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

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. https://doi.org/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. https://doi.org/10.20944/preprints202204.0276.v1

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MDPI and ACS Style

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. https://doi.org/10.20944/preprints202204.0276.v1

APA Style

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. (2022). 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. https://doi.org/10.20944/preprints202204.0276.v1

Chicago/Turabian Style

David, R., Maxence Compagnat and Philippe Rigoard. 2022 "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. https://doi.org/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 and Pharmacology, Orthopedics and Sports Medicine

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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