Evidence map›Paper›PMID 19834018›Full record

Trial reportStroke2009

Functional electrical stimulation of ankle plantarflexor and dorsiflexor muscles: effects on poststroke gait.

Trisha M Kesar, Ramu Perumal, Darcy S Reisman, Angela Jancosko, Katherine S Rudolph, Jill S Higginson, Stuart A Binder-Macleod

5 registry-linked trialsAbstract readClinical Trial
In one paragraph

Trial report in Stroke, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 76 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 1 pooled it
8.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01329705 nawithdrawnnot on this mapstarted 2011, after this paper: background citation

Dynamic Splinting for Excessive Plantarflexion in Patients With Spastic Hemiplegia: A Randomized, Controlled Study of Gait Analysis

TypeinterventionalSponsorDynasplint Systems, Inc.Ran2011 to 2015Enrolled0ConditionsSpastic HemiplegiaArmsAnkle Dorsiflexion Dynasplint, Standard of care
NCT06459401 nacompletednot on this mapstarted 2021, after this paper: background citation

Effects of an Overground Propulsion Neuroprosthesis in Community-dwelling Individuals After Stroke

TypeinterventionalSponsorBoston University Charles River CampusRan2021 to 2022Enrolled10ConditionsStrokeArmsPropulsion Neuroprosthesis
NCT07212608 nacompletednot on this mapstarted 2022, after this paper: background citation

Wearable Gait Interventions for Augmenting Paretic Propulsion: Towards Personalized Post-Stroke Gait Rehabilitation

TypeinterventionalSponsorBoston University Charles River CampusRan2022 to 2025Enrolled22ConditionsStrokeArmsSoft robotic exosuit, Propulsion neuroprosthesis
NCT07218107 nacompletednot on this mapstarted 2024, after this paper: background citation

Neurostimulation Exosuit Augmented Training (NEAT) in the Clinic Using a Wearable Propulsion Neuroprosthesis

TypeinterventionalSponsorBoston University Charles River CampusRan2024 to 2024Enrolled4ConditionsStrokeArmsNeurostimulation Exosuit
NCT07364110 nacompletednot on this mapstarted 2021, after this paper: background citation

Comparison of High Intensity Laser Therapy (HILT) and Extracorporeal Shock Wave Therapy (ESWT) for the Treatment of Plantar Flexor Spasticity in Post-Stroke Patients

TypeinterventionalSponsorNecmettin Erbakan UniversityRan2021 to 2022Enrolled39ConditionsStroke Gait RehabilitationArmsRehabilitation Protocol, Extracorporeal Shock Wave Therapy (ESWT), High-Intensity Laser Therapy (HILT)
3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 1 synthesis or guideline pooled it, 173 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  5. Effects of unilateral real-time biofeedback on propulsive forces during gait.Journal of neuroengineering and rehabilitation · 2017
    Trial
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  10. Article
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  12. Effects of Belt Accelerations During Push-Off on Propulsion Mechanics in Individuals Post-Stroke.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2026
    Article
  13. Article
  14. Deficit in intersegmental torques drives post-stroke stiff-knee gait.medRxiv : the preprint server for health sciences · 2025
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  15. Koopman-Based Model Predictive Control of Functional Electrical Stimulation for Ankle Dorsiflexion and Plantarflexion Assistance.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2025
    Article
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  17. Multi-Modal Sensing for Propulsion Estimation in People Post-Stroke Across Speeds.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2025
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  18. Article
  19. Article
  20. Article

16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Trisha M KesarDepartment of Physical Therapy, University of Delaware, Newark, DE 19702, USA. kesar@udel.edu
Ramu Perumal
Darcy S Reisman
Angela Jancosko
Katherine S Rudolph
Jill S Higginson
Stuart A Binder-Macleod
University of Delaware · US

Funding

Robotic Exoskeletons, FES, and Biomechanics: Treating Movement DisordersR01HD038582 · NICHD · UNIVERSITY OF DELAWARE · PI BINDER-MACLEOD, STUART A. · 2002 to 2012
$6.1M
Fast Treadmill Training/Functional Electrical Stimulation to Improve WalkingR01NR010786 · NINR · UNIVERSITY OF DELAWARE · PI BINDER-MACLEOD, STUART A. · 2007 to 2011
$2.8M
MOTION ANALYSIS SYSTEM FOR STUDY OF HUMAN MOVEMENT DYSFUNCTION: PHYSICAL THERAPYS10RR022396 · NCRR · UNIVERSITY OF DELAWARE · PI SNYDER-MACKLER, LYNN · 2006 to 2006
$222k
NCRR NIH HHS S10 RR022396NCRR NIH HHS S10 RR022396-01NICHD NIH HHS R01 HD038582NICHD NIH HHS R01HD038582NINR NIH HHS R01 NR010786NINR NIH HHS R01NR010786
6 · The paper itself

Abstract

background and purposeFunctional electrical stimulation (FES) is a popular poststroke gait rehabilitation intervention. Although stroke causes multijoint gait deficits, FES is commonly used only for the correction of swing-phase foot drop. Ankle plantarflexor muscles play an important role during gait. The aim of the current study was to test the immediate effects of delivering FES to both ankle plantarflexors and dorsiflexors on poststroke gait.

methodsGait analysis was performed as subjects (N=13) with chronic poststroke hemiparesis walked at their self-selected walking speeds during walking with and without FES.

resultsCompared with delivering FES to only the ankle dorsiflexor muscles during the swing phase, delivering FES to both the paretic ankle plantarflexors during terminal stance and dorsiflexors during the swing phase provided the advantage of greater swing-phase knee flexion, greater ankle plantarflexion angle at toe-off, and greater forward propulsion. Although FES of both the dorsiflexor and plantarflexor muscles improved swing-phase ankle dorsiflexion compared with noFES, the improvement was less than that observed by stimulating the dorsiflexors alone, suggesting the need to further optimize stimulation parameters and timing for the dorsiflexor muscles during gait.

conclusionsIn contrast to the typical FES approach of stimulating ankle dorsiflexor muscles only during the swing phase, delivering FES to both the plantarflexor and dorsiflexor muscles can help to correct poststroke gait deficits at multiple joints (ankle and knee) during both the swing and stance phases of gait. Our study shows the feasibility and advantages of stimulating the ankle plantarflexors during FES for poststroke gait.

Indexed as

AgedAnkle JointElectric Stimulation TherapyFemaleGaitGait Disorders, NeurologicHumansKneeMaleMiddle AgedMuscle, SkeletalParesisRange of Motion, ArticularRecovery of FunctionStrokeTreatment Outcome

Identifiers

PMID19834018
PMCPMC2827197
OpenAlexW2104816004

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.