| Titre : | Effectiveness of Functional Electrical Stimulation on Walking Speed, Functional Walking Category, and Clinically Meaningful Changes for People With Multiple Sclerosis (2015) |
| Auteurs : | Tamsyn Street ; Paul Taylor ; Ian Swain |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2015/4, 2015) |
| Article en page(s) : | p. 667-672 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Rééducation et réadaptation ; Sclérose en plaques |
| Mots-clés: | Gait Disorders ; Neurologic ; Troubles neurologiques de la marche ; Electric stimulation ; Stimulation électrique ; Multiple sclerosis ; Peroneal nerve ; Nerf fibulaire commun |
| Résumé : |
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 and after weeks with substantial treatment responders displayed average improvement in their walking speed. no significant training effect found. overall functional category maintained or improved of 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. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314012817 |
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