2000•SHURA (Sheffield Hallam University Research Archive) (Sheffield Hallam University)Requires access
Surface funcational electrical stimulation (FES) for walking in complete spinal cord lesioned (SCL) individuals
Fin Biering‐Sørensen, DJ Maxwell, Ben Heller, AM Marques, Jtmm Cloostermans, H. J. Hermens
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Abstract
Aim: Improve gait in individuals with incomplete SCL. Methods: After inclusion, an initial assessment was performed including ASIA, FIM, walking endurance, and Observational Gait Analysis (OGA). A FES-strategy was developed. The FES was used at home and adjusted in the centre before a final assessment. Participants: 72 came for initial evaluation, and 31 had the wish to continue the use of FES after termination of the study. FES-strategy:Of these 14 used one channel, 16 two channels, and 1 three channels for stimulation. 26 used unilateral, and 5 bilateral stimulation. In 28 instances the flexor withdrawal reflex was used, in 10 quadriceps, and in 9 the dorsiflexors. Results: No significant difference was found for the walking endurance, but the gait was evaluated to be better by the OGA. Conclusion: For selected incomplete SCL individuals surface FES deliver an improved quality of walking.