Abstract：
STUDY DESIGN:Review. OBJECTIVES:This review article investigated the objective evidence of benefits derived from functional electrical stimulation (FES)-assisted gait for people with spinal cord injury (SCI). Both FES and gait have been proposed to promote not only augmented health and fitness, but specific ambulatory outcomes for individuals with neurological disabilities. However, due to small sample sizes and the lack of functionality of the intervention, it has not been widely used in clinical practice. This review assessed whether there is sufficient evidence to encourage a more widespread deployment of FES gait within the rehabilitation community. METHODS:Hand searches and online data collection were performed in Medline and Science Direct. Specific search terms used included SCI/paralysis/paraplegia and tetraplegia with electrical stimulation/FES, gait and walking. RESULTS:The searches generated 532 papers. Of these papers, 496 were excluded and 36 papers were included in the review. Many reported benefits were not carefully investigated, and small sample sizes or different methodologies resulted in insufficient evidence to draw definitive conclusions. CONCLUSIONS:FES gait can enhance gait, muscle strength and cardiorespiratory fitness for people with SCI. However, these benefits are dependent on the nature of the injury and further research is required to generalize these results to the widespread population of SCI individuals. Proof of the functionality and further evidence of the benefits of FES gait will assist in FES gait gaining clinical acceptance.
journal_name
Spinal Cordjournal_title
Spinal cordauthors
Nightingale EJ,Raymond J,Middleton JW,Crosbie J,Davis GMdoi
10.1038/sj.sc.3102101subject
Has Abstractpub_date
2007-10-01 00:00:00pages
646-57issue
10eissn
1362-4393issn
1476-5624pii
3102101journal_volume
45pub_type
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