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  • Title: Response of sagittal plane gait kinematics to weight-supported treadmill training and functional neuromuscular stimulation following stroke.
    Author: Daly JJ, Roenigk KL, Butler KM, Gansen JL, Fredrickson E, Marsolais EB, Rogers J, Ruff RL.
    Journal: J Rehabil Res Dev; 2004; 41(6A):807-20. PubMed ID: 15685469.
    Abstract:
    After stroke, persistent gait deficits cause debilitating falls and poor functional mobility. Gait restoration can preclude these outcomes. Sixteen subjects (>12 months poststroke) were randomized to two gait training groups. Group 1 received 12 weeks of treatment, 4 times a week, 90 min per session, including 30 min strengthening and coordination, 30 min over-ground gait training, and 30 min weight-supported treadmill training. Group 2 received the same treatment, but also used functional neuromuscular stimulation (FNS) with intramuscular (IM) electrodes (FNS-IM) for each aspect of treatment. Outcome measures were kinematics of gait swing phase. Both groups showed no significant pre-/posttreatment gains in peak swing hip flexion. Group 1 (no FNS) had no significant gains in other gait components at posttreatment or at follow-up. Group 2 (FNS-IM) had significant gains in peak swing knee flexion and mid-swing ankle dorsiflexion (p < 0.05) that were maintained for 6 months.
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