The Effects of Peroneal Nerve Functional Electrical Stimulation Versus Ankle-Foot Orthosis in Patients With Chronic Stroke
| العنوان: | The Effects of Peroneal Nerve Functional Electrical Stimulation Versus Ankle-Foot Orthosis in Patients With Chronic Stroke |
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| المؤلفون: | Carolyn Geis, Subramani Seetharama, Karen J. Nolan, Pramod Sethi, Arun Jayaraman, Jason Greenberg, Judith M. Burnfield, Conrad Kufta, Sangeetha Madhavan, Barbara Browne, Farha S Ikramuddin, Wuwei Feng, Thiru M. Annaswamy, Roi Ann Wallis, Noel Rao, Gary W. Abrams, Mark Gudesblatt, William S. Pease, Murray E. Brandstater, Steven A. Kautz, Mitchell J. Freed, Helmi L. Lutsep, Helen L. Rogers, Margaret A. Turk, Francois Bethoux, Jill Meilahn |
| المصدر: | Neurorehabilitation and Neural Repair. 28:688-697 |
| بيانات النشر: | SAGE Publications, 2014. |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Foot drop, Foot Orthoses, Electric Stimulation Therapy, law.invention, Physical medicine and rehabilitation, Randomized controlled trial, Quality of life, law, Ankle/foot orthosis, medicine, Humans, Functional electrical stimulation, In patient, Chronic stroke, Gait Disorders, Neurologic, Aged, Foot, business.industry, Stroke Rehabilitation, Peroneal Nerve, Recovery of Function, General Medicine, Middle Aged, Gait speed, Stroke, Chronic Disease, Quality of Life, Physical therapy, Female, Ankle, medicine.symptom, business |
| الوصف: | Background. Evidence supports peroneal nerve functional electrical stimulation (FES) as an effective alternative to ankle-foot orthoses (AFO) for treatment of foot drop poststroke, but few randomized controlled comparisons exist. Objective. To compare changes in gait and quality of life (QoL) between FES and an AFO in individuals with foot drop poststroke. Methods. In a multicenter randomized controlled trial (ClinicalTrials.gov #NCT01087957) with unblinded outcome assessments, 495 Medicare-eligible individuals at least 6 months poststroke wore FES or an AFO for 6 months. Primary endpoints: 10-Meter Walk Test (10MWT), a composite of the Mobility, Activities of Daily Living/Instrumental Activities of Daily Living, and Social Participation subscores on the Stroke Impact Scale (SIS), and device-related serious adverse event rate. Secondary endpoints: 6-Minute Walk Test, GaitRite Functional Ambulation Profile (FAP), Modified Emory Functional Ambulation Profile (mEFAP), Berg Balance Scale (BBS), Timed Up and Go, individual SIS domains, and Stroke-Specific Quality of Life measures. Multiply imputed intention-to-treat analyses were used with primary endpoints tested for noninferiority and secondary endpoints tested for superiority. Results. A total of 399 subjects completed the study. FES proved noninferior to the AFO for all primary endpoints. Both the FES and AFO groups improved significantly on the 10MWT. Within the FES group, significant improvements were found for SIS composite score, total mFEAP score, individual Floor and Obstacle course time scores of the mEFAP, FAP, and BBS, but again, no between-group differences were found. Conclusions. Use of FES is equivalent to the AFO. Further studies should examine whether FES enables better performance in tasks involving functional mobility, activities of daily living, and balance. |
| تدمد: | 1552-6844 1545-9683 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2b35ae9603de832707793246fc40b03e https://doi.org/10.1177/1545968314521007 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....2b35ae9603de832707793246fc40b03e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15526844 15459683 |
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