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Functional electrical stimulation through direct 4-channel nerve stimulation to improve gait in multiple sclerosis: a feasibility study

Overview of attention for article published in Journal of NeuroEngineering and Rehabilitation, November 2015
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174 Mendeley
Title
Functional electrical stimulation through direct 4-channel nerve stimulation to improve gait in multiple sclerosis: a feasibility study
Published in
Journal of NeuroEngineering and Rehabilitation, November 2015
DOI 10.1186/s12984-015-0096-3
Pubmed ID
Authors

Janet Hausmann, Catherine M. Sweeney-Reed, Uwe Sobieray, Mike Matzke, Hans-Jochen Heinze, Jürgen Voges, Lars Buentjen

Abstract

Gait dysfunction due to lower limb central paralysis, frequently involving drop foot, is a common cause of disability in multiple sclerosis and has been treated with transcutaneous functional electrical stimulation (FES). We provide here the first report of 4-channel semi-implantable FES of the peroneal nerve which has been successfully used for rehabilitation in patients following stroke. FES was implemented via a 4-channel semi-implantable closed-loop system (ActiGait®, ©Ottobock), generating dorsiflexion in drop foot. Walking distance, gait symmetry (temporospatial gait analyses, Vicon Motion Systems®), gait velocity (10 m walking test) and quality of life (SF-36 questionnaire) were measured to evaluate the therapeutic benefit of this system in two patients with progressive MS. Walking distance increased from 517 to 1884 m in Patient 1 and from 52 to 506 m in Patient 2. Gait velocity did not change significantly in Patient 1 and increased from 0.6 to 0.8 m/s in Patient 2. Maximum deviations of center of mass from the midline to each side changed significantly after 3 months of stimulation compared to baseline, decreasing from 15 to 12 mm in Patient 1 and from 47 to 37 mm in Patient 2. Both patients experienced reduced pain and fatigue and benefits to quality of life. Adverse events did not occur during the observation period. We conclude that implantable 4-channel FES systems are not only feasible but present a promising new alternative for treating central drop foot in MS patients.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 174 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
India 1 <1%
Germany 1 <1%
Luxembourg 1 <1%
Unknown 171 98%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 27 16%
Student > Bachelor 27 16%
Researcher 21 12%
Student > Master 20 11%
Student > Doctoral Student 11 6%
Other 27 16%
Unknown 41 24%
Readers by discipline Count As %
Medicine and Dentistry 40 23%
Nursing and Health Professions 25 14%
Engineering 21 12%
Neuroscience 15 9%
Sports and Recreations 8 5%
Other 13 7%
Unknown 52 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 31 May 2016.
All research outputs
#14,701,200
of 22,833,393 outputs
Outputs from Journal of NeuroEngineering and Rehabilitation
#775
of 1,279 outputs
Outputs of similar age
#153,116
of 281,503 outputs
Outputs of similar age from Journal of NeuroEngineering and Rehabilitation
#10
of 16 outputs
Altmetric has tracked 22,833,393 research outputs across all sources so far. This one is in the 35th percentile – i.e., 35% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,279 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.9. This one is in the 39th percentile – i.e., 39% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 281,503 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 44th percentile – i.e., 44% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 16 others from the same source and published within six weeks on either side of this one. This one is in the 37th percentile – i.e., 37% of its contemporaries scored the same or lower than it.