Effects of Combined Therapy by Botulotoxin and Functional Stimulation on Spastic Gait of Patients after Cerebral Vascular Event
Authors:
P. Konečný 1,2; S. Horák 2; A. Můčková 2; I. Lerchová 2; B. Kolářová 2; M. Elfmark 2
Authors‘ workplace:
Centrum léčebné rehabilitace SMN Prostějov
1; Ústav fyzioterapie FZV UP Olomouc
2
Published in:
Rehabil. fyz. Lék., 25, 2018, No. 2, pp. 59-61.
Category:
Original Papers
Overview
The study aimed at objectification of the results of a complex treatment with botulotoxin A,
Rehabilitation and functional electrostimulation of the muscles of crura ib patients after ictus with a syndrome of spastic foot. The randomized prospective study of 12 cases (with functional electrostimulation) and 12 controls (without functional electrostimulation) after a complex therapy lasting six weeks proved a statistically significant change in the walking speed in the experimental group, where the test of 10-meter walking caused a significant change from the starting mean value of 0.28 m/s to output value of 0.71 m/s, as compared with the change from 0.21 m/s to 0.34 m/s in the control group. Statistical differences between the groups concerning spasticity of the crus muscles evaluated by the modified Ashworth scale was not detected.
Keywords:
functional electrostimulation, ictus, spasticity, gai
Sources
1. DUNNING, K., O‘DELL, M. W., KLUDING, P., McBRIDE, K.: Peroneal stimulation for foot droop after stroke: A systematic review. Am. J. Phys. Med. Rehabil., 94, 2015, 8, s. 649-664.
2. EHLER, E., ŠTĚTKÁŘOVÁ, I.: Botulotoxin v léčbě spasticity. Cesk. Slov. Neurol. N, 72/ 105, 2009, 4, s. 317-321.
3. GÁL, O., HOSKOVCOVÁ, M., JECH, R.: Neuroplasticita, restituce motorických funkcí a možnosti rehabilitace spastické parézy. Rehabil. fyz Lék, 22, 2015, 3, s. 101-127.
4. HAUSDORFF, J. M, RING, H.: The effect of the NESS L 300 neuroprothesis on gait stability and symmetry. J. Neurol. Phys. Ther., 30, 2006, 4, s.198-199.
5. JENÍČEK, J., DRÁBOVÁ, Z., JANATOVÁ, M., VÍTĚZNÍK, ŠVESTKOVÁ, O.: Pilotní studie efektu ambulantní funkční peroneální stimulace. Cesk. Slov. Neurol. N, 81/114, 2018, 1, s, 81-85.
6. KAŇOVSKÝ, P., BAREŠ, M., DUFEK, J.: Spasticita: mechanismy, diagnostika a léčba. Praha, MAXDORF-JESSENIUS, 2004.
7. KLUDING, P. M., DUNNING, K., O‘DELL, M. W., WU, S. S., GINOSIAN, J., FELD, J., McBRIDE, K.: Foot drop stimulation versus ankle foot orthosis after stroke: 30-week outcomes. Stroke, 44, 2013, 6, s. 1660-1669.
8. NOVOTNÁ, K., KONVALINKOVÁ, R.: Využití funční eleketrostimulace pro ovlivnění chůze u pacientů s roztroušenou sklerózou. Rehabil. fyz Lék, 24, 2017, 3, s. 170-177.
9. RUSHTON, D.: Functional electrical stimulation and rehabilitation—an hypothesis. Med. Eng. Phys., 25, 2003, 1, s. 75-78.
10. SABUT, S. K., SIKDAR, C., KUMAR, R.: Functional electrical stimulation of dorsiflexor muscule in stroke patients. Neuro Rehabilitation, 29, 2011, 4, s. 393-400.
11. SHEFFLER, L. R., CHAE, J.: Neuromuscular electrical stimulation in neurorehabilitation, 35, 2007, 5, s. 562-590.
12. WEBER, D. J., STEIN, R. B., CHAN, K. M., LOEB, G. E., RICHMOND, F. J., ROLF, R., JAMES, K., CHONG, S. L.: BIONic WalkAide for correcting foot drop. Conf. Proc. IEEE Eng. Med. Biol. Soc., 2004, 6, s. 4189-4192.
Labels
Physiotherapist, university degree Rehabilitation Sports medicineArticle was published in
Rehabilitation and Physical Medicine
2018 Issue 2
Most read in this issue
- The Influence of Motion Activity and a Morphological Type of Foot on the Occurrence of Flatfoot
- The Effect of Mechanotherapy on Swelling after LCA Plasty
- Effects of Combined Therapy by Botulotoxin and Functional Stimulation on Spastic Gait of Patients after Cerebral Vascular Event
- Expected Functional Outcomes in Motor Complete Spinal Cord Lesions