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The effects of peroneal nerve functional electrical stimulation versus ankle-foot orthosis in patients with chronic stroke: a randomized controlled trial.
Bethoux, Francois; Rogers, Helen L; Nolan, Karen J; Abrams, Gary M; Annaswamy, Thiru M; Brandstater, Murray; Browne, Barbara; Burnfield, Judith M; Feng, Wuwei; Freed, Mitchell J; Geis, Carolyn; Greenberg, Jason; Gudesblatt, Mark; Ikramuddin, Farha; Jayaraman, Arun; Kautz, Steven A; Lutsep, Helmi L; Madhavan, Sangeetha; Meilahn, Jill; Pease, William S; Rao, Noel; Seetharama, Subramani; Sethi, Pramod; Turk, Margaret A; Wallis, Roi Ann; Kufta, Conrad.
Afiliación
  • Bethoux F; Cleveland Clinic Foundation, Cleveland, OH, USA bethouf@ccf.org.
  • Rogers HL; Innovative Neurotronics, Austin, TX, USA.
  • Nolan KJ; Kessler Foundation Research Center, West Orange, NJ, USA Rutgers-New Jersey Medical School, Newark, NJ, USA.
  • Abrams GM; San Francisco VA Medical Center, San Francisco, CA, USA.
  • Annaswamy TM; VA North Texas Health Care System, TX, USA UT Southwestern Medical Center, Dallas, TX, USA.
  • Brandstater M; Loma Linda University Medical Center, Loma Linda, CA, USA.
  • Browne B; Magee Rehabilitation Hospital, Philadelphia, PA, USA.
  • Burnfield JM; Madonna Rehabilitation Hospital, Lincoln, NE, USA.
  • Feng W; Medical University of South Carolina, Charleston, SC, USA.
  • Freed MJ; Florida Hospital Neuroscience and Orthopedic Research Institute, Orlando, FL, USA.
  • Geis C; Halifax Health Center for Neurosciences, Daytona Beach, FL, USA.
  • Greenberg J; Helen Hayes Hospital, West Haverstraw, New York, NY, USA.
  • Gudesblatt M; South Shore Neurologic Associates, Patchogue, NY, USA.
  • Ikramuddin F; University of Minnesota Fairview, Minneapolis, MN.
  • Jayaraman A; Rehabilitation Institute of Chicago, Chicago, IL, USA.
  • Kautz SA; Medical University of South Carolina, Charleston, SC, USA Ralph H. Johnson VA Medical Center, Charleston, SC, USA.
  • Lutsep HL; Oregon Health and Science University, Portland, OR, USA.
  • Madhavan S; University of Illinois at Chicago, Chicago, IL, USA.
  • Meilahn J; Marshfield Clinic Research Foundation, 1000 North Oak Avenue, Marshfield, WI, USA 54449.
  • Pease WS; The Ohio State University Wexner Medical Center, Columbus, OH, USA.
  • Rao N; Marianjoy Rehabilitation Hospital, Wheaton, IL, USA.
  • Seetharama S; Hartford Hospital, Hartford, CT, USA.
  • Sethi P; Guilford Neurologic Associates, Greensboro, NC, USA.
  • Turk MA; SUNY Upstate Medical University, Syracuse, NY, USA.
  • Wallis RA; West Los Angeles VA Medical Center, Los Angeles, CA, USA.
  • Kufta C; Innovative Neurotronics, Austin, TX, USA.
Neurorehabil Neural Repair ; 28(7): 688-97, 2014 Sep.
Article en En | MEDLINE | ID: mdl-24526708
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Nervio Peroneo / Terapia por Estimulación Eléctrica / Trastornos Neurológicos de la Marcha / Rehabilitación de Accidente Cerebrovascular Tipo de estudio: Clinical_trials / Etiology_studies Aspecto: Patient_preference Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Neurorehabil Neural Repair Asunto de la revista: NEUROLOGIA / REABILITACAO Año: 2014 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Nervio Peroneo / Terapia por Estimulación Eléctrica / Trastornos Neurológicos de la Marcha / Rehabilitación de Accidente Cerebrovascular Tipo de estudio: Clinical_trials / Etiology_studies Aspecto: Patient_preference Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Neurorehabil Neural Repair Asunto de la revista: NEUROLOGIA / REABILITACAO Año: 2014 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos