Preprint Brief Report Version 1 Preserved in Portico This version is not peer-reviewed

Don’t Bury Functional Electrical Stimulation Too Fast! An Introspection Based on Gait Improvement after an Ecological 6-Month Training Program at Home for a Stroke Survivor

Version 1 : Received: 26 April 2022 / Approved: 28 April 2022 / Online: 28 April 2022 (08:45:35 CEST)

How to cite: David, R.; Billot, M.; Ojardias, E.; Parratte, B.; Roulaud, M.; Ounajim, A.; Louis, F.; Meklat, H.; Foucault, P.; Lombard, C.; Jossart, A.; Mainini, L.; Lavalliere, M.; Goudman, L.; Moens, M.; Laroche, D.; Salga, M.; Genet, F.; Daviet, J.C.; Perrochon, A.; Compagnat, M.; Rigoard, P. Don’t Bury Functional Electrical Stimulation Too Fast! An Introspection Based on Gait Improvement after an Ecological 6-Month Training Program at Home for a Stroke Survivor. Preprints 2022, 2022040276 (doi: 10.20944/preprints202204.0276.v1). David, R.; Billot, M.; Ojardias, E.; Parratte, B.; Roulaud, M.; Ounajim, A.; Louis, F.; Meklat, H.; Foucault, P.; Lombard, C.; Jossart, A.; Mainini, L.; Lavalliere, M.; Goudman, L.; Moens, M.; Laroche, D.; Salga, M.; Genet, F.; Daviet, J.C.; Perrochon, A.; Compagnat, M.; Rigoard, P. Don’t Bury Functional Electrical Stimulation Too Fast! An Introspection Based on Gait Improvement after an Ecological 6-Month Training Program at Home for a Stroke Survivor. Preprints 2022, 2022040276 (doi: 10.20944/preprints202204.0276.v1).

Abstract

Foot drop is a common disability in post-stroke patients and represents a challenge for the clinician. To date, Ankle Foot Orthosis (AFO) combined with conventional rehabilitation is the gold standard of rehabilitation management. AFO has a palliative mechanical action without actively restoring the associated neural function. Functional Electrical Stimulation (FES), consisting in stimulation of the peroneal nerve pathway, represents an alternative approach. By providing a FES device (Bioness L-300, BIONESS, USA) for 6 months to a post-stroke 22-year-old woman with a foot drop, our goal was to quantify its potential benefit on walking capacity. Gait parameters and the temporal evolution of the speed were collected with a specific connected sole device (Feet Me®) during the 10-meter walking, the Time Up and Go, and the 6-minute walking tests with AFO, FES or without any device (NO). As a result, the walking speed changes on 10-meters were clinically significant with an increase from baseline to 6 months in AFO and FES conditions (+0.14m-1 and +0.36m-1), without any changes in NO condition. In addition, speed decreased at about 4-minutes of the 6-minute walking test in NO and AFO conditions, while speed increased in FES conditions at baseline and after 1, 3 and 6 months. Monitoring gait speed in an endurance test after an ecological rehabilitation training program helps to examine walking performance in post-stroke patients and to propose a specific rehabilitation program depending on a fatigue threshold.

Keywords

foot drop; walking; rehabilitation; ankle-foot orthosis; mobility; Functional Electrical Stimulation

Subject

MEDICINE & PHARMACOLOGY, Other

Comments (0)

We encourage comments and feedback from a broad range of readers. See criteria for comments and our diversity statement.

Leave a public comment
Send a private comment to the author(s)
Views 0
Downloads 0
Comments 0
Metrics 0


×
Alerts
Notify me about updates to this article or when a peer-reviewed version is published.
We use cookies on our website to ensure you get the best experience.
Read more about our cookies here.