ArticleJournal of neuroengineering and rehabilitation2017
A decision support system for electrode shaping in multi-pad FES foot drop correction.
Article in Journal of neuroengineering and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02729636 (Multi-pad Functional Electrical Stimulation for Droop Foot Treatment), which is not on this map. Cited by 8 papers.
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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.
Multi-pad Functional Electrical Stimulation for Droop Foot Treatment
Who cites it
8 citing papers in PubMed, 24 citations in OpenAlex.
- Can inertial measurement unit sensors evaluate foot kinematics in drop foot patients using functional electrical stimulation?Frontiers in human neuroscience · 2023Article
- Hand dexterity rehabilitation using selective functional electrical stimulation in a person with stroke.BMJ case reports · 2021Article
- Smart Protocols for Physical Therapy of Foot Drop Based on Functional Electrical Stimulation: A Case Study.Healthcare (Basel, Switzerland) · 2021Article
- Advances in neuroprosthetic management of foot drop: a review.Journal of neuroengineering and rehabilitation · 2020Review
- Optimization of Semiautomated Calibration Algorithm of Multichannel Electrotactile Feedback for Myoelectric Hand Prosthesis.Applied bionics and biomechanics · 2019Article
- Development of User-Friendly Wearable Electronic Textiles for Healthcare Applications.Sensors (Basel, Switzerland) · 2018Article
- Electrode placement on the forearm for selective stimulation of finger extension/flexion.PloS one · 2018Article
- A foot drop compensation device based on surface multi-field functional electrical stimulation-Usability study in a clinical environment.Journal of rehabilitation and assistive technologies engineeringArticle
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFunctional electrical stimulation (FES) can be applied as an assistive and therapeutic aid in the rehabilitation of foot drop. Transcutaneous multi-pad electrodes can increase the selectivity of stimulation; however, shaping the stimulation electrode becomes increasingly complex with an increasing number of possible stimulation sites. We described and tested a novel decision support system (DSS) to facilitate the process of multi-pad stimulation electrode shaping. The DSS is part of a system for drop foot treatment that comprises a custom-designed multi-pad electrode, an electrical stimulator, and an inertial measurement unit.
methodsThe system was tested in ten stroke survivors (3-96 months post stroke) with foot drop over 20 daily sessions. The DSS output suggested stimulation pads and parameters based on muscle twitch responses to short stimulus trains. The DSS ranked combinations of pads and current amplitudes based on a novel measurement of the quality of the induced movement and classified them based on the movement direction (dorsiflexion, plantar flexion, eversion and inversion) of the paretic foot. The efficacy of the DSS in providing satisfactory pad-current amplitude choices for shaping the stimulation electrode was evaluated by trained clinicians. The range of paretic foot motion was used as a quality indicator for the chosen patterns.
resultsThe results suggest that the DSS output was highly effective in creating optimized FES patterns. The position and number of pads included showed pronounced inter-patient and inter-session variability; however, zones for inducing dorsiflexion and plantar flexion within the multi-pad electrode were clearly separated. The range of motion achieved with FES was significantly greater than the corresponding active range of motion (p < 0.05) during the first three weeks of therapy.
conclusionsThe proposed DSS in combination with a custom multi-pad electrode design covering the branches of peroneal and tibial nerves proved to be an effective tool for producing both the dorsiflexion and plantar flexion of a paretic foot. The results support the use of multi-pad electrode technology in combination with automatic electrode shaping algorithms for the rehabilitation of foot drop.
trial registrationThis study was registered at the Current Controlled Trials website with ClinicalTrials.gov ID NCT02729636 on March 29, 2016.
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