A Feasibility Study to Investigate the Effect of Functional Electrical Stimulation and Physiotherapy Exercise on the Quality of Gait of People With Multiple Sclerosis

This source preferred by Ian Swain

Authors: Swain, I., Taylor, P., Barrett, C., Mann, G. and Wareham, W.

Journal: Neuromodulation

This data was imported from PubMed:

Authors: Taylor, P., Barrett, C., Mann, G., Wareham, W. and Swain, I.

Journal: Neuromodulation

Volume: 17

Issue: 1

Pages: 75-84

eISSN: 1525-1403

DOI: 10.1111/ner.12048

OBJECTIVE: To examine the effect of Functional Electrical Stimulation (FES) for dropped foot and hip instability in combination with physiotherapy core stability exercises. METHODS: Twenty-eight people with secondary progressive multiple sclerosis and unilateral dropped foot participated in a randomized crossover trial. Group1 received FES for correction of dropped foot for six weeks with the addition of hip extension for a further six weeks. In weeks 12-18, FES was continued with the addition of eight sessions of core stability physiotherapy with home-based exercise. FES and home-based exercise were continued until weeks 19-24. Group 2 received the same physiotherapy intervention over the first 12 weeks, adding FES in the second 12 weeks. RESULTS: FES improved walking speed and Rivermead Observational Gait Analysis (ROGA) score, whereas physiotherapy did not. Adding gluteal stimulation further improved ROGA score. Both interventions reduced falls, but adding FES to physiotherapy reduced them further. FES had greater impact on Multiple Sclerosis Impact Scale, MSIS-29. CONCLUSION: The intervention was feasible. FES for dropped foot may improve mobility and quality of life and may reduce falls. Adding gluteal stimulation further improved gait quality. Adding physiotherapy may have enhanced the effect of FES, but FES had the dominant effect.

This data was imported from Scopus:

Authors: Taylor, P., Mann, G., Wareham, W., Swain, I. and Barrett, C.

Journal: Neuromodulation

eISSN: 1525-1403

ISSN: 1094-7159

DOI: 10.1111/ner.12048

Objective: To examine the effect of Functional Electrical Stimulation (FES) for dropped foot and hip instability in combination with physiotherapy core stability exercises. Methods: Twenty-eight people with secondary progressive multiple sclerosis and unilateral dropped foot participated in a randomized crossover trial. Group1 received FES for correction of dropped foot for six weeks with the addition of hip extension for a further six weeks. In weeks 12-18, FES was continued with the addition of eight sessions of core stability physiotherapy with home-based exercise. FES and home-based exercise were continued until weeks 19-24. Group 2 received the same physiotherapy intervention over the first 12 weeks, adding FES in the second 12 weeks. Results: FES improved walking speed and Rivermead Observational Gait Analysis (ROGA) score, whereas physiotherapy did not. Adding gluteal stimulation further improved ROGA score. Both interventions reduced falls, but adding FES to physiotherapy reduced them further. FES had greater impact on Multiple Sclerosis Impact Scale, MSIS-29. Conclusion: The intervention was feasible. FES for dropped foot may improve mobility and quality of life and may reduce falls. Adding gluteal stimulation further improved gait quality. Adding physiotherapy may have enhanced the effect of FES, but FES had the dominant effect. © 2013 International Neuromodulation Society.

This data was imported from Web of Science (Lite):

Authors: Taylor, P., Barrett, C., Mann, G., Wareham, W. and Swain, I.

Journal: NEUROMODULATION

Volume: 17

Issue: 1

Pages: 75-84

eISSN: 1525-1403

ISSN: 1094-7159

DOI: 10.1111/ner.12048

This data was imported from Europe PubMed Central:

Authors: Taylor, P., Barrett, C., Mann, G., Wareham, W. and Swain, I.

Journal: Neuromodulation : journal of the International Neuromodulation Society

Volume: 17

Issue: 1

Pages: 75-84

eISSN: 1525-1403

ISSN: 1094-7159

OBJECTIVE: To examine the effect of Functional Electrical Stimulation (FES) for dropped foot and hip instability in combination with physiotherapy core stability exercises. METHODS: Twenty-eight people with secondary progressive multiple sclerosis and unilateral dropped foot participated in a randomized crossover trial. Group1 received FES for correction of dropped foot for six weeks with the addition of hip extension for a further six weeks. In weeks 12-18, FES was continued with the addition of eight sessions of core stability physiotherapy with home-based exercise. FES and home-based exercise were continued until weeks 19-24. Group 2 received the same physiotherapy intervention over the first 12 weeks, adding FES in the second 12 weeks. RESULTS: FES improved walking speed and Rivermead Observational Gait Analysis (ROGA) score, whereas physiotherapy did not. Adding gluteal stimulation further improved ROGA score. Both interventions reduced falls, but adding FES to physiotherapy reduced them further. FES had greater impact on Multiple Sclerosis Impact Scale, MSIS-29. CONCLUSION: The intervention was feasible. FES for dropped foot may improve mobility and quality of life and may reduce falls. Adding gluteal stimulation further improved gait quality. Adding physiotherapy may have enhanced the effect of FES, but FES had the dominant effect.

The data on this page was last updated at 04:52 on April 20, 2019.