Functional electrical stimulation early after stroke improves lower limb motor function and ability in activities of daily living

Functional electrical stimulation (FES) to patients early after stroke has been proved to improve walking ability. The effects on abilities in activities of daily living (ADL) are not clear. This study investigated the effectiveness of FES in improving lower limb function and ability in ADL of early stroke patients. Thirty-seven stroke patients were randomly allocated to standard rehabilitation (SR) group (n = 18), and FES group with FES and SR (n = 19). SR included 60 minutes each for physiotherapy and occupational therapy. FES was delivered for 30 min to induce ankle dorsiflexion and eversion. Treatments were 5 days per week for 3 weeks. Evaluations including the composite spasticity scale (CSS), lower-extremity subscale of Fugl-Myer Assessment (FMA), postural assessment scale for stroke patients (PASS), Berg Balance Scale (BBS), and modified Barthel Index (MBI) assessed before treatment, after 2 and 3 week treatment respectively. After 2 week treatment, FES group showed a significant reduction of CSS and improvements of FMA, MBI and PASS. After 3 week treatment, FES group showed a further reduction of CSS and also improvement of FMA, MBI and BBS as well. the authors concluded that the results indicate that FES on the paretic lower limbs early after stroke improved the mobility and ability in ADL.

Authors: You G, Liang H, Yan T. ;Full Source: NeuroRehabilitation. 2014 Sep 16. [Epub ahead of print] ;