J Rehabil Res Dev. 2004 Nov-Dec;41(6A):807-20.

Response of sagittal plane gait kinematics to weight-supported treadmill training and functional neuromuscular stimulation following stroke.

Daly JJ, Roenigk KL, Butler KM, Gansen JL, Fredrickson E, Marsolais EB, Rogers J, Ruff RL.

Source

Department of Neurology, Case Western Reserve University School of Medicine, Cleveland, OH, USA. jjd17@case.edu

Abstract

After stroke, persistent gait deficits cause debilitating falls and poor functional mobility. Gait restoration can preclude these outcomes. Sixteen subjects (>12 months poststroke) were randomized to two gait training groups. Group 1 received 12 weeks of treatment, 4 times a week, 90 min per session, including 30 min strengthening and coordination, 30 min over-ground gait training, and 30 min weight-supported treadmill training. Group 2 received the same treatment, but also used functional neuromuscular stimulation (FNS) with intramuscular (IM) electrodes (FNS-IM) for each aspect of treatment. Outcome measures were kinematics of gait swing phase. Both groups showed no significant pre-/posttreatment gains in peak swing hip flexion. Group 1 (no FNS) had no significant gains in other gait components at posttreatment or at follow-up. Group 2 (FNS-IM) had significant gains in peak swing knee flexion and mid-swing ankle dorsiflexion (p < 0.05) that were maintained for 6 months.

PMID:: 15685469; [PubMed - indexed for MEDLINE]

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