Skip to main content
SpringerLink
Log in

Funktionelle Elektrostimulation zur Verbesserung der Mobilität

  • Chapter
  • First Online:
Funktionelle Elektrostimulation in der Neurorehabilitation

  • 1636 Accesses

Zusammenfassung

Die Schwäche der Vorfußhebung („drop foot“) ist ein verbreitetes Problem bei neurologischen Erkrankungen wie Schlaganfall, multipler Sklerose, Schädel-Hirn-Trauma, inkomplettem Querschnittsyndrom sowie infantiler Zerebralparese und führt zu einer insuffizienten Hebung des Vorfußes in der Schwungphase des Gangzyklus. Unterstützend zum gangorientierten Training wird die funktionelle Elektrostimulation (FES) des N. peronaeus zunehmend häufiger angewandt.

Neben der Handhabung der FES wird der Effekt der FES auf die funktionelle Mobilität sowohl anhand semiquantitativer als auch anhand quantitativer Gangparameter reflektiert. Nicht außer Acht gelassen werden soll in der Beschreibung des Effekts der FES die Differenzierung zwischen Orthese- und Therapieeffekt, induziert durch eine langfristige Anwendung der FES des N. peronaeus.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 49.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 64.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Literatur

  • Ada L, Dean CM, Hall JM, Bampton J, Crompton S (2003) A treadmill and overground walking program improves walking in persons residing in the community after stroke: a placebo-controlled, randomized trial. Arch Phys Med Rehabil 84:1486–1491

    Article  PubMed  Google Scholar 

  • Barret C, Taylor P (2010) The effect of the Odstock Drop Foot Stimulator on perceived quality of life for people with stroke and multiple sclerosis. Neuromodulation 13(1):58–64

    Article  Google Scholar 

  • Bohannon RW, Horton MG, Wikholm JB (1991) Importance of four variables of walking to patients with stroke. Int J Rehabil Res 14:246–250

    Article  CAS  PubMed  Google Scholar 

  • Burridge JH, Taylor PN, Hagan SA, Wood DE, Swain ID (1997) The effects of common peroneal stimulation on the effort and speed of walking: a randomized controlled trial with chronic hemiplegic patients. Clin Rehabil 11(3):201–210

    Article  CAS  PubMed  Google Scholar 

  • Dean CM, Richards CL, Malouin F (2000) Task-related circuit training improves performance of locomotor tasks in chronic stroke: a randomized, controlled pilot trial. Arch Phys Med Rehabil 81:409–417

    Article  CAS  PubMed  Google Scholar 

  • Dobkin BH (2005) Clinical practice. Rehabilitation after stroke. N Engl J Med 352(16):1677–1684

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Eich HJ, Mach H, Werner C, Hesse S (2004) Aerobic treadmill plus Bobath walking training improves walking in subacute stroke: a randomized controlled trial. Clin Rehabil 18:640–651

    Article  PubMed  Google Scholar 

  • Everaert DG, Thompson AK, Chong SL, Stein RB (2010) Does functional electrical stimulation for foot drop strengthen corticospinal connections? Neurorehabil Neural Repair 24(2):168–177

    Article  PubMed  Google Scholar 

  • Granat MH, Maxwell DJ, Ferguson AC, Lees KR, Barbenel JC (1996) Peroneal stimulator: evaluation for the correction of spastic drop-foot in hemiplegia. Arch Phys Med Rehabil 77:19–24

    Article  CAS  PubMed  Google Scholar 

  • Hausmann J, Sweeney-Reed C, Sobiaray U, Matzke M, Heinze HJ, Voges J, Buentjen L (2015) Functional electrical stimulation through direct 4-channell nerve stimulation to improve gait in multiple sclerosis: a feasibility study. J Neuroengineerung Rehabil 12:100. https://doi.org/10.1186/s12984-015-0096-3

    Article  Google Scholar 

  • Jorgensen HS, Nakayama H, Raaschou HO, Olsen TS (1995) Recovery of walking function in stroke patients: the Copenhagen Stroke Study. Arch Phys Med Rehabil 76:27–32

    Article  CAS  PubMed  Google Scholar 

  • Lamontagne A, Malouin F, Richards CL (2001) Locomotor-specific measure of spasticity of plantarflexor muscles after stroke. Arch Phys Med Rehabil 82:1696–1704

    Article  CAS  PubMed  Google Scholar 

  • Laufer Y, Dickstein R, Chefez Y, Marcovitz E (2001) The effect of treadmill training on the ambulation of stroke survivors in the early stages of rehabilitation: a randomized study. J Rehabil Res Dev 38:69–78

    CAS  PubMed  Google Scholar 

  • Laufer Y, Ring H, Sprecher E, Hausdorff JM (2009) Gait in individuals with chronic hemiparesis: one year follow-up of the effect of a neuroprothesis that ameliorates foot drop. J Neurol Phys Ther 33:104–110

    Article  PubMed  Google Scholar 

  • Liberson WT, Holmquest HJ, Scot D, Dow M (1961) Functional electrotherapy: stimulation of the peroneal nerve synchronized with the swing phase of the gait of hemiplegic patients. Arch Phys Med Rehabil 42:101–105

    CAS  PubMed  Google Scholar 

  • Martin CL, Phillips BA, Kilpatrick TJ, Butzkueven H, Tubridy N, McDonald E, Galea MP (2006) Gait and balance impairment in early multiple sclerosis in the absence of clinical disability. Mult Scler 12:620–628

    Article  CAS  PubMed  Google Scholar 

  • Olney SJ, Richards C (1996) Hemiparetic gait following stroke. Part I: characteristics. Gait Posture 4:136–148

    Article  Google Scholar 

  • Pinter MM, Brainin M (2012) Rehabilitation after stroke in older people. Maturitas 71(2):104–108

    Article  PubMed  Google Scholar 

  • Pohl M, Werner C, Holzgraefe M, Kroczek G, Mehrholz J, Wingendorf I, Hoölig G, Koch R, Hesse S (2007) Repetitive locomotor training and physiotherapy improve walking and basic activities of daily living after stroke: a single-blind, randomized multicentre trial (DEutsche GAngtrainerStudie, DEGAS). Clin Rehabil 21:17–27

    Article  CAS  PubMed  Google Scholar 

  • van de Port IG, Wood-Dauphinee S, Lindeman E, Kwakkel G (2007) Effects of exercise training programs on walking competency after stroke: a systematic review. Am J Phys Med Rehabil 86:935–951

    Article  PubMed  Google Scholar 

  • Preston E, Ada L, Dean CM, Stanton R, Waddington G (2011) What is the probability of patients who are nonambulatory after stroke regaining independent walking? A systematic review. Int J Stroke 6:531–540

    Article  PubMed  Google Scholar 

  • Sabut SK, Sikdar C, Mondal R, Kumar R, Mahadevappa M (2010) Restoration of gait and motor recovery by functional elektrical stimulation therapy in persons with stroke. Disabil Rehabil 32:1594–1603

    Google Scholar 

  • Sabut SK, Sikdar C, Kumar R, Mahadevappa M (2011) Functional electrical stimulation of dorsflexor muscle: effect on dorsiflexor strength, plantarflexor spasticity, and motor recovery in stroke patients. NeuroRehabilitation 29:393–400

    Google Scholar 

  • Salbach NM, Mayo NE, Wood-Dauphinee S, Hanley JA, Richards CL, Cote R (2004) A task-orientated intervention enhances walking distance and speed in the first year post stroke: a randomized controlled trial. Clin Rehabil 18:509–519

    Article  CAS  PubMed  Google Scholar 

  • Sheffler LR, Taylor PN, Balley SN, Gunzler DD, Burrke JH, Ijzermann MJ, Chae J (2015) Surface peroneal nerve stimulation in lower limb hemiparesis: effect on quantitative gait parameters. Am J Phys Med Rehabil 94(5):341–357

    Article  PubMed  PubMed Central  Google Scholar 

  • Springer S, Vatine JJ, Lipson R, Wolf A, Laufer Y (2012) Effects of dual-channel functional electrical stimulation on gait performance in patients with hemiparesis. Sci World J 2012:530906. https://doi.org/10.1100/2012/530906

    Article  Google Scholar 

  • Springer S, Laufer Y, Becher M, Vatine JJ (2013a) Dual-channel functional electrical stimulation improvements in speed-based gait classifications. Clin Interv Aging 8:271–277

    Article  PubMed  PubMed Central  Google Scholar 

  • Springer S, Vatine JJ, Wolf A, Laufer Y (2013b) The effects of dual-channel functional electrical stimulation on stance phase sagittal kinematic in patients with hemiparesis. J Electromyogr Kinesil 23(2):476–482

    Article  Google Scholar 

  • Stein RB, Chong S, Everaert DG, Rolf R, Thompson AK, Whittaker M, Robertson J, Fung J, Preuss R, Momose K, Ihashi K (2006) A multicenter trial of a footdrop stimulator controlled by a tilt sensor. Neurorehabil Neural Repair 20:371–379

    Article  PubMed  Google Scholar 

  • Stein RB, Everaert DG, Thompson AK, Chong SL, Whittaker M, Robertson J, Kuether G (2010) Long-term therapeutic and orthotic effects of a foot drop stimulator on walking performance in progressive and nonprogressive neurological disorders. Neurorehabil Neural Repair 24:152–167

    Article  PubMed  Google Scholar 

  • Street T, Swain I, Taylor P (2017) Training and orthotic effects related to functional electrical stimulation of the peroneal nerve in stroke. J Rehabil Med 49:113–119

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Zentrum für Neurorehabilitation, Donau-Universität Krems, Krems, Österreich

    Michaela M. Pinter

Authors
  1. Michaela M. Pinter
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Michaela M. Pinter .

Editor information

Editors and Affiliations

  1. Innsbruck, Austria

    Thomas Schick

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Pinter, M.M. (2021). Funktionelle Elektrostimulation zur Verbesserung der Mobilität. In: Schick, T. (eds) Funktionelle Elektrostimulation in der Neurorehabilitation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61705-2_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-61705-2_7

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-61704-5

  • Online ISBN: 978-3-662-61705-2

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation