Safety and Feasibility of Various Functional Electrical Stimulation Cycling Protocols in Individuals With Multiple Sclerosis Who Are Nonambulatory
| Autor: | Jayme Zedrow, Marina Moldavskiy, Deborah Backus, Alexis Theuring, Katie Bauer, W. Mark Sweatman, Joy Williams, Grace Reed |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
FAMS
functional assessment of multiple sclerosis medicine.medical_specialty I-Stim stimulation interval medicine.medical_treatment rpm revolutions per minute MA motor assist Interval training I-Resist resistance interval EDSS Expanded Disability Status Scale MS multiple sclerosis Multiple sclerosis Wheelchair I-Rest rest interval VAS-P visual analog scale of pain Acute care Medicine Outpatient clinic Functional electrical stimulation VAS-S visual analog scale of spasticity Exercise Original Research lcsh:R5-920 Expanded Disability Status Scale Rehabilitation ESES Exercise Self-Efficacy Scale business.industry General Medicine Caregiver burden FES functional electrical stimulation QOL quality of life S standard protocol PHQ-9 9-Item Patient Health Questionnaire Health Physical therapy MSIS-29 29-Item Multiple Sclerosis Impact Scale ADLs activities of daily living business lcsh:Medicine (General) |
| Zdroj: | Archives of Rehabilitation Research and Clinical Translation, Vol 2, Iss 2, Pp 100045-(2020) Archives of Rehabilitation Research and Clinical Translation |
| ISSN: | 2590-1095 |
| Popis: | Objective To examine the safety, feasibility, and response to functional electrical stimulation (FES) cycling protocols requiring differing levels of effort in people with multiple sclerosis (MS) who are nonambulatory. Design Pilot study with pre-post intervention testing. Setting Outpatient clinic setting of a long-term acute care hospital. Participants Individuals (N=10) with MS (6 men; mean age 58.6±9.86y) who use a wheelchair for community mobility. Participants’ Expanded Disability Status Scale score ranged from 6.5 to 8.5 (median 7.5). Intervention Participants performed 3 or 4 FES cycling protocols requiring different levels of volitional effort during 6-8 testing sessions. Main Outcome Measures The primary outcome was safety, measured by adverse events and increase in MS symptoms, all assessed throughout, immediately post- and 1 day postsession. FES cycling performance for each protocol was also recorded. Exploratory outcome measures collected before and after all testing sessions included functional assessment of MS, MS Impact Scale, Exercise Self Efficacy Scale, Patient Health Questionnaire-9 item, and the Zarit Caregiver Burden Scale. Results All participants (4 women, 6 men) completed all testing sessions. There were no serious adverse events or differences in vitals or symptoms between protocols. Two participants had an isolated episode of mild hypotension. Changes in pain, spasticity, and fatigue were minimal. Five participants were able to cycle for 30 minutes and completed interval training protocols requiring increasing difficulty. The remainder cycled for Highlights • People with multiple sclerosis who are nonambulatory can safely perform functional electrical stimulation (FES) cycling using parameters requiring more effort. • FES cycling may offer an opportunity for increased exercise stimulus or neuromuscular training if individuals are adequately challenged using an appropriate cycling protocol. |
| Databáze: | OpenAIRE |
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