| Autor: |
Joy Williams, PT, DPT, Marina Moldavskiy, BS, Katie Bauer, PT, DPT, Grace Reed, PT, DPT, Alexis Theuring, PT, DPT, CSCS, Jayme Zedrow, PT, DPT, W. Mark Sweatman, PhD, MBA, Deborah Backus, PT, PhD |
| Jazyk: |
angličtina |
| Rok vydání: |
2020 |
| Předmět: |
|
| Zdroj: |
Archives of Rehabilitation Research and Clinical Translation, Vol 2, Iss 2, Pp 100045- (2020) |
| Druh dokumentu: |
article |
| ISSN: |
2590-1095 |
| DOI: |
10.1016/j.arrct.2020.100045 |
| 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 |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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