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  4. Functional electrical stimulation as a component of activity-based restorative therapy may preserve function in persons with multiple sclerosis

Functional electrical stimulation as a component of activity-based restorative therapy may preserve function in persons with multiple sclerosis

The Journal of Spinal Cord Medicine, 2015 · DOI: 10.1179/2045772314Y.0000000238 · Published: January 1, 2015

NeurologyRehabilitation

Simple Explanation

This study investigates whether using functional electrical stimulation (FES) cycling as part of activity-based restorative therapy (ABRT) can help people with multiple sclerosis (MS) maintain their physical abilities. The study found that many patients' neurological function remained stable and some even showed improvements in motor and sensory functions when FES was used as part of their rehabilitation program. These findings suggest that FES, when combined with ABRT, could be a useful approach to help manage MS and potentially slow down the progression of disability associated with the condition.

Study Duration
15 Months
Participants
40 persons with MS
Evidence Level
Retrospective cohort

Key Findings

  • 1
    The study showed that neurological function remained stable in many patients with MS who underwent ABRT, which included FES cycling.
  • 2
    Participants who used FES interventions showed better responses in motor and sensory function compared to those who did not receive FES.
  • 3
    There was no observed progression of disability as measured by the EDSS (Expanded Disability Status Scale) after a mean follow-up of 15 months.

Research Summary

This retrospective cohort study examined the effect of functional electrical stimulation (FES) cycling as part of activity-based restorative therapy (ABRT) on disability progression in 40 participants with multiple sclerosis (MS). The results indicated that neurological function remained stable in many patients, with improvements observed in motor and sensory functions, particularly among those who received FES interventions. The study suggests that FES as part of ABRT may help preserve neurological function in patients with MS, highlighting the potential benefit of incorporating FES into MS rehabilitation programs.

Practical Implications

Rehabilitation Strategies

FES cycling can be integrated into activity-based restorative therapy programs to potentially preserve or improve neurological function in MS patients.

Clinical Trials

Future randomized clinical trials should explore the efficacy of higher doses of FES and ABRT to establish more definitive benefits for individuals with MS.

Outcome Measures

The ISNCSCI examination could be considered alongside the EDSS in MS clinical trials to better capture changes in motor and sensory function.

Study Limitations

  • 1
    Lack of a control group.
  • 2
    Relatively small sample size.
  • 3
    Inability to evaluate FES duration and intensity comprehensively.

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