Functional electrical stimulation in neurological disorders.
Functional electrical stimulation (FES) refers to electrical stimulation of muscles in order to improve the impaired motor function. This is achieved by activating skeletal muscles with constant frequency trains of stimulations. This method has been found useful in various neurological disorders like hemiplegia, foot drop and paraplegia including spinal cord injuries. The first half of this review focuses on the broad clinical applications of functional electrical stimulation, its mechanism of action and the complications of this mode of therapy. Advanced Parkinson's disease (PD) is characterized by marked slowing of gait and frequent freezing episodes. Medical and surgical treatments are often ineffective in managing freezing episodes. The second half of this review discusses briefly the gait abnormalities in PD and the available treatment options. The possible role of FES in improving gait in parkinsonism and the importance of future research in this direction are highlighted.
Sujith
O K
OK
Pacific Parkinson's Research Center, UBC Hospital, University of British Columbia, British Columbia, Canada. sujith@interchange.ubc.ca
D003952:Diagnostic Imaging; D004599:Electric Stimulation Therapy / Q000379:methods* / Q000639:trends; D006801:Humans; D009422:Nervous System Diseases / Q000503:physiopathology / Q000628:therapy*