The University of Southampton
University of Southampton Institutional Repository

The use of functional electrical stimulation as a treatment intervention to improve walking ability in a sub-acute stroke population

The use of functional electrical stimulation as a treatment intervention to improve walking ability in a sub-acute stroke population
The use of functional electrical stimulation as a treatment intervention to improve walking ability in a sub-acute stroke population
To date, few authors have explored whether Functional Electrical Stimulation (FES) of the lower limb, can lead to improvements in gait parameters in a sub-acute stroke population using a randomised controlled study design. Addressing the limitations of previous studies and building on the current evidence to date, this study aims to explore the feasibility of conducting a two week gait training programme combined with FES (targeted to glutei and/or ankle dorsiflexor and evertor muscles) for people with sub-acute stroke, to inform the methodology of a larger randomised control trial. Fifteen medically stable sub-acute stroke survivors were randomised into one of two groups; in addition to routine therapy one group received one hour of gait training four times a week for two weeks (n=7), and the other group received gait training at an identical level of intensity but combined with FES targeted to glutei and/or ankle dorsiflexor and evertor muscles (n=8). Outcome measures, including gait speed and quality of walking pattern, were measured prior to and post gait training intervention, and at six week follow-up. All fifteen participants received the intended intensity of therapy and completed the trial. There were no drop outs during treatment or at follow-up. There was a significant improvement in gait speed and the quality of walking pattern between baseline assessment and immediately following both gait training programmes (week two). These improvements were maintained at six week follow-up. However, no trends were found in favour of either group. The current methodological process proved a feasible approach and sub-acute stroke patients were able to tolerate the gait training interventions however, modifications to the protocol to enhance the success of a follow-on randomised controlled trial are suggested.
Gould, Anna
e4d04440-56df-45bc-9642-2680ad245119
Gould, Anna
e4d04440-56df-45bc-9642-2680ad245119
Ashburn, Ann
818b9ce8-f025-429e-9532-43ee4fd5f991
Taylor, Paul
648ece00-6e9a-433d-bc21-e5007de25029

(2015) The use of functional electrical stimulation as a treatment intervention to improve walking ability in a sub-acute stroke population. University of Southampton, Faculty of Health Sciences, Doctoral Thesis, 276pp.

Record type: Thesis (Doctoral)

Abstract

To date, few authors have explored whether Functional Electrical Stimulation (FES) of the lower limb, can lead to improvements in gait parameters in a sub-acute stroke population using a randomised controlled study design. Addressing the limitations of previous studies and building on the current evidence to date, this study aims to explore the feasibility of conducting a two week gait training programme combined with FES (targeted to glutei and/or ankle dorsiflexor and evertor muscles) for people with sub-acute stroke, to inform the methodology of a larger randomised control trial. Fifteen medically stable sub-acute stroke survivors were randomised into one of two groups; in addition to routine therapy one group received one hour of gait training four times a week for two weeks (n=7), and the other group received gait training at an identical level of intensity but combined with FES targeted to glutei and/or ankle dorsiflexor and evertor muscles (n=8). Outcome measures, including gait speed and quality of walking pattern, were measured prior to and post gait training intervention, and at six week follow-up. All fifteen participants received the intended intensity of therapy and completed the trial. There were no drop outs during treatment or at follow-up. There was a significant improvement in gait speed and the quality of walking pattern between baseline assessment and immediately following both gait training programmes (week two). These improvements were maintained at six week follow-up. However, no trends were found in favour of either group. The current methodological process proved a feasible approach and sub-acute stroke patients were able to tolerate the gait training interventions however, modifications to the protocol to enhance the success of a follow-on randomised controlled trial are suggested.

PDF
Final thesis.pdf - Other
Download (7MB)

More information

Published date: October 2015
Organisations: University of Southampton, Faculty of Health Sciences

Identifiers

Local EPrints ID: 393356
URI: http://eprints.soton.ac.uk/id/eprint/393356
PURE UUID: 472256ab-27ac-44ab-a218-5f701f70c7cb

Catalogue record

Date deposited: 26 Apr 2016 11:56
Last modified: 17 Jul 2017 19:08

Export record

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×