Immediate effects of functional electrical orthoses in gait of hemiparetic patients
DOI:
https://doi.org/10.5902/2236583437405Palavras-chave:
Stroke, Gait, Electric Stimulation, Orthotic Device, Physical Therapy Specialty.Resumo
Introduction: Functional electrical orthoses may favor ankle dorsiflexion in hemiparetic patients. Objective: The objective of this study was to evaluate the immediate effects of using the functional orthosis in the gait of hemiparetic patients. Methods: The research was performed on 10 participants with diagnosis of hemiparesis. The participants selected for this research were evaluated both with and without the use of the WalkAide® System functional electrical orthosis conducted via the 10-meter walk test and baropodometry. Results: The samples of this study were characterized by male participants averaging in age from 52,7 ± 15,3 years. The participants presented an inferior displacement time (25,64 ± 11,42 s) with the use of the functional electrical orthosis when compared to the displacement time without the orthosis (27,68 ± 12,99 s). With regards to the baropodometric data, there were significant differences in the contact area of the forefoot and the hindfoot with the use of the functional electrical orthosis. Conclusion: Functional electrical orthosis yielded immediate satisfactory results in the gait of hemiparetic patients.
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Bensenor I, Goulart A, Szwarcwald CL, Vieira MLFP, Malta DC, Lotufo P. Prevalência de acidente vascular cerebral e de incapacidade associada no Brasil: Pesquisa Nacional de Saúde. Arquivos de Neuro-Psiquiatria. 2013;73(9):746-50.
Rodrigues VRMC, Quemelo PRV, Nascimento LCGd, Cecília M, Pereira S, Lopes MC, et al. Reabilitação da funcionalidade da marcha em hemiparéticos. Revista Neurociências. 2015;23(2):227-32.
Schepers VP, Ketelaar M, van de Port IG, Visser-Meily JM, Lindeman E. Comparing contents of functional outcome measures in stroke rehabilitation using the International Classification of Functioning, Disability and Health. Disabil Rehabil. 2007;29(3):221-30.
Dobkin BH, Firestine A, West M, Saremi K, Woods R. Ankle dorsiflexion as an fMRI paradigm to assay motor control for walking during rehabilitation. Neuroimage. 2004;23(1):370-81.
Stein RB, Chong S, Everaert DG, Rolf R, Thompson AK, Whittaker M, et al. A multicenter trial of a footdrop stimulator controlled by a tilt sensor. Neurorehabil Neural Repair. 2006;20(3):371-9.
Everaert DG, Stein RB, Abrams GM, Dromerick AW, Francisco GE, Hafner BJ, et al. Effect of a foot-drop stimulator and ankle-foot orthosis on walking performance after stroke: a multicenter randomized controlled trial. Neurorehabil Neural Repair. 2013;27(7):579-91.
Daniilidis K, Jakubowitz E, Thomann A, Ettinger S, Stukenborg-Colsman C, Yao D. Does a foot-drop implant improve kinetic and kinematic parameters in the foot and ankle? Arch Orthop Trauma Surg. 2017;137(4):499-506.
Khaslavskaia S, Ladouceur M, Sinkjaer T. Increase in tibialis anterior motor cortex excitability following repetitive electrical stimulation of the common peroneal nerve. Exp Brain Res. 2002;145(3):309-15.
Harris JE, Eng JJ, Marigold DS, Tokuno CD, Louis CL. Relationship of balance and mobility to fall incidence in people with chronic stroke. Phys Ther. 2005;85(2):150-8.
Schuster RC, Zadra K, Luciano M, Polese JC, Mazzola D, Sander I, et al. Análise da pressão plantar em pacientes com acidente vascular encefálico. Revista Neurociências. 2008;15(3):179-83.
Downing A, Van Ryn D, Fecko A, Aiken C, McGowan S, Sawers S, et al. Effect of a 2-week trial of functional electrical stimulation on gait function and quality of life in people with multiple sclerosis. Int J MS Care. 2014;16(3):146-52.
WalkAide® System User Manual. [Internet]. 2017. Available from: http://www.walkaide.com/support/Documents/UserManual_LM01_Rev8.pdf.
Salbach NM, Mayo NE, Higgins J, Ahmed S, Finch LE, Richards CL. Responsiveness and predictability of gait speed and other disability measures in acute stroke. Arch Phys Med Rehabil. 2001;82(9):1204-12.
Boza R, Duarte E, Belmonte R, Marco E, Muniesa JM, Tejero M, et al. Estudio baropodométrico en el hemipléjico vascular: relación con la discapacidad, equilibrio y capacidad de marcha. Rehabilitación. 2007;41(1):3.
Kluding PM, Dunning K, O'Dell MW, Wu SS, Ginosian J, Feld J, et al. Foot drop stimulation versus ankle foot orthosis after stroke: 30-week outcomes. Stroke. 2013;44(6):1660-9.
Miller L, Rafferty D, Paul L, Mattison P. A comparison of the orthotic effect of the Odstock Dropped Foot Stimulator and the Walkaide functional electrical stimulation systems on energy cost and speed of walking in Multiple Sclerosis. Disabil Rehabil Assist Technol. 2014.
Sabut SK, Lenka PK, Kumar R, Mahadevappa M. Effect of functional electrical stimulation on the effort and walking speed, surface electromyography activity, and metabolic responses in stroke subjects. J Electromyogr Kinesiol. 2010;20(6):1170-7.
Yamaguchi T, Tanabe S, Muraoka Y, Masakado Y, Kimura A, Tsuji T, et al. Immediate effects of electrical stimulation combined with passive locomotion-like movement on gait velocity and spasticity in persons with hemiparetic stroke: a randomized controlled study. Clin Rehabil. 2012;26(7):619-28.
Valentini FA, Granger B, Hennebelle DS, Eythrib N, Robain G. Repeatability and variability of baropodometric and spatio-temporal gait parameters--results in healthy subjects and in stroke patients. Neurophysiol Clin. 2011;41(4):181-9.
Menezes LTd, Barbosa PHFA, Costa AS, Mundim AC, Ramos GC, Paz CCSC, et al. Baropodometric technology used to analyze types of weight-bearing during hemiparetic upright position. Fisioter mov 2012;25(3):583-94.
Burridge JH, McLellan DL. Relation between abnormal patterns of muscle activation and response to common peroneal nerve stimulation in hemiplegia. J Neurol Neurosurg Psychiatry. 2000;69(3):353-61.
Jang GU, Kweon MG, Park S, Kim JY, Park JW. A study of structural foot deformity in stroke patients. J Phys Ther Sci. 2015;27(1):191-4.
van Swigchem R, Weerdesteyn V, van Duijnhoven HJ, den Boer J, Beems T, Geurts AC. Near-normal gait pattern with peroneal electrical stimulation as a neuroprosthesis in the chronic phase of stroke: a case report. Arch Phys Med Rehabil. 2011;92(2):320-4.
Wilkinson IA, Burridge J, Strike P, Taylor P. A randomised controlled trial of integrated electrical stimulation and physiotherapy to improve mobility for people less than 6 months post stroke. Disabil Rehabil Assist Technol. 2014:1-7.
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