The Effect of Implanted Functional Electrical Stimulation on Gait Performance in Stroke Survivors: A Systematic Review

Sensors (Basel). 2021 Dec 13;21(24):8323. doi: 10.3390/s21248323.

Abstract

The emerging literature suggests that implantable functional electrical stimulation may improve gait performance in stroke survivors. However, there is no review providing the possible therapeutic effects of implanted functional electrical stimulation on gait performance in stroke survivors. We performed a web-based, systematic paper search using PubMed, the Cochrane Library, and EMBASE. We limited the search results to human subjects and papers published in peer-reviewed journals in English. We did not restrict demographic or clinical characteristics. We included 10 papers in the current systematic review. Across all included studies, we found preliminary evidence of the potential therapeutic effects of functional electrical stimulation on walking endurance, walking speed, ankle mobility, and push-off force in stroke survivors. However, due to the heterogeneity between the included studies, small sample size, and lack of randomized controlled trials, more studies are critically needed to confirm whether implanted functional electrical stimulation can improve gait performance in stroke survivors.

Keywords: foot drop; functional electrical stimulation; gait; implant; stroke; stroke rehabilitation; stroke survivors.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Electric Stimulation
  • Electric Stimulation Therapy*
  • Gait
  • Gait Disorders, Neurologic* / therapy
  • Humans
  • Stroke Rehabilitation*
  • Stroke* / therapy
  • Survivors
  • Walking