The Abstract The Title: Effect of Peroneal Nerve Functional Electrical Stimulation on Gait in Post-stroke Patients The Goal: The aim of this work was to compare two different ways of applying functional electrical stimulation of the peroneal nerve as to their impacts on the gait speed and performance and the spastic paresis of lower leg in adult patients suffering from chronic stages of stroke accompanied by foot drop. The Method: An open, randomized, controlled clinical pilot study combining elements of both controlled and pragmatic experiments in comparing two different clinical approaches to peroneal nerve functional electrical stimulation. With the first group of patients (group A, consisting of 14 subjects), the intervention was carried out as an outpatient, strictly controlled and intense training of gait with electrical stimulation over the period of four weeks, five times a week; the B-group patients (13 subjects) were all provided with their own stimulator which they applied continuously throughout all their daily routines at their homes and community over the equal period of time. The Results: The four-week intervention turned out to cause no statistically significant difference in our two groups in terms of its impact on any of the monitored parameters of the gait speed and performance as well as...

Of the 795,000 people that suffer a stroke in the United States every year, 65% experience hemiparesis. Foot drop is a common gait pathology in people with lower-limb paresis and is often caused by neuropathy of the peroneal nerve that innervates the muscles responsible for ankle dorsiflexion. Foot drop can impede toe clearance and increase the risk of falling, the leading cause of injury among adults ≥65 years. Lower-limb robotic exoskeletons have been used for gait training and can aid with walking, but current devices on the market can be heavy, expensive, and constrained to in-clinic use. Soft wearable robotic devices offer a lightweight and cost-effective alternative to traditional lower-limb exoskeletons. In particular, soft pneumatic systems have the potential to provide a high power-to-weight ratio making them ideal for a wearable application. The soft pneumatic exosuit consists of a footplate to collect air, storage to temporarily house the collected air, and two pneumatic actuators to provide an assistive torque around the wearer’s ankle joint while walking. EMG and IMU sensors were integrated to control the opening and closing of solenoid valves so that assistive torques could be applied to the ankle joint at optimal moments during the gait cycle. Preliminary validation of the soft pneumatic exosuit on a healthy participant demonstrated that the system could successfully deliver the air required to contract the actuators when the EMG sensors detected an increase in muscle activity. These results demonstrate that the current soft pneumatic exosuit appears to be a promising alternative to current rehabilitation exoskeletons on the market while remaining portable and low-cost. / 2025-05-24T00:00:00Z