Neuroanatomical Predictors for Dysphagia Severity After First-Ever Acute Ischemic Stroke

Abstract

Objective: This study was designed to observe the effects of functional electrical stimulation on the promotion of motor function and functional mobility in individuals with hemiparesis who have regained walking ability, yet demonstrate ankle and knee dysfunction. We hypothesised that single channel FES would augment the motor function and functional mobility beyond the benefits of conservative management. Design: Quasi experimental study Design Setting: Vidyasagar Institute of Mental Health, Neuro and Allied Sciences (VIMHANS), New Delhi, India. Participants: 28 right-handed subjects with hemiplegia were included in the study Interventions: All the participants who fulfilled the inclusion criteria were included in the study and divided into two respective groups (13 in experimental and 15 in control). Both the groups received conservative physiotherapy treatment in the form of exercises for 45 minutes for 3 weeks (5 days/week). However, the participants in experimental group underwent additionally for FES therapy for 30 minutes. Main Outcome Measure(s): Participants were assessed on ten meter walking test (10MWT), dynamic gait index (DGI), and composite spasticity index (CSI), pre and post 3 weeks of functional electrical stimulation (FES) therapy. Results: The group with FES therapy resulted in better improvement on 10MWT, DGI and CSI, when compared with the control group who were treated conservatively. Conclusions: This study provides an evidence to support the use of functional electrical stimulation on hemiparetic individuals as an adjunct with other rehabilitation program.