Technical developments of functional electrical stimulation to correct drop foot: sensing, actuation and control strategies

Clin Biomech (Bristol, Avon). 2015 Feb;30(2):101-13. doi: 10.1016/j.clinbiomech.2014.11.007. Epub 2014 Nov 20.

Abstract

This work presents a review on the technological advancements over the last decades of functional electrical stimulation based neuroprostheses to correct drop foot. Functional electrical stimulation is a technique that has been put into practice for several years now, and has been shown to functionally restore and rehabilitate individuals with movement disorders, such as stroke, multiple sclerosis and traumatic brain injury, among others. The purpose of this technical review is to bring together information from a variety of sources and shed light on the field's most important challenges, to help in identifying new research directions. The review covers the main causes of drop foot and its associated gait implications, along with several functional electrical stimulation-based neuroprostheses used to correct it, developed within academia and currently available in the market. These systems are thoroughly analyzed and discussed with particular emphasis on actuation, sensing and control of open- and closed-loop architectures. In the last part of this work, recommendations on future research directions are suggested.

Keywords: Closed-loop control; Drop foot; Functional electrical stimulation; Gait; Neuroprosthesis; Open-loop control.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Brain Injuries / complications
  • Electric Stimulation Therapy / instrumentation
  • Electric Stimulation Therapy / methods*
  • Gait / physiology
  • Gait Disorders, Neurologic / etiology
  • Gait Disorders, Neurologic / physiopathology
  • Gait Disorders, Neurologic / therapy*
  • Humans
  • Multiple Sclerosis / complications
  • Stroke / complications