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Functional electrical stimulation and ankle foot orthoses provide equivalent therapeutic effects on foot drop: A meta-analysis providing direction for future research

Prenton, Sarah, Hollands, Kristen L., Kenney, Laurence P. and Onmanee, Pornsuree (2017) Functional electrical stimulation and ankle foot orthoses provide equivalent therapeutic effects on foot drop: A meta-analysis providing direction for future research. Journal of Rehabilitation Medicine. ISSN 1650-1977

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Abstract

Objective: To compare the randomized controlled trial evidence for therapeutic effects on walking of functional electrical stimulation and ankle foot orthoses for foot drop caused by central nervous system conditions.

Data sources: MEDLINE, CINAHL, Cochrane Central Register of Controlled Trials, REHABDATA, PEDro, NIHR Centre for Reviews and Dissemination, Scopus and clinicaltrials.gov.

Study selection: One reviewer screened titles/abstracts. Two independent reviewers then screened the full articles.

Data extraction: One reviewer extracted data, another screened for accuracy. Risk of bias was assessed by 2 independent reviewers using the Cochrane Risk of Bias Tool.

Data synthesis: Eight papers were eligible; 7 involving participants with stroke and 1 involving participants with cerebral palsy. Two papes reporting different measures from the same trial were grouped, resulting in 7 synthesized randomized controlled trials (n= 464). Meta-analysis of walking speed at final assessment (p = 0.46), for stroke participants (p = 0.54) and after 4–6 weeks’ use (p = 0.49) showed equal improvement for both devices.

Conclusion: Functional electrical stimulation and ankle foot orthoses have an equally positive therapeutic effect on walking speed in non-progressive central nervous system diagnoses. The current randomized controlled trial evidence base does not show whether this improvement translates into the user’s own environment or reveal the mechanisms that achieve that change. Future studies should focus on measuring activity, muscle activity and gait kinematics. They should also report specific device details, capture sustained therapeutic effects and involve a variety of central nervous system diagnoses.

Item Type: Article
Uncontrolled Keywords: Electric stimulation therapy; Foot orthoses; Walking; Foot drop; Central nervous system; Therapeutic effects; Systematic review; Meta-analysis
Subjects: R Medicine > R Medicine (General)
Schools: School of Human and Health Sciences
Related URLs:
Depositing User: Sharon Beastall
Date Deposited: 30 Oct 2017 11:29
Last Modified: 29 Nov 2017 19:49
URI: http://eprints.hud.ac.uk/id/eprint/33788

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