Home-Based Functional Electrical Stimulation Across Different Levels of Mobility in Neurological Patients: A Case Series
Dominika Kúrová* and Lukáš Sajdl
Background: In neurological conditions, achieving meaningful treatment effects often requires a high number of task-specific repetitions. For patients with impaired gait and mobility limitations, this can be difficult to accomplish within conventional outpatient rehabilitation due to time, financial, and logistical constraints. A home-based treatment program using functional electrical stimulation (FES) represents a real-world training approach that can be readily integrated into routine daily mobility.
Materials and methods: Three neurological patients with foot drop and differing levels of baseline mobility participated in an individualized, multimonth home-based FES program. Changes in functional mobility, ability to perform activities of daily living, and balance confidence were assessed using standardized questionnaires. In addition, patient-reported feedback was collected regarding integration of FES into daily routines, program intensity, perceived benefits and barriers, and overall satisfaction.
Results: Across all cases, FES was successfully integrated into routine mobility activities with varying stimulation doses, and improvements were observed in functional mobility, activities of daily living, and balance confidence. Distinct usage scenarios of home-based FES were identified, including intensive gait training, facilitation of safety and mobility during walking, and short-term support of recovery.
Conclusions: Home-based FES appears to be a feasible and adaptable intervention for neurological patients with different levels of mobility. The findings suggest that home-based FES may serve as a complementary extension of conventional rehabilitation, particularly for individuals facing transportation barriers or limited access to outpatient care.
