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Orthotics and FES for maintenance of walking in patients with MS.

Authors:
Jason Wening Jennifer Ford L Dreher Jouett

Dis Mon 2013 Aug;59(8):284-9

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http://dx.doi.org/10.1016/j.disamonth.2013.03.016DOI Listing
August 2013

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A randomized crossover study of functional electrical stimulation during walking in spastic cerebral palsy: the FES on participation (FESPa) trial.

Authors:
Irene Moll Rik G J Marcellis Marcel L P Coenen Sabine M Fleuren Paul J B Willems Lucianne A W M Speth M Adhiambo Witlox Kenneth Meijer R Jeroen Vermeulen

BMC Pediatr 2022 01 13;22(1):37. Epub 2022 Jan 13.

School of Mental Health and Neurosciences (MHeNs), Faculty of Health, Medicine and Life Sciences (FHML), Maastricht University, Maastricht, the Netherlands.

Background: Spastic cerebral palsy is the most common cause of motor disability in children. It often leads to foot drop or equinus, interfering with walking. Ankle-foot orthoses (AFOs) are commonly used in these cases. Read More

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January 2022
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Investigating the underlying biomechanical mechanisms leading to falls in long-term ankle-foot orthosis and functional electrical stimulator users with chronic stroke.

Authors:
Masood Nevisipour Claire F Honeycutt

Gait Posture 2022 02 20;92:144-152. Epub 2021 Nov 20.

School of Biological and Health System Engineering, Arizona State University, Tempe, AZ, USA. Electronic address:

Background: Ankle-foot-orthoses (AFOs) and functional electrical stimulators (FES) are commonly prescribed to treat foot-drop in individuals with stroke. Despite well-established positive impacts of AFO and FES devices on balance and gait, AFO and FES-users still fall at a high rate.

Objective: The objective of this study was to investigate 1) the underlying biomechanical mechanisms leading to a fall in long-term AFO and FES-users with chronic stroke and 2) the impacts of AFOs and FES devices on fall outcomes and compensatory stepping response of long-term users with chronic stroke. Read More

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February 2022
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Treatment of knee hyperextension in post-stroke gait. A systematic review.

Authors:
Marieke Geerars Nympha Minnaar-van der Feen Bionka M A Huisstede

Gait Posture 2022 01 24;91:137-148. Epub 2021 Aug 24.

Physical Therapy Sciences, Program in Clinical Health Sciences, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands; Department of Rehabilitation, Physical Therapy Science and Sports, Brain Center, University Medical Center Utrecht, Utrecht University, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands. Electronic address:

Background: Post-stroke, patients exhibit considerable variations in gait patterns. One of the variations that can be present in post-stroke gait is knee hyperextension in the stance phase.

Research Question: What is the current evidence for the effectiveness of the treatment of knee hyperextension in post-stroke gait?

Methods: MEDLINE, EMBASE, PEDro, CINAHL, and the Cochrane library were searched for relevant controlled trials. Read More

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January 2022
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Passive Knee Orthoses Assistance in Functional Electrical Stimulation Cycling in an Individual With Spinal Cord Injury.

Authors:
Ana C C de Sousa Felipe S C Sousa Roberto de S Baptista Antonio P L Bo

IEEE Trans Neural Syst Rehabil Eng 2021 14;29:690-698. Epub 2021 Apr 14.

Functional Electrical Stimulation (FES) may be used in rehabilitation and assistance of people with Spinal Cord Injury (SCI). One significant application is facilitating physical exercise, mainly when combining FES with mechanical platforms, such as tricycles. However, there are still technical challenges in FES cycling protocols, such as improving control and cycling performance. Read More

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June 2021
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A Clinical Practice Guideline for the Use of Ankle-Foot Orthoses and Functional Electrical Stimulation Post-Stroke.

Authors:
Therese E Johnston Sarah Keller Caitlin Denzer-Weiler Lisa Brown

J Neurol Phys Ther 2021 04;45(2):112-196

Department of Physical Therapy, Jefferson College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, Pennsylvania and Ossur, Foothill Ranch, California (T.E.J.); Department of Physical Therapy, College of Health Sciences, Midwestern University, Downers Grove, Illinois (S.K.); Kessler Institute for Rehabilitation, Chester, New Jersey (C.D.-W.); and Boston University College of Health and Rehabilitation Sciences: Sargent, Boston, Massachusetts (L.B.).

Background: Level of ambulation following stroke is a long-term predictor of participation and disability. Decreased lower extremity motor control can impact ambulation and overall mobility. The purpose of this clinical practice guideline (CPG) is to provide evidence to guide clinical decision-making for the use of either ankle-foot orthosis (AFO) or functional electrical stimulation (FES) as an intervention to improve body function and structure, activity, and participation as defined by the International Classification of Functioning, Disability and Health (ICF) for individuals with poststroke hemiplegia with decreased lower extremity motor control. Read More

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April 2021
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