Cycling Induced by Electrical Stimulation Improves Motor Recovery in Postacute Hemiparetic Patients: A Randomized Controlled Trial

@article{Ambrosini2011CyclingIB,
  title={Cycling Induced by Electrical Stimulation Improves Motor Recovery in Postacute Hemiparetic Patients: A Randomized Controlled Trial},
  author={E. Ambrosini and S. Ferrante and A. Pedrocchi and G. Ferrigno and F. Molteni},
  journal={Stroke},
  year={2011},
  volume={42},
  pages={1068-1073}
}
Background and Purpose— This study assessed whether cycling induced by functional electrical stimulation (FES) was more effective than passive cycling with placebo stimulation in promoting motor recovery and walking ability in postacute hemiparetic patients. Methods— In a double-blind, randomized, controlled trial, 35 patients were included and randomized to receive FES-induced cycling training or placebo FES cycling. The 4-week treatment consisted of 20 sessions lasting 25 minutes each… Expand
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References

SHOWING 1-10 OF 31 REFERENCES
Functional Electrical Stimulation Improves Motor Recovery of the Lower Extremity and Walking Ability of Subjects With First Acute Stroke: A Randomized Placebo-Controlled Trial
TLDR
Fifteen sessions of FES, applied to subjects with acute stroke plus standard rehabilitation, improved their motor and walking ability to the degree that more subjects were able to return to home. Expand
Effects of electric stimulation-assisted cycling training in people with chronic stroke.
TLDR
This study showed that a short cycling training program on a semirecumbent cycle ergometer can markedly improve cycling performance, aerobic capacity, muscle strength, and functional performance of people with chronic stroke. Expand
Cycling induced by functional electrical stimulation improves the muscular strength and the motor control of individuals with post-acute stroke. Europa Medicophysica-SIMFER 2007 Award Winner.
TLDR
Rehabilitation including FES cycling was more effective in promoting muscle strength and motor recovery of the lower extremity than therapist-assisted SR alone. Expand
Functional electrical stimulation assisted cycling of patients with subacute stroke: kinetic and kinematic analysis.
TLDR
The smoothness of cycling was the most sensitive parameter improved by functional electrical stimulation and depended on the amount of torque evoked, and the torque achieved, in turn, correlated with the tolerated intensity of stimulation. Expand
Intensive training of subjects with chronic hemiparesis on a motorized cycle combined with functional electrical stimulation (FES): a feasibility and safety study.
  • G. Alon, V. Conroy, T. Donner
  • Medicine
  • Physiotherapy research international : the journal for researchers and clinicians in physical therapy
  • 2011
TLDR
Using a motorized cycle combined with FES intensive training appears safe and can be tolerated by patients with chronic stroke of wide age range, diverse severity of cardio-pulmonary deconditioning, motor loss and locomotor deficits. Expand
Electrical stimulation driving functional improvements and cortical changes in subjects with stroke
TLDR
Improvement in functional use of the hand and change in cortical activation as measured by functional magnetic resonance imaging (fMRI) suggest that NMES may have an important role in stimulating cortical sensory areas allowing for improved motor function. Expand
The therapeutic effect of functional and transcutaneous electric stimulation on improving gait speed in stroke patients: a meta-analysis.
TLDR
FES is effective at improving gait speed in subjects poststroke and future research should examine the effectiveness of practical and readily available FES units to improve function in subjects in the subacute stages of recovery from a stroke. Expand
Electrical stimulation as a means for achieving recovery of function in stroke patients.
TLDR
The conclusion from reviewing data is that integration of electrical therapy into exercise-active movement mediated by electrical activation of peripheral and central sensory-motor mechanisms enhances motor re-learning following damage to the central nervous system. Expand
Design of a symmetry controller for cycling induced by electrical stimulation: preliminary results on post-acute stroke patients.
TLDR
The design of a controller for cycling induced by functional electrical stimulation that uses the pulse width as the control variable in the stimulation of the two legs in order to nullify the unbalance between the torques produced at the two crank arms was designed. Expand
Neuromuscular Electrical Stimulation for Motor Restoration in Hemiplegia
TLDR
Clinical applications of neuromuscular electrical stimulation in stroke rehabilitation provide both therapeutic and functional benefits, and the development of hand neuroprostheses is in its infancy. Expand
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