Functional electrical stimulation for foot drop in people with multiple sclerosis: The relevance and importance of addressing quality of movement
| Autor: | Tania Burge, Angela Davies Smith, Rosemary Jones, Kamila Rasova, Terezie Prokopiusova |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
030506 rehabilitation
Foot drop medicine.medical_specialty Multiple Sclerosis media_common.quotation_subject medicine.medical_treatment Electric Stimulation Therapy 03 medical and health sciences 0302 clinical medicine Gait (human) Physical medicine and rehabilitation medicine Functional electrical stimulation Humans Quality (business) Relevance (information retrieval) Peroneal Neuropathies Gait media_common Rehabilitation business.industry Multiple sclerosis medicine.disease Electric Stimulation Increased risk Neurology Neurology (clinical) medicine.symptom 0305 other medical science business human activities 030217 neurology & neurosurgery |
| Zdroj: | Multiple sclerosis (Houndmills, Basingstoke, England). 27(5) |
| ISSN: | 1477-0970 |
| Popis: | Impaired mobility is common in people with multiple sclerosis (MS). Changes in gait have different causes and require individualised gait rehabilitation. A common and often early cause of mobility impairment is footdrop, inability to lift the foot during the swing phase of gait, with increased risk of falls, effortful walking and fatigue. Using literature review, we have characterised published data on footdrop treatment in MS, specifically functional electrical stimulation (FES) to better understand the reported outcomes relevant to the user. We discuss the strengths and weaknesses of FES and how far it meets the needs of people with footdrop. Physiotherapy combined with FES may further enhance the benefits of FES. MS studies emphasise the value of maintaining activity levels in early MS but discussion on how to achieve this is lacking. We emphasise the value of qualitative measures to broaden our understanding and improve treatment and adherence and identify areas for further research. Supplementary video material illustrates key features of MS gait and its correction using FES and physiotherapy. |
| Databáze: | OpenAIRE |
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