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Gait Training with Functional Electrical Stimulation Improves Mobility in People Post-Stroke

Author

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  • Maria Tereza Artero Prado Dantas

    (Laboratory Design and Scientific Writing, Department of Basic Sciences, ABC Faculty of Medicine, Santo André 09060-650, Brazil
    School of Arts, Sciences and Humanities, University of São Paulo (EACH/USP), São Paulo 03828-000, Brazil
    Course of Physiotherapy, University of West Paulista (UNOESTE), Presidente Prudente 19050-920, Brazil)

  • Deborah Cristina Gonçalves Luiz Fernani

    (Laboratory Design and Scientific Writing, Department of Basic Sciences, ABC Faculty of Medicine, Santo André 09060-650, Brazil
    Course of Physiotherapy, University of West Paulista (UNOESTE), Presidente Prudente 19050-920, Brazil)

  • Talita Dias da Silva

    (Postgraduate Program in Medicine (Cardiology) at Paulista School of Medicine, Federal University of São Paulo (EPM/UNIFESP), São Paulo 04024-002, Brazil
    Faculty of Medicine, University City of Sao Paulo (UNICID), São Paulo 03071-000, Brazil)

  • Iramaia Salomão Alexandre de Assis

    (Department of Physical Education, Human Movement Research Laboratory (MOVI-LAB), São Paulo State University (UNESP), Bauru 17033-360, Brazil)

  • Augusto Cesinando de Carvalho

    (Department of Physiotherapy, São Paulo State University (UNESP), Presidente Prudente 19060-900, Brazil)

  • Sidney Benedito Silva

    (Laboratory Design and Scientific Writing, Department of Basic Sciences, ABC Faculty of Medicine, Santo André 09060-650, Brazil)

  • Luiz Carlos de Abreu

    (Laboratory Design and Scientific Writing, Department of Basic Sciences, ABC Faculty of Medicine, Santo André 09060-650, Brazil
    Department of Integrated Health Education, Federal University of Espírito Santo (UFES), Vitória 29040-090, Brazil)

  • Fabio Augusto Barbieri

    (Department of Physical Education, Human Movement Research Laboratory (MOVI-LAB), São Paulo State University (UNESP), Bauru 17033-360, Brazil)

  • Carlos Bandeira de Mello Monteiro

    (Laboratory Design and Scientific Writing, Department of Basic Sciences, ABC Faculty of Medicine, Santo André 09060-650, Brazil
    School of Arts, Sciences and Humanities, University of São Paulo (EACH/USP), São Paulo 03828-000, Brazil)

Abstract

(1) Background: Stroke is one of the leading causes of disability. To identify the best treatment strategies for people with stroke (PwS), the aim of the current study was to compare the effects of training on a treadmill with functional electrical stimulation (TT-FES) with training on a treadmill (TT), and to analyze the effects of sequence of training on mobility and the parameters of walking ability. (2) Methods: Prospective, longitudinal, randomized and crossover study, in which 28 PwS were distributed into groups, namely the A-B Group (TT-FES followed by TT) and B-A Group (TT followed by TT-FES), using the foot drop stimulator, and were measured with functional tests. (3) Results: We found improved mobility, balance, non-paretic limb coordination, and endurance only in the group that started with TT-FES. However, sensorimotor function improved regardless of the order of training, and paretic limb coordination only improved in the B-A Group, but after TT-FES. These data indicate that the order of the protocols changed the results. (4) Conclusions: Although biomechanical evaluation methods were not used, which can be considered a limitation, our results showed that TT-FES was superior to isolated training on a treadmill with regard to balance, endurance capacity, and coordination of the non-paretic limb.

Suggested Citation

  • Maria Tereza Artero Prado Dantas & Deborah Cristina Gonçalves Luiz Fernani & Talita Dias da Silva & Iramaia Salomão Alexandre de Assis & Augusto Cesinando de Carvalho & Sidney Benedito Silva & Luiz Ca, 2023. "Gait Training with Functional Electrical Stimulation Improves Mobility in People Post-Stroke," IJERPH, MDPI, vol. 20(9), pages 1-14, May.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:9:p:5728-:d:1139798
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    References listed on IDEAS

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    1. Janne Marieke Veerbeek & Erwin van Wegen & Roland van Peppen & Philip Jan van der Wees & Erik Hendriks & Marc Rietberg & Gert Kwakkel, 2014. "What Is the Evidence for Physical Therapy Poststroke? A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-1, February.
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