An exploratory study of gait and functional outcomes after neuroprosthesis use in children with hemiplegic cerebral palsy

作者：Bailes Amy F; Caldwell Cailee; Clay Mike; Tremper Melissa; Dunning Kari; Long Jason

来源：Disability and Rehabilitation, 2017, 39(22): 2277-2285.

DOI：10.1080/09638288.2016.1225827

• Cerebral palsy
• hemiplegia
• FES neuroprosthesis
• electrical stimulation
• gait

Purpose: To evaluate the immediate orthotic, total and therapeutic effects of functional electrical stimulation (FES) neuroprosthesis use on clinic based measures of gait and function in children with hemiplegic cerebral palsy.
Methods: Eleven children (mean 9 years 11 months) participated in an FES neuroprosthesis (Ness L300) intervention (4 week accommodation period followed by 12 weeks of daily use) and were assessed at baseline and post in stimulation off and stimulation on conditions. Measures included clinic based outcomes of gait and function.
Results: No significant immediate orthotic effects were observed. Significant (p < 0.01) total effects were noted for dorsiflexion at initial contact, Six-Minute Walk Test (6MWT), and walking speed. A significant therapeutic effect was found for steps off path on the Standardized Walking Obstacle Course (SWOC).
Conclusions: Results support previous findings of neuroprosthesis total effects on gait and provide some evidence for effects on function. Therapeutic effects remain unclear.

• 出版日期2017