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

Kód výsledku v 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>

Nalezeny alternativní kódy

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

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30210 - Clinical neurology

Projekt

—

Návaznosti

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

Rok uplatnění

2020

Kód důvěrnosti údajů

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

Název periodika

European Journal of Physical and Rehabilitation Medicine

ISSN

1973-9087

e-ISSN

—

Svazek periodika

56

Číslo periodika v rámci svazku

4

Stát vydavatele periodika

IT - Italská republika

Počet stran výsledku

9

Strana od-do

394-402

Kód UT WoS článku

000570571400003

EID výsledku v databázi Scopus

2-s2.0-85089784837