Implications of neuromuscular electrical stimulation on gait ability, balance and kinematic parameters after stroke: a systematic review and meta-analysis

Bibliographic Details
Title: Implications of neuromuscular electrical stimulation on gait ability, balance and kinematic parameters after stroke: a systematic review and meta-analysis
Authors: Shishi Chen, Jingjing Gao, Ye Zhou, Beisi Zheng, Yuxiang Liu, Manting Cao, Haiping Huang, Xinyi Su, Jianer Chen
Source: Journal of NeuroEngineering and Rehabilitation, Vol 21, Iss 1, Pp 1-23 (2024)
Publisher Information: BMC, 2024.
Publication Year: 2024
Collection: LCC:Neurosciences. Biological psychiatry. Neuropsychiatry
Subject Terms: Stroke, Neuromuscular electrical stimulation, Functional electrical stimulation, Walking, Kinematic parameters, Meta-analysis, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
More Details: Abstract Introductin Improper gait patterns, impaired balance and foot drop consistently plague stroke survivors, preventing them from walking independently and safely. Neuromuscular electrical stimulation (NMES) technology can help patients reactivate their muscles and regain motor coordination. This study aims to systematically review and summarize the evidence for the potential benefits of NMES on the improvement of gait patterns after stroke. Evidence acquisition PubMed, Cochrane Library, Embase, Science Direct and Web of Science were systematically searched until April 2024, to identify randomized controlled trials with the following criteria: stroke survivors as participants; NMES as intervention; conventional rehabilitation as a comparator; and gait assessment, through scales or quantitative parameters, as outcome measures. Evidence synthesis 29 publications involving 1711 patients met the inclusion criteria. Meta-analysis showed no significant differences in Ten-meter walk test, Fugl-Meyer assessment lower extremity, Modified Ashworth Assessment and asymmetry between the NMES group and the control group. Besides, NMES was associated with changes in outcome indicators such as quantitative gait analysis speed [SMD = 0.53, 95% CI (0.20, 0.85), P = 0.001], cadence [SMD = 0.76, 95% CI (0.32, 1.20), P = 0.0008], affected side step length [SMD = 0.73, 95% CI (0.16, 1.31), P = 0.01], angle of ankle dorsiflexion [WMD = 1.57, 95% CI (0.80, 2.33), P
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1743-0003
Relation: https://doaj.org/toc/1743-0003
DOI: 10.1186/s12984-024-01462-2
Access URL: https://doaj.org/article/eaead5d74fdc4c1697d09cb5d1044427
Accession Number: edsdoj.5d74fdc4c1697d09cb5d1044427
Database: Directory of Open Access Journals
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More Details
ISSN:17430003
DOI:10.1186/s12984-024-01462-2
Published in:Journal of NeuroEngineering and Rehabilitation
Language:English