Functional electrical stimulation of the peroneal nerve for hemiplegia. Long-term clinical follow-up.
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FES has clinical applications for activation of lower extremity motion.
“for activation of lower extremity motion”
From A critical review of interfaces with the peripheral nervous system for the control of neuroprostheses and hybrid bionic systems (2005) · cites this paper as Waters et al., 1985
Nerves can be damaged by the presence of a cuff because of the delicacy of nerve tissue and the physical properties of the electrodes, especially in limb peripheral nerves subjected to a wide range of motion.
“In spite of the fact that cuff electrodes have been implanted in patients for decades, nerves can be damaged by the presence of the cuff due to the delicacy of the nerve tissue and the physical properties of the electrodes (Nielson et al., 1976; Waters et al., 1985; Krarup et al., 1989; Naples et al., 1990; Larsen et al., 1998) , especially in peripheral nerves of the limbs, subjected to a wide”
From A critical review of interfaces with the peripheral nervous system for the control of neuroprostheses and hybrid bionic systems (2005) · cites this paper as Waters et al., 1985
In chronic neural stimulation of various peripheral nerves in humans, extraneural electrodes have proven biostable in the peroneal nerve for at least 12 years in passive and active testing.
“In chronic neural stimulation of various peripheral nerves in humans, extraneural electrodes have proven biostable in the peroneal nerve for at least 12 years [6] in passive and active testing.”
From Safety of long-term electrical peripheral nerve stimulation: review of the state of the art (2019) · cites this paper as [6]
Waters et al. safely applied stimuli with a frequency of 33 Hz for a period of up to 12 years to the human peroneal nerve.
“Waters et al. safely applied stimuli with a frequency of 33 Hz for a period of up to 12 years to the human peroneal nerve [6]”
From Safety of long-term electrical peripheral nerve stimulation: review of the state of the art (2019) · cites this paper as [6]
Cited by
Sorted by citations
Navarro, X., Krueger, T. B., Lago, N., Micera, S., Stieglitz, T., & Dario, P. (2005) · Journal of the Peripheral Nervous System · doi:10.1111/j.1085-9489.2005.10303.x · Cited by 845 · see citing works
“…for ventilatory assistance (Glenn et al., 1986; Creasey et al., 1996; Chervin and Guilleminault, 1997), for activation of lower extremity motion (Waters et al., 1985; Popovic, 1992; Haugland and Sinkjaer, 1995; Triolo et al., 1996; Graupe and Kohn, 1997; Popovic et al., 1998; Taylor et al.,…”
BackgroundInfluentialNeuromuscular electrical stimulation in neurorehabilitation
Sheffler, L. R., & Chae, J. (2007) · Muscle & Nerve · doi:10.1002/mus.20758 · Cited by 529 · see citing works
A spiral nerve cuff electrode for peripheral nerve stimulation
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Functional Electrical Stimulation and rehabilitation—an hypothesis
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Stimulus waveforms for selective neural stimulation
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A review of portable FES-based neural orthoses for the correction of drop foot
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“A follow-up study was also carried out ten years after the implant to assess the long-term performance of the implant [63].”
BackgroundClinical use of the odstock dropped foot stimulator: Its effect on the speed and effort of walking
Taylor, P. N., Burridge, J. H., Dunkerley, A. L., Wood, D. E., Norton, J. A., Singleton, C., & Swain, I. D. (1999) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/s0003-9993(99)90333-7 · Cited by 275 · see citing works
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Safety of long-term electrical peripheral nerve stimulation: review of the state of the art
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Polyimide cuff electrodes for peripheral nerve stimulation
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Identification of cytokine-specific sensory neural signals by decoding murine vagus nerve activity
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Considerations for Safety with Chronically Implanted Nerve Electrodes
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“These include respiratory pacing (14,15,35), lower extremity neuromuscular assist (24,33,38,39,41), upper extremity neuromuscular assist (22), control of intractable pain (9,28,29,32,34) and electromicturition and urinary incontinence (7,31,36).”
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Spinal Cord Microstimulation Generates Functional Limb Movements in Chronically Implanted Cats
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“On the clinical side, however, extra-type electrodes such as the epimysial and cuff, have proved their safety and functionality for several years in different applications [19-22,31-34,4042,52].”
BackgroundNeural network control of functional neuromuscular stimulation systems: computer simulation studies
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Quantification of recruitment properties of multiple contact cuff electrodes
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A Multicenter Trial of a Footdrop Stimulator Controlled by a Tilt Sensor
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Phase II trial to evaluate the ActiGait implanted drop-foot stimulator in established hemiplegia
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Selectivity of multiple-contact nerve cuff electrodes: a simulation analysis
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Interfaces with the Peripheral Nerve for the Control of Neuroprostheses
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Control of functional neuromuscular stimulation systems for standing and locomotion in paraplegics
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Functional electrical stimulation
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Selective activation of muscles using peripheral nerve electrodes
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Self-citationPeripheral Nerve Stimulation: A Review of Techniques and Clinical Efficacy
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Multiple-electrode nerve cuffs for low-velocity and velocity-selective neural recording
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The Evolution of Neuroprosthetic Interfaces
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Therapeutic neural effects of electrical stimulation
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Chapter 2 Bidirectional Interfaces with the Peripheral Nervous System
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Autogenic EMG-controlled functional electrical stimulation for ankle dorsiflexion control
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“, 1997) may employ a ramp up and ramp down trapezoidal waveform, to more closely mimic physiologically relevant activation (Liberson et al., 1961; Waters et al., 1985).”
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“Nerve-cuff placement as far distally as possible ensures the best muscle activation selectivity; however, locations below the knee may have complications caused by lead wires crossing the joint [30].”
BackgroundA Parylene Self-Locking Cuff Electrode for Peripheral Nerve Stimulation and Recording
Yu, H., Xiong, W., Zhang, H., Wang, W., & Li, Z. (2014) · Journal of Microelectromechanical Systems · doi:10.1109/jmems.2014.2333733 · Cited by 56 · see citing works
“There are some reports showing that the cuff electrodes have been in use for as long as 15 years [32], [33].”
BackgroundVery Low-Noise ENG Amplifier System Using CMOS Technology
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Long‐term biocompatibility of implanted polymer‐based intrafascicular electrodes
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An Implantable Two Channel Drop Foot Stimulator: Initial Clinical Results
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Electrical systems for improving locomotion after incomplete spinal cord injury: an assessment.
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TREATMENT OF ACQUIRED MUSCLE SPASTICITY USING PHENOL PERIPHERAL NERVE BLOCKS
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Functional Electrical Stimulation For Walking In Paraplegia: 17-Year Follow-Up Of 2 Cases
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Lower Extremity Applications of Functional Neuromuscular Stimulation
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Blind source separation of peripheral nerve recordings
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The development of a potential optimized stimulation intensity envelope for drop foot applications
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Recruitment data for nerve cuff electrodes: implications for design of implantable stimulators
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“The nerve cuff electrode [1]–[5] has been an essential component of this endeavour for the past 30 years, in part because it can be safely implanted for extended periods of time [6].”
BackgroundAmbulatory rehabilitation in multiple sclerosis
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“Furthermore, studies have shown that after using an FES device for a limited period, patients may acquire the ability to induce voluntary movements that were previously limited, even when the device has been turned off [82,83].”
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“Their surgical placement minimizes damage (del Valle and Navarro 2013) and they have been successfully implanted in humans (Waters et al. 1985; Tan et al. 2014).”
BackgroundFabrication of the Composite Regenerative Peripheral Nerve Interface (C-RPNI) in the Adult Rat
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Interfacing with the nervous system: a review of current bioelectric technologies
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“The electrodes are attached to the common peroneal nerve (4,5).”
BackgroundImplantable stimulator for selective stimulation of the common peroneal nerve: a preliminary report
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“Nerve cuff electrodes are a type of extraneural electrodes that have been shown to be safe for chronic implantation in humans [2]-[4] but have relatively poor recording selectivity.”
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Initial results with fully implanted Neurostep TM FES system for foot drop
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“Electrical stimulation is applied via percutaneous intramuscular electrodes surgically implanted percutaneously into the motor point of the ankle dorsiflexor muscles (11).”
MethodOrtiz-Catalan, M., Marin-Millan, J., Delbeke, J., Håkansson, B. E. V., & Brånemark, R. (2013) · Journal of NeuroEngineering and Rehabilitation · doi:10.1186/1743-0003-10-22 · Cited by 22 · see citing works
“Introduction Cuff electrodes have been widely used in neuroprosthetics with different applications such as footdrop correction by stimulation of the peroneal nerve in patients with hemiplegia [1]; stimulation of the median and ulnar nerves for pain control [2]; treatment of obstructive sleep apnea by stimulation of th…”
MethodMultielectrode spiral cuff for selective stimulation of nerve fibres
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Assessment of a two-channel implantable peroneal nerve stimulator post-stroke
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BION/sup TM/. Bionic neurons for functional and therapeutic electrical stimulation
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Concepts and Methods in Neuromodulation and Functional Electrical Stimulation: An Introduction
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Functional Neuromuscular Stimulation in Spinal Cord Injury
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Application of a Dual Channel Peroneal Nerve Stimulator in a Patient with a “Central” Drop Foot
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“Since 1961 [1], a variety of peroneal or drop foot stimulators have been developed [2–7].”
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“Supporting this statement, Waters et al. (1985) [195] applied ES for 12 years in human patients with peroneal nerve lesions, using a frequency of 33 Hz, concluding that there was evidence of long-term safety with frequencies near 30 Hz.”
MethodAn implanted system for multi-site nerve cuff-based ENG recording using velocity selectivity
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Implantable neuroprosthetic technology
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Electrodes for Biopotential Recording and Tissue Stimulation
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Nerve cuff electrode with shape memory alloy armature: design and fabrication.
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Long‐term model of induced canine phonation
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“24 Subsequent approaches using epineural electrodes with multiple contacts for selective stimulation of peroneal nerve fascicles showed improved ability to control inversion and eversion along with dorsi fl exion, with sustained improvements in gait.”
BackgroundStimulation of the Spinal Cord for the Control of Walking
Dalrymple, A. N., & Mushahwar, V. K. (2017) · Series on bioengineering and biomedical engineering · doi:10.1142/9789813207158_0025 · Cited by 8 · see citing works
Ernst, J., Grundey, J., Hewitt, M., et al. (2013) · Biomedizinische Technik/Biomedical Engineering · doi:10.1515/bmt-2013-4015 · Cited by 10 · see citing works
RetractedModel study of time‐dependent muscle response to pulsed electrical stimulation
Joshi, R. P., Mishra, A., Xiao, S. H., & Pakhomov, A. G. (2010) · Bioelectromagnetics · doi:10.1002/bem.20566 · Cited by 10 · see citing works
“Such stimulation is used to activate muscles artificially and has applications in neurophysiology, clinical research, neuromuscular therapies, and fatigue reduction [Waters et al., 1985; Tanagho et al., 1989; Baker et al., 1993; Stein et al., 2002; Popovic and Thrasher, 2004].”
MethodElectrodes for the Neural Interface
Tyler, D. J., & Polasek, K. H. (2009) · Elsevier eBooks · doi:10.1016/b978-0-12-374248-3.00018-5 · Cited by 13 · see citing works
Procházka, A. (2018) · Comprehensive physiology · doi:10.1002/cphy.c180006 · Cited by 14 · see citing works
A low-noise front-end for multiplexed ENG recording using CMOS technology
Taylor, J. T., & Rieger, R. (2011) · Analog Integrated Circuits and Signal Processing · doi:10.1007/s10470-011-9598-5 · Cited by 9 · see citing works
“Nerve cuff electrodes are currently the most well-established interfaces with safe implantation having been reported for as long as 15 years [3].”
BackgroundTherapeutic FES: From Rehabilitation to Neural Prosthetics
Campbell, J., & Meadows, P. M. (1992) · Assistive Technology · doi:10.1080/10400435.1992.10132188 · Cited by 9 · see citing works
Plasma processing of materials for medical applications
Lee, I. S., Park, J., & Lee, Y. (2003) · Surface and Coatings Technology · doi:10.1016/s0257-8972(03)00281-0 · Cited by 9 · see citing works
Sammut, S., Koh, R. G. L., & Zariffa, J. (2021) · Sensors · doi:10.3390/s21020506 · Cited by 8 · see citing works
A review of source separation and source localization approaches in peripheral nerves
Zariffa, J. (2014) · Asilomar Conference on Signals, Systems and Computers (ACSSC) · doi:10.1109/acssc.2014.7094448 · Cited by 10 · see citing works
“ratio [13], but have also been shown to be suitable for chronic implantation in humans for periods of several years [14, 15].”
Background
- Authors
- Waters, R. L., McNeal, D. R., Faloon, W., & Clifford, B.
- Venue
- The Journal of Bone & Joint Surgery
- Published
- 1985-06
- Volume
- 67
- Issue
- 5
- Pages
- 792-793
- ISSN
- 0021-9355 (ISSN-L)
- OpenAlex
- W130055011
- Cited by
- 156
- References
- 0
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 3 · 2021: 6 · 2020: 3 · 2019: 6 · 2018: 4 · 2017: 3 · 2016: 4 · 2015: 3 · 2014: 5 · 2013: 5 · 2012: 2
- FWCI
- 5.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Bone and Joint Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Health Sciences › Medicine › Pathology and Forensic Medicine › Spinal Cord Injury Research
- Keywords
- functional electrical stimulation, peroneal nerve, hemiplegia, long-term follow-up, peripheral nerve stimulation, stroke rehabilitation
- MeSH terms
- Electric Stimulation Therapy, Follow-Up Studies, Hemiplegia, Humans, Peroneal Nerve, Time Factors, Prostheses and Implants
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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