Effectiveness of functional electrical stimulation on walking speed, functional walking category, and clinically meaningful changes for people with multiple sclerosis
Authors: Street, T., Taylor, P. and Swain, I.
Journal: Archives of Physical Medicine and Rehabilitation
Volume: 96
Issue: 4
Pages: 667-672
eISSN: 1532-821X
ISSN: 0003-9993
DOI: 10.1016/j.apmr.2014.11.017
Abstract:Objective To determine the effectiveness of functional electrical stimulation (FES) on drop foot in patients with multiple sclerosis (MS), using data from standard clinical practice. Design Case series with a consecutive sample of FES users collected between 2008 and 2013. Setting Specialist FES center at a district general hospital. Participants Patients with MS who have drop foot (N=187) (117 women, 70 men; mean age, 55y [range, 27-80y]; mean duration since diagnosis, 11.7y [range, 1-56y]). A total of 166 patients were still using FES after 20 weeks, with 153 patients completing the follow-up measures. Interventions FES of the common peroneal nerve (178 unilateral, 9 bilateral FES users). Main Outcome Measures Clinically meaningful changes (ie, >.05m/s and >0.1m/s) and functional walking category derived from 10-m walking speed. Results An increase in walking speed was found to be highly significant (P<.001), both initially where a minimum clinically meaningful change was observed (.07m/s) and after 20 weeks with a substantial clinically meaningful change (.11m/s). After 20 weeks, treatment responders displayed a 27% average improvement in their walking speed. No significant training effect was found. Overall functional walking category was maintained or improved in 95% of treatment responders. Conclusions FES of the dorsiflexors is a well-accepted intervention that enables clinically meaningful changes in walking speed, leading to a preserved or an increased functional walking category.
Source: Scopus
Effectiveness of functional electrical stimulation on walking speed, functional walking category, and clinically meaningful changes for people with multiple sclerosis.
Authors: Street, T., Taylor, P. and Swain, I.
Journal: Arch Phys Med Rehabil
Volume: 96
Issue: 4
Pages: 667-672
eISSN: 1532-821X
DOI: 10.1016/j.apmr.2014.11.017
Abstract:OBJECTIVE: To determine the effectiveness of functional electrical stimulation (FES) on drop foot in patients with multiple sclerosis (MS), using data from standard clinical practice. DESIGN: Case series with a consecutive sample of FES users collected between 2008 and 2013. SETTING: Specialist FES center at a district general hospital. PARTICIPANTS: Patients with MS who have drop foot (N=187) (117 women, 70 men; mean age, 55y [range, 27-80y]; mean duration since diagnosis, 11.7y [range, 1-56y]). A total of 166 patients were still using FES after 20 weeks, with 153 patients completing the follow-up measures. INTERVENTIONS: FES of the common peroneal nerve (178 unilateral, 9 bilateral FES users). MAIN OUTCOME MEASURES: Clinically meaningful changes (ie, >.05m/s and >0.1m/s) and functional walking category derived from 10-m walking speed. RESULTS: An increase in walking speed was found to be highly significant (P<.001), both initially where a minimum clinically meaningful change was observed (.07m/s) and after 20 weeks with a substantial clinically meaningful change (.11m/s). After 20 weeks, treatment responders displayed a 27% average improvement in their walking speed. No significant training effect was found. Overall functional walking category was maintained or improved in 95% of treatment responders. CONCLUSIONS: FES of the dorsiflexors is a well-accepted intervention that enables clinically meaningful changes in walking speed, leading to a preserved or an increased functional walking category.
Source: PubMed
Effectiveness of Functional Electrical Stimulation on Walking Speed, Functional Walking Category, and Clinically Meaningful Changes for People With Multiple Sclerosis
Authors: Street, T., Taylor, P. and Swain, I.
Journal: ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
Volume: 96
Issue: 4
Pages: 667-672
eISSN: 1532-821X
ISSN: 0003-9993
DOI: 10.1016/j.apmr.2014.11.017
Source: Web of Science (Lite)
Effectiveness of functional electrical stimulation on walking speed, functional walking category, and clinically meaningful changes for people with multiple sclerosis.
Authors: Street, T., Taylor, P. and Swain, I.
Journal: Archives of physical medicine and rehabilitation
Volume: 96
Issue: 4
Pages: 667-672
eISSN: 1532-821X
ISSN: 0003-9993
DOI: 10.1016/j.apmr.2014.11.017
Abstract:Objective
To determine the effectiveness of functional electrical stimulation (FES) on drop foot in patients with multiple sclerosis (MS), using data from standard clinical practice.Design
Case series with a consecutive sample of FES users collected between 2008 and 2013.Setting
Specialist FES center at a district general hospital.Participants
Patients with MS who have drop foot (N=187) (117 women, 70 men; mean age, 55y [range, 27-80y]; mean duration since diagnosis, 11.7y [range, 1-56y]). A total of 166 patients were still using FES after 20 weeks, with 153 patients completing the follow-up measures.Interventions
FES of the common peroneal nerve (178 unilateral, 9 bilateral FES users).Main outcome measures
Clinically meaningful changes (ie, >.05m/s and >0.1m/s) and functional walking category derived from 10-m walking speed.Results
An increase in walking speed was found to be highly significant (P<.001), both initially where a minimum clinically meaningful change was observed (.07m/s) and after 20 weeks with a substantial clinically meaningful change (.11m/s). After 20 weeks, treatment responders displayed a 27% average improvement in their walking speed. No significant training effect was found. Overall functional walking category was maintained or improved in 95% of treatment responders.Conclusions
FES of the dorsiflexors is a well-accepted intervention that enables clinically meaningful changes in walking speed, leading to a preserved or an increased functional walking category.Source: Europe PubMed Central