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Does Cycling Training Augmented by Functional Electrical Stimulation Impact on Muscle Synergies in Post-acute Stroke Patients?

  • Elisabetta Peri
  • Emilia Ambrosini
  • Cristiano De Marchis
  • Claudia Nava
  • Luca Longoni
  • Alessandra Pedrocchi
  • Giorgio Ferriero
  • Simona Ferrante
Conference paper
Part of the Biosystems & Biorobotics book series (BIOSYSROB, volume 21)

Abstract

Cycling induced by Functional electrical stimulation (FES) was proposed as a method to improve motor recovery after stroke. This study aimed at assessing the effects of this training on motor patterns of muscle co-activations, referred as muscle synergies. Seven post-acute patients underwent 15 sessions of FES-cycling training. Outcome measures were Motricity Index and gait speed collected before (T0) and after (T1) the intervention. Subjects were also involved in a cycling test during which four muscle synergies were extracted from 9 lower limb muscles and compared with a healthy control group. Results showed a significant improvement in terms of gait speed, which increased from a median value of 81.0 cm/s at T0 to 100.0 cm/s at T1. Trends of improvement in both spatial and temporal components of muscle synergies were also achieved. More data are needed to drive final conclusions about the effects of FES-cycling on muscle synergies but first results are promising.

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Elisabetta Peri
    • 1
  • Emilia Ambrosini
    • 2
  • Cristiano De Marchis
    • 3
  • Claudia Nava
    • 1
  • Luca Longoni
    • 1
  • Alessandra Pedrocchi
    • 2
  • Giorgio Ferriero
    • 1
  • Simona Ferrante
    • 2
  1. 1.Department of Physical Medicine and RehabilitationScientific Institute of Lissone, IRCCS, Istituti Clinici Scientifici MaugeriLissoneItaly
  2. 2.Neuroengineering and Medical Robotics Laboratory, Department of Electronics, Information and BioengineeringPolitecnico di MilanoMilanItaly
  3. 3.Department of EngineeringRoma Tre UniversityRomeItaly

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