ArticleJournal of neuroengineering and rehabilitation2025
Therapeutic and orthotic effects of an adaptive functional electrical stimulation system on gait biomechanics in participants with stroke.
Article in Journal of neuroengineering and rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Network meta-analysis of different electrical stimulation therapies for lower limb functional rehabilitation in stroke patients.Frontiers in neurology · 2025Pooled it
- Differences in gait biomechanics during level walking between chronic stroke patients with and without depression.Scientific reports · 2026Article
- Effect of functional electrical stimulation on maximum joint angles and gait asymmetry in female athletes post-anterior cruciate ligament reconstruction when crossing obstacles.BMC sports science, medicine & rehabilitation · 2026Article
- Neuromechanical Predictors of Clinical Scores of Balance and Functional Mobility in Chronic Stroke Survivors - A Machine Learning Approach.medRxiv : the preprint server for health sciences · 2025Article
- NeuroSkinSensors (Basel, Switzerland) · 2025Article
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Authors and funding
7 authors.
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Abstract
backgroundIn recent years, functional electrical stimulation (FES) has become a common intervention for stroke survivors to correct foot drop and improve gait biomechanics. While the orthotic effects of adaptive FES systems were well-documented, the center of pressure (COP) symmetry has been largely neglected. Furthermore, the long-term therapeutic effects of adaptive FES systems on gait biomechanics have received less attention.
methodsThis study applied a timing- and intensity-adaptive functional electrical stimulation system for evaluation and training tests to address these limitations. In the evaluation test, eight participants with chronic stroke walked under three FES conditions: no stimulation (NS), adaptive FES to the tibialis anterior (SA-ILC SCS), and hybrid adaptive FES to the tibialis anterior and the gastrocnemius (SA-ILC DCS). Nine healthy subjects walked under the NS condition as the control group. In the training test, two participants with stroke took part in a 21-day training session under the SA-ILC DCS condition.
resultsThe results showed that the COP symmetry of participants with stroke in the SA-ILC SCS condition tended to improve compared to the NS condition, while the SA-ILC DCS condition showed significant improvement, approaching that of healthy subjects. After the 21-day treatment period, there was a tendency for improvement in the knee-ankle angle, anterior ground reaction force, and COP symmetry of both participants with stroke without assistance.
conclusionThe observed improvements can be attributed to the hybrid adaptive FES targeting the tibialis anterior and gastrocnemius muscles. This study demonstrates that the adaptive FES system offers promising walking assistance capabilities and significant clinical therapeutic potential.
trial registrationEthics Committee of Zhujiang Hospital, Southern Medical University, 2022-KY-149-01. Registered 29 September 2022.
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