Article

The purpose of this study was to determine the therapeutic effects of functional
electrical stimulation (FES) applied to the gluteus medius and tibialis anterior
muscles during the gait cycle in individuals with hemiparetic stroke. Eighteen
patients who had suffered a stroke were enrolled in this study. The participants
were divided into either the gluteus medius and tibialis anterior (GM + TA)
training group (n = 9) or the control group (n = 9).
The GM + TA group received
FES-triggered gait training to the gluteus medius (GM) in the stance phase and
the tibialis anterior (TA) in the swing phase for 30 min, 5 session a week over a
6-week period, and control group who received only gait training without
FES-triggered for the same duration of time. A foot-switch sensor was used to
trigger the device in the stance (GM) and swing (TA) phases of the gait cycle
reciprocally. This study measured three types of outcome measures, including
spatiotemporal gait parameters, muscles activities, and balance function. After 6
weeks training, there was a significant improvement in gait velocity, cadence,
stride length, and gait symmetry in the GM + TA training group compared to the
control group. Dynamic balance function was significantly improved in the GM + TA
training group compared to the control group. The mean changeable values of the
GM was significantly greater strength in the GM + TA training group than the
control group. These findings suggest that FES-triggered gait training of the GM
in the stance phase and TA in the swing phase may improve the spatiotemporal
parameters of gait in persons with hemiparetic stroke.
CI - Copyright (c) 2014. Published by Elsevier B.V.

Langue : ANGLAIS