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http://dx.doi.org/10.15268/ksim.2019.7.2.095

The Effects of FES on Balance and Gait Ability in Patients of Stroke Patients  

Hong, Jongyun (Noblecare Hospital)
Lee, Hyojeong (Dept. of Physical Therapy, Korea National University of Transportation)
Publication Information
Journal of The Korean Society of Integrative Medicine / v.7, no.2, 2019 , pp. 95-109 More about this Journal
Abstract
Purpose : This study was conducted to evaluate the effects of FES with abdominal muscle contraction before virtual reality training on balance and gait ability in patients of stroke patients. Methods : The subjects were 30 stroke patients who satisfied the selection criteria. They were randomly assigned to a group receiving functional electrical stimulation with a virtual reality training program (the experiment group, n=15) and placebo functional electrical stimulation with a virtual reality training program (the control group, n=15). The program consisted of three 30-min sessions per week for six weeks. The timed up and go test (TUG), the BT4, the G-WALK were used to estimate subjects' balance, gait before and after the program. For the experiment group, the functional electrical stimulation was applied to the external oblique and the rectus abdominis, For the control group, the same program and the placebo functional electrical stimulation were applied. Results : There were significant improvements in the subscales of the balance and gait ability test of those who participated in the functional electrical stimulation, while the control group showed no significant changes. Conclusion : Therefore, functional electrical stimulation with virtual reality effectively improved the balance and gait ability in patients with chronic stroke.
Keywords
abdominal muscle; functional electrical stimulation; sway area; sway length; virtual reality;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 Adamovich SV, Fluet GG, Tunik E, et al(2009). Sensorimotor training in virtual reality: a review. NeuroRehabilitation, 25(1), 29-44.   DOI
2 Alan FL, Alon G, Mccarthy PA(2007). Functional electrical stimulation enhancement of upper extermity functional recovery during stroke rehabilitation: A pilot study. Neurorehabilitation and Neural Repair, 21(3), 207-215.   DOI
3 Kim JH, Lee JS, Lee SH, et al(2011). The effects of virtual reality exercise program with Wii-Fit(TM)on dynamic balance and walking ability in patients with stoke. J Korean Med Rehabil, 21(2), 227-238.
4 Kim JY(2003). Effect of functional electrical stimulation on the hand function with hemiplegic patient. Graduate school of Dankook University, Republic of Korea, Master's thesis.
5 Lamontagne A, Malouin F, Richards CL(2000). Contricution of passive stiffness to ankle plantarflexor moment during gait after stroke. Arch Phys Med Rehabil, 81(3), 351-358.   DOI
6 Lee BB, Boswell RC, Butler JE, et al(2008). Surface functional electrical stimulation of the abdominal muscles to enhance cough and assist tracheostomy decannulation after high-level spinal cord injury. J Spinal Cord Med, 31(1), 78-82.   DOI
7 Lee BH, Chung EJ, Lee SH(2012). The effects of virtual reality-based with EMG triggered-functional electric stimulation on muscle tone and gait capability in stroke. Rehabil Res, 16(3), 361-378.
8 Lee CH(2012). The effect of augmented reality-based postural control training on balance, gait function in patients with stroke. Graduate school of Sahmyook University, Republic of Korea, Master's thesis.
9 Lee MJ, Lee SM, Koo HM(2016). The effect of training using artificial intelligence virtual reality program on balance and fall efficacy for stroke patients. Korea Contents Association, 9(S1), 285-286.
10 Lee HJ, Lee JY, Tae KS(2013). The effects of low-frequency electrical stimulation on abdominal core muscle activity and thickness. Rehabilitation Welfare Engineering & Assistive Technology, 7(2), 85-90.
11 Lee JA, Hwang SJ, Song CS(2012). Effects of home-based virtual reality on upper extremity motor function for stroke. Korea Academia-Industrial Cooperation Society, 13(7), 3023-3029.   DOI
12 Maribo T, Stengaard-Pedersen K, Jensen LD, et al(2011). Postural balance in low back pain patients : Intra-session reliability of center of pressure on a portable force platform and of the one leg stand test. Gait Posture, 34(2), 213-217.   DOI
13 Behm DG, Anderson K, Curnew RS(2002). Muscle force and activation under stable and unstable conditions. Journal of Strength Conditionning Research, 16(3), 416-422.
14 Caillet F, Mertens P, Rabaseda S, et al(2003). Three dimensional gait analysis and controlling spastic foot on stroke patients. Annales De Readaptation Et De Medecine Physique, 46(3), 119-131.   DOI
15 Lee JA(2016). The effect of dual task training(based on international classification of functioning, disability and health) on gait and self-efficacy scale with chronic stroke. Graduate school of Honam University, Republic of Korea, Master's thesis.
16 Lee SH(2018). The effect of speed control gait training on ambulatory capacity and lung function of stroke patients. Graduate school of Dongshin University, Republic of Korea, Master's thesis.
17 Magee DJ(2013). Orthopedic physical assessment. Philadelphia, Elsevier Health Sciences.
18 McBain RA, Boswell RC, Lee BB(2013). Abdominal muscle training can enhance cough after spinal cord injury. Neurorehabil Neural Repair, 27(9), 834-843.   DOI
19 Chen G, Patten C, Kothari DH, et al(2005). Gait differences between individuals with post-stroke hemiparesis and non-disabled controls at matached speed. Gait Posture, 22(1), 51-56.   DOI
20 Carr JH, Shepherd RB(2003). Stroke rehabilitation: Guidelines for exercise and training to optimize motor skill. New York, Butterworth-Heineman Oxford.
21 Cheng PT, Wu SH, Liaw MY, et al(2001). Symmetrical body-weight distribution training in stroke patients and its effect on fall prevention. Arch Phys Med Rehabil, 82(12), 1650-1654.   DOI
22 Cho MS, Park RJ(2005). Effects of functional electrical stimulation of abdominal muscles on respiratory capabilities and vocalization of adolescents with spastic cerebral palsy. J Speech Hearing Disorders, 14(3), 147-165.
23 Duncan PW, Horner RD, Reker DM, et al(2002). Adherence to post acute rehabilitation guidelines is associated with functional recovery in stroke. Stroke, 33(1), 167-178.   DOI
24 Felipe PC, Fernanda BR, Carlos BM(2008). Effects of program for trunk strength and stability on pain, low back and pelvis kinemetics, and body balance: a pilot study. Journal of Bodywork and Movement Therapies, 12(1), 22-30.   DOI
25 Flynn S, Palma P, Bender A(2007). Feasibility of using the sony play station 2 gaming platform for an individual poststroke: a case report. J Neurol Phys Ther, 31(4), 180-189.   DOI
26 Nozomu H(2003). Restoration of motor function using electrical stimulation : functional electrical stimulation (FES). Korean Society for Precision Engineering, 20(1), 26-35.
27 Mcgill SM, Karpowicz A(2009). Exercises for spine stabilization : Motion/motor patterns, stability progression, and clinical technique. Arch Phys Med Rehabil, 90(1), 118-126.   DOI
28 Morris S, Morris ME, Iansek R(2001). Reliability of measurements obtained with the timed up and go test in people with Parkinson disease. Phys Ther, 81(2), 810-818.   DOI
29 Nordin M, Kahanovitz N, Verderame R, et al(1987). Normal trunk muscle strength and endurance in women and the effect of exercises and electrical stimulation. Part 1: normal endurance and trunk muscle strength in 101 women. Spine, 12(2), 105-111.   DOI
30 Perry J, Burnfield J(1992). Gait analysis: normal and pathological function. New Jersey, SLACK Incorporated. pp.95-98.
31 Shumway-Cook A, Woollacott MH(2001). Motor control: Theory and practical application, 2nd ed, Philadelphia, Lippincott Williams & Wilkins.
32 Piirainen JM, Avela J, Sippola N, et al(2010). Age dependency of neuromuscular function and dynamic balance control. Euro J Sport Sci, 10(1), 69-79.   DOI
33 Podisiadlo D, Richardson S(1991). The timed Up & Go : A test basic functional mobility for frail elderly person. J Am Geriatr Soc, 39(2), 142-148.   DOI
34 Richardson CA, Jull GA(1995). Muscle control pain control. What exercise would you prescribe. Man Ther, 1(1), 2-10.   DOI
35 Ford MP, Wangenaar RC, Newell KM(2007). The effects of auditory rhythms and instruction on waling patterns in individuals post stroke. Gait Posture, 26(1), 150-155.   DOI
36 Rizzo J, Bernstein D, Gress F(2000). A performance, safety and cost comparison of reusable and disposable endoscopic biopsy forceps: a prospective, randomized trial. Gastrointestinal Endoscopy, 51(3), 257-261.   DOI
37 Seo DK, Kwon OS, Kim JH, et al(2012). The effect of trunk stabilization exercise on the thickness of the deep abdominal muscles and balance in patients with chronic stroke. J Phys Ther Sci, 24(2), 181-185.   DOI
38 Sheffler LR, Chae J(2007). Neuromuscular electrical stimulation in neuro rehabilitation. Muscle Nerve, 35(5), 562-590.   DOI
39 Sim GS, Jeon HS(2016). Comparison of the effects of Wii balance games and mirror self-balancing exercises on knee joint proprioception and balance in chronic stroke patients, Phys Ther Korea, 24(1), 30-40.   DOI
40 Song CH, Seo SM, Lee KJ, et al(2011). Video game-base exercise for upper-extremity function, strength, visual perception of stroke patients. J Spe Edu & Rehabil Sci, 50(1), 155-180.
41 Song EY, Song BK(2010). Effects on walking upon improvement of postural control after Bobath approach therapy for hemiplegic patient. Korea Society for Neurotherapy, 14(1), 45-55.
42 Horak FB, Esselman P, Anderson ME(1984). The effects of movement velocity, mass displaced, and task certainty on associated postural adjustments made by normal and hemiplegic individuals. J Neurol Neurosurg Psychiatry, 47(9), 1020-1028.   DOI
43 Geiger RA, Allen JB, O'Keefe J, et al(2001). Balance and mobility following stroke: effects of physical therapy intervention with and without biofeedback / forceplate training. Phys Ther, 81(4), 995-1005.   DOI
44 Hodges PW, Richardson CA(1997). Contraction of the abdominal muscles associated with movement of the lower limb. Phys Ther, 77(2), 132-142.   DOI
45 Hong JY, Lee HJ(2018). The effect of task oriented exercise and abdominal muscle contraction using FES on abdominal muscle thickness and balance of stroke patients. Arch Orthop Sports Phys Ther, 14(2), 115-124.
46 Ikai T, Kamikubo T, Takehara I, et al(2003). Dynamic postural control in patients with hemiparesis. Am J Phys Med Rehabil, 82(6), 463-469.   DOI
47 Jeong JR(2016). Effects of upper extremity weight-bearing training on muscle architecture and function of upper extremity and trunk, quality of life for chronic stroke. Graduate school of Sahmyook University, Republic of Korea, Doctoral dissertation.
48 Jeong HJ(2011). Effect of biofeedback training and virtual reality system on gait and balance in stroke patients. Graduate school of Daegu University, Republic of Korea, Master's thesis.
49 Jung SM, Jo HY, Im JG, et al(2013). The effects of balance trainer training on muscle strength of ankle joint and balance ability in chronic stroke patients. J Spe Edu & Rehabil Sci, 52(4), 377-390.
50 Song GB, Park EC(2016). Comparison of the effects of task-oriented training and virtual reality training on upper extremity function, balance ability, and depression in stroke patients. J Korean Soc Phys Med, 11(1), 115-125.   DOI
51 Verheyden G, Vereeck L, Truijen S(2006). Trunk performance after stroke and the relationship with balance, gait and functional ability. Clin Rehabil, 20(5), 451-458.   DOI
52 Walker C, Brouwer BJ, Culham EG(2000). Use of visual feedback in retraining balance following acute stroke. Phys Ther, 80(9), 886-895.   DOI
53 World Health Organization(2016). WHO methods and data sources for country-level causes of death 2000-2015. Geneva, Switzerland: Author.
54 Yom CH(2012). The effects of virtual reality based ankle exercise on dynamic balance, muscle tone and gait in people with stroke. Graduate school of Sahmyook University, Republic of Korea, Master's thesis.
55 Yoon JH, You YY, Kim JH, et al(2016). The effect of emphasis trunk symmetric control with visual feedback in hemiplegia patient gait. Korean Soc Med Ther Sci, 8(2), 67-74.
56 Kelly JO, Kilbreath SL, Davis GM, et al(2003). Cardiorespiratory fitness and walking ability in subacute stroke patients. Arch Phys Med Rehabil, 84(12), 1780-1785.   DOI
57 Kang TW, Kim TY(2016). Effects of task-oriented postural control training on the postural control, balance and ADL in patients with sub-acute stroke. J Spe Edu & Rehabil Sci, 55(2), 135-148.
58 Karatas M, Cetin N, Bayramoglu M, et al(2004). Trunk muscle strength in relation to balance and functional disability in unihemispheric stroke patients. Am J Phys Med Rehabil, 83(2), 81-87.   DOI
59 Karthikbabu S, John MS, Manikandan N, et al(2011). Role of trunk rehabilitation on trunk control, balance and gait in patients with chronic stroke: a pre-post design. Neurosci Med, 2(2), 61-67.   DOI
60 Kim CM, Eng JJ(2003). The relationship of lower-extremity muscle torque to locomotor performance in people with stroke. Phys Ther, 83(1), 49-57.   DOI
61 Kim EK, Kang JH, Lee HM(2010). Effect of virtual reality based game on balance and upper extremity function in chronic stroke patients. J Spe Edu & Rehabil Sci, 49(3), 131-149.
62 Kim HL(2018). The effects of task oriented training program combined with video action-observation on balance and gait speed in patients with chronic stroke. Graduate school of Korea National University of Transportation, Republic of Korea, Master's thesis.
63 Kim NJ, Kim JS, Wang JS, et al(2015). The effects of isometric trunk exercises and dynamic trunk exercises on gait in elderly people. J Phys Ther Sci, 27(6), 1685-1689.   DOI
64 Kim MS(2016). Effect of robot assisted rehabilitation based on visual feedback in post stroke pusher syndrome. Journal of Korea Academia-Industrial Cooperation Society, 17(10), 562-568.   DOI