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The Effect of Functional Electrical Stimulation Applied by the WalkAide Neurostimulator on Balance and Gait in Patients with Multiple Sclerosis
Maršíčková, Veronika ; Řasová, Kamila (advisor) ; Malá, Jitka (referee)
Author: Bc. Veronika Maršíčková Title: The Effect of Functional Electrical Stimulation Applied by the WalkAide Neurostimulator on Balance and Gait in Patients with Multiple Sclerosis. Objectives: The main aim of this diploma thesis is an assessment of therapeutic effect of functional electrical stimulation applied with using of the neurostimulator WalkAide on balance and gait of people with multiple sclerosis against standard outpatient physiotherapy. Partial aims are comparisons the immediate and persistent therapeutic effect of functional electrical stimulation. Methods: The thesis is a randomized controlled trial. For its realization it was necessary to create an intervention and a control group of probands. Both groups received 2 different rehabilitation programs. The intervention group received the WalkAide neurostimulator (for 2 months) for home use. The control group underwent a standard outpatient physiotherapeutic program with application of 20 therapies (at least) lasting 60 minutes (i.e. 2-3 times a week for 2 months). Data collection was performed by validated motor tests and questionnaires, which were focussed on endurance, speed and skilfulness of gait, static and dynamic balance and subjective perception of balance, overal mobility and pathological fatigue. These tests and...
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Effect of peroneal nerve functional electrical stimulation on gait in patients with stroke
Jeníček, Jakub ; Petr, Miroslav (advisor) ; Jeřábek, Jaroslav (referee) ; Kemlink, David (referee)
The Abstract The Title: Effect of Peroneal Nerve Functional Electrical Stimulation on Gait in Post-stroke Patients The Goal: The aim of this work was to compare two different ways of applying functional electrical stimulation of the peroneal nerve as to their impacts on the gait speed and performance and the spastic paresis of lower leg in adult patients suffering from chronic stages of stroke accompanied by foot drop. The Method: An open, randomized, controlled clinical pilot study combining elements of both controlled and pragmatic experiments in comparing two different clinical approaches to peroneal nerve functional electrical stimulation. With the first group of patients (group A, consisting of 14 subjects), the intervention was carried out as an outpatient, strictly controlled and intense training of gait with electrical stimulation over the period of four weeks, five times a week; the B-group patients (13 subjects) were all provided with their own stimulator which they applied continuously throughout all their daily routines at their homes and community over the equal period of time. The Results: The four-week intervention turned out to cause no statistically significant difference in our two groups in terms of its impact on any of the monitored parameters of the gait speed and performance as well as...
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Effect of Functional Electrical Stimulation-Assisted Ergometry on Muscle Cross-Sectional Diameter, Nitrogen and Fluid Balance in Critically Ill
Hejnová, Marie ; Řasová, Kamila (advisor) ; Neuwirthová, Svatava (referee)
Author: Bc. Marie Hejnová Title: Effect of Functional Electrical Stimulation-Assisted Ergometry on Muscle Cross-Sectional Diameter, Nitrogen and Fluid Balance in Critically Ill Objectives: The aim of this thesis was to investigate the effect of functional electrical stimulation-assisted cycling ergometry (FES-CE) on cross-sectional diameter of the quadriceps femoris (QF) muscle of both lower extremities in critically ill patients. Another objective was to evaluate if the measured values are responding to the changes in muscle tissue or are caused by an oedema. Methods: The intervention group received daily intensified physical therapy and FES-CE. We measured cross-sectional diameter of the QF muscle repeatedly by a diagnostic ultrasound. We recorded daily nitrogen balance to objectivize catabolism of muscle and fluid balance to objectivize amount of cumulative fluid. Results: The total of 115 patients were evaluated. Average decrease of cross-sectional diameter of QF muscle in the intervention group was 0.020 ± 0.070 cm/day, in the control group it was 0.017 ± 0.084 cm/day (p = 0.87). We registered an opposite result from the eighth day onwards, the intervention group had average decrease 0.025 ± 0.047 cm/day and the control group 0.040 ± 0.076 cm/day (p = 0.38). The nitrogen intake was...
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Functional electrical stimulation of paretic upper extremity in patients after stroke
Pilsová, Zuzana ; Uhlířová, Jaromíra (advisor) ; Hoidekrová, Kristýna (referee)
This study aims to evaluate the effects of functional electrical stimulation on motor and functional abilities of paretic upper limb in patients after stroke. Specifically detects the immediate effect of functional electrostimulation on the increase of the active range of motion, reduction of the hand spasticity degree and the improvement of functional performance. The research covered a total of 6 patients after first stroke in the basin aretria middle cerebral artery. The research sample had a homogeneous distribution of the paresis heaviness from light, moderate, to severe. The research was conducted in total of three weeks, every working day, 60 minutes a day, with 30 minutes of indicated electrostimulation and 30 minutes of testing of monitored parameters. Patients were evaluated using the Modified Frenchay scale, Modified Tardieu scale and the range of motion goniometer. Research showed in 60 observations that the functional electrical stimulation has immediate and significant effect on increasing the active range of dorsal flexion motion of the wrist (p-value 0.043). The average improvement on 95% interval estimation is 0.08. During the monitoring of the improvement of the active range of wrist dorsal flexion motion between input and output examination there was no statistically significant...
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Comparison of electrostimulation systems WalkAide and NESS L300 in therapy of foot drop in patients after stroke.
Šulcová, Dominika ; Jeníček, Jakub (advisor) ; Drábová, Zuzana (referee)
This bachelor thesis consists of a theoretical and a practical part. The theoretical part provides a brief introduction into problematics of disability of stroke patients and mainly focuses on gait impairment, specifically on foot drop syndrome that affects about 20% of all stroke patients. Following section contains characterization of functional electrical stimulation and its application to the peroneal nerve, which is used in therapy of foot drop. The theoretical part is then concluded by neat description of two peroneal stimulators that are currently available in Czech Republic, systems WalkAide® and NESS L300®. The practical part includes therapy records of two stroke patients, in which both mentioned devices were used, and filled questionnaires that were directed to representatives of distributor companies. These documets focus on financial problematics of systems in question. The outcome of the practical part is a comprehensive overview that summarizes the use of both stimulators in therapy of foot drop and their accessibility for patients in Czech Republic. All gathered facts about WalkAide® and NESS L300® are then systematically compared and evaluated from the perspective of a therapist and a patient. Powered by TCPDF (www.tcpdf.org)
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Functional electrical stimulation of nervus peroneus of patients after stroke
Petříčková, Kristina ; Konvalinková, Romana (advisor) ; Jeníček, Jakub (referee)
BAKALÁŘSKÉ PRÁCE V AJ Author: Kristina Petříčková Supervisor: Mgr. Romana Lavičková Opponent: Title of bachelor thesis: Functional electrical stimulation of nervus peroneus of patients after stroke Abstract: This bachelor thesis consists of a theoretical and a practical part. The theoretical part is mainly focused on the option of managing foot drop with the use of functional electrical stimulation. It provides background research of available thematical literature, information about current options of using funtional electrical stimulation and information of its combination with other types of therapy. It also provides results of research studies that have been realized and describes effects of functional electrical stimulation on different aspects of gait and function of the lower limb. Described effects are both of orthotic (immediate) and therapeutic (long-term) character. Goal of the practical part was to compare gait of one patient after stroke with no compensational device and with functional electrical stimulator and to sum-up the orthothic effect of electrostimulator. It was anticipated that both quantity and quality of gait would be improved, but there was no noted improvement in quantity. Key words: Functional electrical stimulation, foot drop, nervus peroneus, stroke, ankle-foot orthosis
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