Randomized comparison of functional electric stimulation in posturally corrected position and motor program activating therapy: treating foot drop in people with multiple sclerosis

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11120%2F20%3A43920135" target="_blank" >RIV/00216208:11120/20:43920135 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11320/20:10414303 RIV/00064173:_____/20:N0000015

Result on the web

<a href="https://doi.org/10.23736/S1973-9087.20.06104-3" target="_blank" >https://doi.org/10.23736/S1973-9087.20.06104-3</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.23736/S1973-9087.20.06104-3" target="_blank" >10.23736/S1973-9087.20.06104-3</a>

Result language

angličtina

Original language name

Randomized comparison of functional electric stimulation in posturally corrected position and motor program activating therapy: treating foot drop in people with multiple sclerosis

Original language description

BACKGROUND: Functional Electric Stimulation (FES) is recommended for foot drop in multiple sclerosis, although little is known about its therapeutic effect. AIM: To evaluate a therapeutic effect immediately and two months after program termination (persistent and delayed effect) of a new approach using FES in combination with correcting the patients&apos; postural system. More specifically, we evaluate the effects of this approach on the patients&apos; clinical functions and compared it with individual physiotherapy. DESIGN: Parallel randomised blind trial. SETTING: 2-month long treatments, Functional Electric Stimulation in Posturally Corrected Position (Group 1) and neuroproprioceptive facilitation and inhibition physiotherapy called Motor Program Activating Therapy (Group 2). POPULATION: 44 subjects with Multiple Sclerosis. METHODS: Primary outcomes: gait (the 2-Minute Walk Test; Timed 25-Foot Walk test; Multiple Sclerosis Walking Scale-12) and balance (by e.g. Berg Balance Scale, BBS; The Activities-Specific Balance Confidence Scale, ABC; Timed Up and Go Test, TUG). Secondary outcome: mobility, cognition, fatigue and subjects&apos; perceptions (e. g. Multiple Sclerosis Impact Scale, MSIS; Euroqol-5 dimensions-5 levels, EQ-5D-5L). RESULTS: Group 1 showed immediate therapeutic effect in BBS (p = 0.008), ABC (p=0.04) and EQ-5D-5L (self-care, p=0.019, mobility p=0,005). The improvement in EQ-5D-5L persisted and in TUGcognitive we documented a delayed effect (p=0.005). Group 2 showed an immediate improvement in BBS (p = 0.025), MSIS (p=0.043) and several aspects of daily life (the effect on health today was significantly higher than in Group 1, significant difference between groups p=0.038). CONCLUSIONS: FES in the Posturally Corrected Position has an immediate therapeutic effect on balance and patients&apos; perceptions comparable to Motor Program Activating Therapy, and higher persistent and even delayed therapeutic effect. CLINICAL REHABILITATION IMPACT: The study results point to the importance of correcting the patients&apos; posture when applying FES, the possibility to treat foot drop by individual physiotherapy and the activation of the patients&apos; auto reparative processes.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30210 - Clinical neurology

Project

—

Continuities

S - Specificky vyzkum na vysokych skolach<br>I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2020

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

European Journal of Physical and Rehabilitation Medicine

ISSN

1973-9087

e-ISSN

—

Volume of the periodical

56

Issue of the periodical within the volume

4

Country of publishing house

IT - ITALY

Number of pages

9

Pages from-to

394-402

UT code for WoS article

000570571400003

EID of the result in the Scopus database

2-s2.0-85089784837