Immediate Effects of Functional Electrical Stimulation-Assisted Cycling on the Paretic Muscles of Patients With Hemiparesis After Stroke: Evidence From Electrical Impedance Myography

BackgroundElectrical impedance myography (EIM) has been applied to assess muscle health conditions in neuromuscular disorders. This study aimed to detect immediate muscle electrical impedance property alterations in lower extremity of chronic stroke survivors immediately after functional electrical stimulation (FES)-assisted cycling training. MethodsFourteen chronic stroke survivors were recruited for the current study. EIM measurements were conducted before and immediately after 40-min FES-assisted cycling training for each subject. Four interested muscle groups [rectus femoris (RF), biceps femoris (BF), tibialis anterior (TA), and the medial head of gastrocnemius (MG)] were selected. Correlation analysis was performed to reveal a significant correlation between changes in EIM parameters and clinical scales [Fugl-Meyer Assessment of the lower extremity (FMA-LE); 6-min walking test (6MWT)]. ResultsImmediately after training, reactance (X) and phase angle (theta) values significantly increased on the TA and MG muscles. Significant correlation was observed between X value and FMA-LE scores (r = 0.649, p = 0.012) at MG as well as X and FMA scores of the ankle joint (r = 0.612, p = 0.02). Resistance (R) and theta were significantly correlated with 6MWT score (R-6MWT: r = 0.651, p = 0.012; theta-6MWT: r = 0.621, p = 0.018). ConclusionThis brief report demonstrated that EIM can reveal the intrinsic property alteration in the paretic muscle of chronic stroke survivors immediately after FES-assisted cycling training. These alterations might be related to muscle hypertrophy (i.e., increases in muscle fiber size). This brief report might aid the understanding of the mechanism of electrical stimulation-assisted exercise in improving muscle function of stroke survivors.

Automated summary

This study aimed to investigate the immediate electrical impedance property changes in the lower extremity muscles of chronic stroke survivors after functional electrical stimulation (FES)-assisted cycling training. The results showed that after training, the reactance and phase angle values of the muscles significantly increased, and there was a significant correlation with clinical assessment scales. These findings contribute to understanding the mechanism of electrical stimulation-assisted exercise in improving muscle function in stroke survivors.