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ISSN 2393 – 2694

ISSN–L 1453 – 7257

Frequency: 4 issues/year

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Depuneti prin mandat postal suma de 100 RON reprezentand contravaloarea abonamentului pe un an la Buletin de Psihiatrie Integrativa, pe adresa: D- lui Dr. IOAN MIHALACHE Institutul DE PSIHIATRIE "SOCOLA" (Clinica II F) SOSEAUA BUCIUM, NR. 36, 700282, IASI

THE EFFECT OF FUNCTIONAL ELECTRICAL STIMULATION ON CORTICAL EXCITABILITY AND CLINICAL PARAMETERS OF GAIT IN CHRONIC STROKE SURVIVORS


Autori: IGNAT Bogdatn E., BOHOTIN Valentin, DOBRIN Romeo Petru, CHIRITA Roxana, HOREANU Cristina, POBORONIUC Marian, POPESCU Cristian Dinu

Cuvinte cheie: peroneal nerve stimmulation, ODFS, transcranial magnetic stimulation, motor evoked potential

Abstract:

Functional electrical stimulation (FES) is a procedure that is increasingly accepted as part in the rehabilitation programme in stroke. We have investigated the effectiveness of a 9 days programme of peroneal nerve stimulation with an ODFS2 device in stroke survivors. Stimulation was synchronised with the swing phase of gait. 25 chronic patients have trained for 30 – 45 minutes each day. Speed, stride length and physiological cost index have been measured over a 25 m straight course, with and without the use of FES, both in the 25 patients active group and in a 5 patients control group. Depression has been evaluated with the Hamilton scale before and after the training. Transcranial magnetic stimulation was used to evaluate cortical changes induced by FES training in 10 of the patients in the active group. Increase in speed, stride length and a decrease of effort (physiological cost index, PCI) were recorded both for normal gait and for the FES enhanced gait compared to the initial performance and to the controls. There was a significant supplementary decrease of PCI for FES gait compared to normal gait. No significant correlation was found between Hamilton scores and motor performance. A slightly enhanced cortical excitability was found on the lesioned hemisphere. Changes of the motor threshold, amplitude of the MEP and of the cortical representation of the lower limb were found on the healthy hemisphere.

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