Owen A Howlett1, Natasha A Lannin2, Louise Ada3, Carol McKinstry4. 1. Department of Occupational Therapy, La Trobe University, Bundoora, VIC, Australia; Bendigo Health, Bendigo, VIC, Australia. Electronic address: ohowlett@bendigohealth.org.au. 2. Department of Occupational Therapy, La Trobe University, Bundoora, VIC, Australia; Occupational Therapy Department, Alfred Health, Prahran, VIC, Australia; The John Walsh Centre of Rehabilitation Research, Sydney Medical School (Northern), University of Sydney, St Leonards, NSW, Australia. 3. Department of Physiotherapy, University of Sydney, Lidcombe, NSW; and La Trobe Rural Health School, La Trobe University, Bendigo, VIC, Australia. 4. Department of Occupational Therapy, La Trobe University, Bundoora, VIC, Australia.
Abstract
OBJECTIVE: To investigate the effect of functional electrical stimulation (FES) in improving activity and to investigate whether FES is more effective than training alone. DATA SOURCES: Cochrane Central Register of Controlled Trials, Ovid Medline, EBSCO Cumulative Index to Nursing and Allied Health Literature, Ovid EMBASE, Physiotherapy Evidence Database (PEDro), and Occupational Therapy Systematic Evaluation of Effectiveness. STUDY SELECTION: Randomized and controlled trials up to June 22, 2014, were included following predetermined search and selection criteria. DATA EXTRACTION: Data extraction occurred by 2 people independently using a predetermined data collection form. Methodologic quality was assessed by 2 reviewers using the PEDro methodologic rating scale. Meta-analysis was conducted separately for the 2 research objectives. DATA SYNTHESIS: Eighteen trials (19 comparisons) were eligible for inclusion in the review. FES had a moderate effect on activity (standardized mean difference [SMD], .40; 95% confidence interval [CI], .09-.72) compared with no or placebo intervention. FES had a moderate effect on activity (SMD, .56; 95% CI, .29-.92) compared with training alone. When subgroup analyses were performed, FES had a large effect on upper-limb activity (SMD, 0.69; 95% CI, 0.33-1.05) and a small effect on walking speed (mean difference, .08m/s; 95% CI, .02-.15) compared with control groups. CONCLUSIONS: FES appears to moderately improve activity compared with both no intervention and training alone. These findings suggest that FES should be used in stroke rehabilitation to improve the ability to perform activities.
OBJECTIVE: To investigate the effect of functional electrical stimulation (FES) in improving activity and to investigate whether FES is more effective than training alone. DATA SOURCES: Cochrane Central Register of Controlled Trials, Ovid Medline, EBSCO Cumulative Index to Nursing and Allied Health Literature, Ovid EMBASE, Physiotherapy Evidence Database (PEDro), and Occupational Therapy Systematic Evaluation of Effectiveness. STUDY SELECTION: Randomized and controlled trials up to June 22, 2014, were included following predetermined search and selection criteria. DATA EXTRACTION: Data extraction occurred by 2 people independently using a predetermined data collection form. Methodologic quality was assessed by 2 reviewers using the PEDro methodologic rating scale. Meta-analysis was conducted separately for the 2 research objectives. DATA SYNTHESIS: Eighteen trials (19 comparisons) were eligible for inclusion in the review. FES had a moderate effect on activity (standardized mean difference [SMD], .40; 95% confidence interval [CI], .09-.72) compared with no or placebo intervention. FES had a moderate effect on activity (SMD, .56; 95% CI, .29-.92) compared with training alone. When subgroup analyses were performed, FES had a large effect on upper-limb activity (SMD, 0.69; 95% CI, 0.33-1.05) and a small effect on walking speed (mean difference, .08m/s; 95% CI, .02-.15) compared with control groups. CONCLUSIONS:FES appears to moderately improve activity compared with both no intervention and training alone. These findings suggest that FES should be used in stroke rehabilitation to improve the ability to perform activities.
Authors: Ethne L Nussbaum; Pamela Houghton; Joseph Anthony; Sandy Rennie; Barbara L Shay; Alison M Hoens Journal: Physiother Can Date: 2017 Impact factor: 1.037
Authors: Alexander B Remsik; Peter L E van Kan; Shawna Gloe; Klevest Gjini; Leroy Williams; Veena Nair; Kristin Caldera; Justin C Williams; Vivek Prabhakaran Journal: Front Hum Neurosci Date: 2022-07-06 Impact factor: 3.473
Authors: Edmund F Hodkin; Yuming Lei; Jonathan Humby; Isabel S Glover; Supriyo Choudhury; Hrishikesh Kumar; Monica A Perez; Helen Rodgers; Andrew Jackson Journal: IEEE Trans Neural Syst Rehabil Eng Date: 2018-05 Impact factor: 3.802
Authors: Adriana B Conforto; André G Machado; Nathalia H V Ribeiro; Ela B Plow; Sook-Lei Liew; Claudia da Costa Leite; Artemis Zavaliangos-Petropulu; Isabella Menezes; Sarah M Dos Anjos; Rafael Luccas; Paul Hunter Peckham; Leonardo G Cohen Journal: Neurorehabil Neural Repair Date: 2021-09-29 Impact factor: 3.919