FES) has supported mobility in upper motor neuron conditions for over 25 years.
Clinical Practice Guidelines (CPGs) now exist to guide FES application for improved mobility.
Understanding barriers to CPG implementation is crucial for effective knowledge translation.

Purpose of the Study:

To identify key barriers hindering the international implementation of FES clinical practice guidelines.
To inform the development of targeted knowledge translation strategies for FES use in mobility.

Main Methods:

A public involvement and engagement consultation was conducted with international FES stakeholders (researchers, clinicians, engineers).
Reflexive thematic analysis was used to analyze consultation transcripts.

Main Results:

Identified themes include inconsistent CPG use, limited access to FES technology, and low clinician confidence.
A need for tiered education and ongoing support was highlighted.

Conclusions:

Addressing identified barriers is essential for successful FES CPG implementation.
The findings will guide the development of knowledge translation strategies to enhance FES use for mobility.