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Neurorehabilitation and Neural Repair
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Improvement in Functional Ambulation as a Therapeutic Effect of Peroneal Nerve Stimulation in Hemiplegia: Two Case Reports

Lynne R. Sheffler, MD

Departments of Physical Medicine and Rehabilitation, Case Western Reserve University, Cleveland, Ohio, lsheffler{at}metrohealth.org, Department of Physical Medicine and Rehabilitation, MetroHealth Medical Center, Cleveland, Ohio, Cleveland Functional Electrical Stimulation Center Cleveland, Ohio

Maureen T. Hennessey, PT

Departments of Physical Medicine and Rehabilitation, Case Western Reserve University, Cleveland, Ohio, Department of Physical Medicine and Rehabilitation, MetroHealth Medical Center, Cleveland, Ohio, Cleveland Functional Electrical Stimulation Center Cleveland, Ohio

Gregory G. Naples, MS

Departments of Physical Medicine and Rehabilitation, Case Western Reserve University, Cleveland, Ohio, Department of Physical Medicine and Rehabilitation, MetroHealth Medical Center, Cleveland, Ohio, Cleveland Functional Electrical Stimulation Center Cleveland, Ohio

John Chae, MD

Departments of Physical Medicine and Rehabilitation, Case Western Reserve University, Cleveland, Ohio, Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio, Department of Physical Medicine and Rehabilitation, MetroHealth Medical Center, Cleveland, Ohio, Cleveland Functional Electrical Stimulation Center Cleveland, Ohio

Two chronic stroke survivors who utilized an ankle foot orthosis (AFO) prior to study entry were evaluated at baseline and after 4 weeks of daily use of a surface peroneal nerve stimulator. Participants were assessed without their dorsiflexor assistive device, using the modified Emory Functional Ambulation Profile (mEFAP). The participants demonstrated improvement in all 5 components of the mEFAP relative to baseline. These case reports indicate that enhanced functional ambulation may be an important therapeutic effect of peroneal nerve stimulation. Potential mechanisms are discussed. Controlled trials are needed to demonstrate a cause-and-effect relationship.

Key Words: Functional electrical stimulation • Peroneal nerve stimulation • Ankle foot orthosis • Gait • Hemiplegia.

This version was published on July 1, 2007

Neurorehabilitation and Neural Repair, Vol. 21, No. 4, 366-369 (2007)
DOI: 10.1177/1545968306297869
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