Treadmill training augmented with real-time visualisation feedback and function electrical stimulation for gait rehabilitation after stroke: a feasibility study

Research output: Contribution to journalArticle

Abstract

Background: Stroke rehabilitation often uses the motor relearning concept that require patients to perform active practice of skill-specific training and to receive feedback. Treadmill training augmented with real-time visualisation feedback and functional electrical stimulation may have a beneficial synergistic effect on motor recovery. This study aims to determine the feasibility of this kind of enhanced treadmill training for gait rehabilitation among patients after stroke.

Methods: A system for dynamic visualisation of lower-limb movement based on 3-dimensional motion capture and a computer timed functional electrical stimulation system was developed. Participants received up to 20-min enhanced treadmill training instead of their over-ground gait training once or twice a week for 6 weeks at Coathill hospital, Lanarkshire, United Kingdom. Number of training sessions attended, and training duration were used to assess feasibility. Ankle kinematics in the sagittal plane of walking with and without functional electrical stimulation support of the pre-tibial muscles were also compared and used to confirm the functional electrical stimulation was triggered at the targeted time

Results: Six patients after stroke participated in the study. The majority of participants were male (5/6) with a age range from 30 to 84 years and 4/6 had left hemiplegia. All participants suffered from brain infarction and were at least 3 months after stroke. Number of training sessions attended ranged from 5 to 12. The duration of training sessions ranged from 11 to 20 min. No serious adverse events were reported. The computerised functional electrical stimulation to the pre-tibial muscles was able to reduce plantar flexion angle during the swing phase with statistical significance (p= 0.015 at 80%;p= 0.008 at 90 and 100% of the gait cycle).Conclusions:It is safe and feasible to use treadmill gait training augmented with real-time visual feedback and computer-controlled functional electrical stimulation with patients after stroke in routine clinical practice.
Trial registration: NCT03348215. Registered 20 November 2017.
LanguageEnglish
Article number20
Number of pages7
JournalBMC Biomedical Engineering
Volume1
DOIs
Publication statusPublished - 22 Aug 2019

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Feasibility Studies
Gait
Electric Stimulation
Stroke
Brain Infarction
Muscles
Sensory Feedback
Hemiplegia
Biomechanical Phenomena
Ankle
Walking
Stroke Rehabilitation
Lower Extremity
Rehabilitation

Keywords

  • treadmill training
  • functional electrical stimulation
  • visualisation feedback
  • 3-dimensional motion capture
  • stroke

Cite this

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title = "Treadmill training augmented with real-time visualisation feedback and function electrical stimulation for gait rehabilitation after stroke: a feasibility study",
abstract = "Background: Stroke rehabilitation often uses the motor relearning concept that require patients to perform active practice of skill-specific training and to receive feedback. Treadmill training augmented with real-time visualisation feedback and functional electrical stimulation may have a beneficial synergistic effect on motor recovery. This study aims to determine the feasibility of this kind of enhanced treadmill training for gait rehabilitation among patients after stroke.Methods: A system for dynamic visualisation of lower-limb movement based on 3-dimensional motion capture and a computer timed functional electrical stimulation system was developed. Participants received up to 20-min enhanced treadmill training instead of their over-ground gait training once or twice a week for 6 weeks at Coathill hospital, Lanarkshire, United Kingdom. Number of training sessions attended, and training duration were used to assess feasibility. Ankle kinematics in the sagittal plane of walking with and without functional electrical stimulation support of the pre-tibial muscles were also compared and used to confirm the functional electrical stimulation was triggered at the targeted timeResults: Six patients after stroke participated in the study. The majority of participants were male (5/6) with a age range from 30 to 84 years and 4/6 had left hemiplegia. All participants suffered from brain infarction and were at least 3 months after stroke. Number of training sessions attended ranged from 5 to 12. The duration of training sessions ranged from 11 to 20 min. No serious adverse events were reported. The computerised functional electrical stimulation to the pre-tibial muscles was able to reduce plantar flexion angle during the swing phase with statistical significance (p= 0.015 at 80{\%};p= 0.008 at 90 and 100{\%} of the gait cycle).Conclusions:It is safe and feasible to use treadmill gait training augmented with real-time visual feedback and computer-controlled functional electrical stimulation with patients after stroke in routine clinical practice.Trial registration: NCT03348215. Registered 20 November 2017.",
keywords = "treadmill training, functional electrical stimulation, visualisation feedback, 3-dimensional motion capture, stroke",
author = "Chanwit Phongamwong and Philip Rowe and Karen Chase and Andrew Kerr and Lindsay Millar",
year = "2019",
month = "8",
day = "22",
doi = "10.1186/s42490-019-0020-1",
language = "English",
volume = "1",
journal = "BMC Biomedical Engineering",
issn = "2524-4426",
publisher = "Springer",

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TY - JOUR

T1 - Treadmill training augmented with real-time visualisation feedback and function electrical stimulation for gait rehabilitation after stroke

T2 - BMC Biomedical Engineering

AU - Phongamwong, Chanwit

AU - Rowe, Philip

AU - Chase, Karen

AU - Kerr, Andrew

AU - Millar, Lindsay

PY - 2019/8/22

Y1 - 2019/8/22

N2 - Background: Stroke rehabilitation often uses the motor relearning concept that require patients to perform active practice of skill-specific training and to receive feedback. Treadmill training augmented with real-time visualisation feedback and functional electrical stimulation may have a beneficial synergistic effect on motor recovery. This study aims to determine the feasibility of this kind of enhanced treadmill training for gait rehabilitation among patients after stroke.Methods: A system for dynamic visualisation of lower-limb movement based on 3-dimensional motion capture and a computer timed functional electrical stimulation system was developed. Participants received up to 20-min enhanced treadmill training instead of their over-ground gait training once or twice a week for 6 weeks at Coathill hospital, Lanarkshire, United Kingdom. Number of training sessions attended, and training duration were used to assess feasibility. Ankle kinematics in the sagittal plane of walking with and without functional electrical stimulation support of the pre-tibial muscles were also compared and used to confirm the functional electrical stimulation was triggered at the targeted timeResults: Six patients after stroke participated in the study. The majority of participants were male (5/6) with a age range from 30 to 84 years and 4/6 had left hemiplegia. All participants suffered from brain infarction and were at least 3 months after stroke. Number of training sessions attended ranged from 5 to 12. The duration of training sessions ranged from 11 to 20 min. No serious adverse events were reported. The computerised functional electrical stimulation to the pre-tibial muscles was able to reduce plantar flexion angle during the swing phase with statistical significance (p= 0.015 at 80%;p= 0.008 at 90 and 100% of the gait cycle).Conclusions:It is safe and feasible to use treadmill gait training augmented with real-time visual feedback and computer-controlled functional electrical stimulation with patients after stroke in routine clinical practice.Trial registration: NCT03348215. Registered 20 November 2017.

AB - Background: Stroke rehabilitation often uses the motor relearning concept that require patients to perform active practice of skill-specific training and to receive feedback. Treadmill training augmented with real-time visualisation feedback and functional electrical stimulation may have a beneficial synergistic effect on motor recovery. This study aims to determine the feasibility of this kind of enhanced treadmill training for gait rehabilitation among patients after stroke.Methods: A system for dynamic visualisation of lower-limb movement based on 3-dimensional motion capture and a computer timed functional electrical stimulation system was developed. Participants received up to 20-min enhanced treadmill training instead of their over-ground gait training once or twice a week for 6 weeks at Coathill hospital, Lanarkshire, United Kingdom. Number of training sessions attended, and training duration were used to assess feasibility. Ankle kinematics in the sagittal plane of walking with and without functional electrical stimulation support of the pre-tibial muscles were also compared and used to confirm the functional electrical stimulation was triggered at the targeted timeResults: Six patients after stroke participated in the study. The majority of participants were male (5/6) with a age range from 30 to 84 years and 4/6 had left hemiplegia. All participants suffered from brain infarction and were at least 3 months after stroke. Number of training sessions attended ranged from 5 to 12. The duration of training sessions ranged from 11 to 20 min. No serious adverse events were reported. The computerised functional electrical stimulation to the pre-tibial muscles was able to reduce plantar flexion angle during the swing phase with statistical significance (p= 0.015 at 80%;p= 0.008 at 90 and 100% of the gait cycle).Conclusions:It is safe and feasible to use treadmill gait training augmented with real-time visual feedback and computer-controlled functional electrical stimulation with patients after stroke in routine clinical practice.Trial registration: NCT03348215. Registered 20 November 2017.

KW - treadmill training

KW - functional electrical stimulation

KW - visualisation feedback

KW - 3-dimensional motion capture

KW - stroke

U2 - 10.1186/s42490-019-0020-1

DO - 10.1186/s42490-019-0020-1

M3 - Article

VL - 1

JO - BMC Biomedical Engineering

JF - BMC Biomedical Engineering

SN - 2524-4426

M1 - 20

ER -