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Application of Eletrostimulation to Influence Walking in Patients with Multiple Sclerosis


Authors: K. Novotná;  R. Konvalinková
Authors‘ workplace: Neurologická klinika a Centrum klinických neurověd, 1. LF UK a Všeobecná fakultní nemocnice v Praze
Published in: Rehabil. fyz. Lék., 24, 2017, No. 3, pp. 170-177.
Category: Original Papers

Overview

Introduction:
Walking disorders belong to the most prominent symptoms accompanying RS. These difficulties may be present from the earliest stages of the disease, but mostly become stronger with the duration of the disease. There are various causes of walking disorders and in cases of paresis of dorsal flexor of ankle may be therapeutically influenced by functional eletrostimulation (FES).

Objective:
The aim of the study was to describe the use of FES system Walkaide in a group of patients with RS and to evaluate in which patients this kind of intervention is suitable.

Methods:
The study encompassed 10 patients of the RS Center of the Neurological Clinic, 1st Medical Faculty, Charles University and General Medicine Faculty in Prague. The patients suffered from damaged swing phase of the step and decreased muscular strength of ankle flexor muscles. The probands were examined at the beginning, after using FEX for one month and after 3E months of applied FES. The walking was examined by the functional clinical test Timed 25 foot walk test, two minutes walking test and Timed up and go test and the step test. Quantitative space-time parameters of walking were examined by the GAITRite instrument and subjective feeling of walking was evaluated by the Multiple Sclerosis Walking Scale-12 questionnaire.

Results:
Although all probands reported subjective improvement of walking, the extent of improvement of objective parameters varied significantly. All subjects felt certain extent of improvement especially while moving in the field, in coping with obstacles or barriers and steps, in a longer period of walking and improvement of the step stereotype.

Conclusion:
in some patients with RS (damaged swing phase of the step due to insufficient dorsal flexion) FES may become a therapeutic possibility making it possible to increase velocity and giving more quality to walking stereotype. In view of the high cost of the FES device, individual assessment is always suitable as well as a short-term examination of a neurostimulator.

KEYWORDS:
multiple sclerosis, functional electrostimulation (FES), walking


Sources

1. BARRETT, C. L., MANNM, G. E., TAILOR, P. N., STRIKE, P.: A randomized trial to investigate the effects of functional electrical stimulation and therapeutic exercise on walking performance for people with multiple sclerosis, Mult. Scler., 15, 2009, s. 493-504.

2. BARRETT, C., TAYLOR, P.: ‚The effects of the pdstock drop foot stimulator on perceived quality of life for people with stroke and multiple sclerosis‘, Neuromodulation, 13, 2010, s. 58-64.

3. BROEKMANS, T., ROELANTS, M., FEYS, P., ALDERS, G., GIJBELS, D., HANSSEN, I., STINISSEN, P., EIJNDE, B. O.: Effects of long-term resistance training and simultaneous electro-stimulation on muscle strength and functional mobility in multiple sclerosis., Mult. Scler., 17, 2011, s. 468-477.

4. BULLEY, C., MERCER, T. H., HOOPER, J. E., COWAN, P., SCOTT, S., VAN DER LINDEN, M. L.: Experiences of functional electrical stimulation (FES) and ankle foot orthoses (AFOs) for foot-drop in people with multiple sclerosis. Disability and Rehabilitation: Assistive Technology, 10, 2015, 6, s. 458-467.

5. BURRIDGE, J. H., ELESSI, K., PICKERING, R. M., TAYLOR, P. N.: Walking on an uneven surface: The effect of common peroneal stimulation on gait parameters and relationship between perceived and measured benefits in a sample of participants with a Drop-foot.  neuromodulation: Technology at the Neural Interface, 10, 2007, 1, s. 59-67.

6. BURRIDGE, J. H., MCLELLAN, D. L.: Relation between abnormal patterns of muscle activation and response to common peroneal nerve stimulation in hemiplegia. Journal of Neurology, Neurosurgery & Psychiatry, 69, 2000, 3, s. 353-361.

7 CAMERON, M. H., WAGNER, J. M.: Gait abnormalities in multiple sclerosis: pathogenesis, evaluation, and advances in treatment. Current Neurology and Neuroscience Reports, 11, 2011, 5, s, 507-515.

8. CARNSTAM, B., LARSSON, L. E., PREVEC, T. S.: Improvement of gait following functional electrical stimulation. I. Investigations on changes in voluntary strength and proprioceptive reflexes. Scandinavian Journal of Rehabilitation Medicine, 9, 1977, 1, s. 7-13.

9. COOTE, S., HUGHES, L., RAINSFORD, G., MINOGUE, C., DONNELLY, A.: Pilot randomized trial of progressive resistance exercise augmented by neuromuscular electrical stimulation for people with multiple sclerosis who use walking aids.Archives of Physical Medicine and Rehabilitation, 96, 2015, 2, s.197-204.

10. DAPUL, G., BETHOUX, F. : Functional electrical stimulation for foot drop in multiple sclerosis.  US Neurology, 2015, 1,. s. 10-18.

11 DOWNING, A., VAN RYN, D., FECKO, A., AIKEN, C., MCGOWAN, S., SAWERS, S., MCINERNY, T. MOORE, K., PASSARIELLO, L., ROGERS, H.: Effect of a 2-week trial of functional electrical stimulation on gait function and quality of life in people with multiple sclerosis. International Journal of MS Care, 16, 2014, 3, s. 146-152.

12. ESNOUF, J. E., TAYLOR, P. N., MANN, G. E., BARRETT, C. L.: Impact on activities of daily living using a functional electrical stimulation device to improve dropped foot in people with multiple sclerosis, measured by the Canadian Occupational Performance Measure. Multiple Sclerosis Journal, 16, 2010, 9, s. 1141-1147.

13. EVERAERT, D. G., THOMPSON, A. K., CHONG, S. L., STEIN, R. B.: Does functional electrical stimulation for foot drop strengthen corticospinal connections?.  Neurorehabilitation and Neural. Repair., 24, 2010, 2, s. 168-177.

14. GRAHAM, J.: Foot drop: Explaining the causes, characteristics and treatment. British Journal of Neuroscience Nursing, 6, 2010, 4, s. 168-172.

15. HAUSMANN, J., SWEENEY-REED, C. M., SOBIERAY, U., MATZKE, M., HEINZE, H. J., VOGES, J., BUENTJEN, L.: Functional electrical stimulation through direct 4-channel nerve stimulation to improve gait in multiple sclerosis: a feasibility study. Journal of Neuroengineering and Rehabilitation, 12, 2015, 1, s. 100.

16. HEESEN, C., BÖHM, J., REICH, C., KASPER, J., GOEBEL, M., GOLD, S. M.: Patient perception of bodily functions in multiple sclerosis: gait and visual function are the most valuable. Multiple Sclerosis Journal, 14, 2008, 7, s. 988-991.

17. HOBART, J., BLIGHT, A. R., GOODMAN, A., LYNN, F., PUTZKI, N.: Timed 25-Foot Walk Direct evidence that improving 20% or greater is clinically meaningful in MS. Neurology, 80, 2013, 16, s. 1509-1517.

18. CHEN, S. M., WONG, A. M.: Decreased central fatigue in multiple sclerosis patients after 8 weeks of surface functional electrical stimulation.  Journal of Rehabilitation Research and Development, 48, 2011, 5, s. 555-564.

19. KRAUSE, P., SZECSI, J., STRAUBE, A.: FES cycling reduces spastic muscle tone in a patient with multiple sclerosis. NeuroRehabilitation, 22, 2007,,. s. 335-337.

20. KURTZKE, J. F.: A new scale for evaluating disability in multiple sclerosis Neurology, 5, 1955, 8, s. 580-580.

21. LIBERSON, W. T., HOLMQUEST, H. J., SCOT, D., DOW, M.: Functional electrotherapy: stimulation of the peroneal nerve synchronized with the swing phase of the gait of hemiplegic patients.  Arch. Phys. Med. Rehabil., 1961, 42, s. 101-105.

22. MAYER, L., WARRING, T., AGRELLA, S., ROGERS, H. L., FOX, E. J.: Effects of functional electrical stimulation on gait function and quality of life for people with multiple sclerosis taking dalfampridine. International Journal of MS Care, 17, 2015, 1, s. 35-41.

23. MILLER, L., RAFFERTY, D., PAUL, L., MATTISON, P.: The impact of walking speed on the effects of functional electrical stimulation for foot drop in people with multiple sclerosis. Disability and Rehabilitation: Assistive Technology, 11, 2016, 6, s. 478-483.

24. MILLER, L., RAFFERTY, D., PAUL, L., MATTISON, P.: A comparison of the orthotic effect of the Odstock Dropped Foot Stimulator and the Walkaide functional electrical stimulation systems on energy cost and speed of walking in Multiple Sclerosis.  Disability and Rehabilitation: Assistive Technology, 10, 2015, 6, s. 482-485.

25. MOTL, R. W., LEARMONTH, Y. C.: Neurological disability and its association with walking impairment in multiple sclerosis: brief review. Neurodegenerative Disease Management, 4, 2014, 6, s. 491-500.

26. PAUL, L., RAFFERTY, D., YOUNG, S., MILLER, L., MATTISON, P., MCFADYEN, A.: The effect of functional electrical stimulation on the physiological cost of gait in people with multiple sclerosis.  Multiple Sclerosis Journal, 14, 2008, 7, s. 954-961.

27. SABUT, S. K., SIKDAR, C., MONDAL, R., KUMAR, R., MAHADEVAPPA, M.: Restoration of gait and motor recovery by functional electrical stimulation therapy in persons with stroke.  Disability and Rehabilitation, 32, 2010, 19, s. 1594-1603.

28. SCOTT, M. S., VAN DER LINDEN, M. L., HOOPER, J. E. COWAN, P., MERCER, T. H.: Quantification of gait kinematics and walking ability of people with multiple sclerosis who are new users of functional electrical stimulation, Journal of Rehabilitation Medicine, 45, 2013, 4, s. 364-369.

29. SHEFFLER, L. R., BAILEY, S. N., CHAE, J.: Spatiotemporal and kinematic effect of peroneal nerve stimulation versus an ankle-foot orthosis in patients with multiple sclerosis: a case series.  PM&R, 1, 2009, 7, s. 604-611.

30. STEIN, R. B., EVERAERT, D. G., THOMPSON, A. K., CHONG, S. L., WHITTAKER, M., ROBERTSON, J., KUETHER, G.: Long-term therapeutic and orthotic effects of a foot drop stimulator on walking performance in progressive and nonprogressive neurological disorders.  Neurorehabilitation and Neural. Repair., 24, 2010, 2, s. 152-167.

31. STEIN, R. B., EVERAERT, D. G., THOMPSON, A. K., CHONG, S. L., WHITTAKER, M., ROBERTSON, J., KUETHER, G.: Long-term therapeutic and orthotic effects of a foot drop stimulator on walking performance in progressive and nonprogressive neurological disorders.  Neurorehabilitation and Neural. Repair., 24, 2010, 2, s. 152-167.

32. TAYLOR, P., BARRETT, C., MANN, G., WAREHAM, W., SWAIN, I.: A feasibility study to investigate the effect of functional electrical stimulation and physiotherapy exercise on the quality of gait of people with multiple sclerosis. Neuromodulation: Technology at the Neural Interface, 17, 2014, 1, s. 75-84.

33. TAYLOR, P. N., BURRIDGE, J. H., DUNKERLEY, A. L., LAMB, A., WOOD, D. E., NORTON, J. A., SWAIN, I. D.: Patients‘ perceptions of the Odstock Dropped Foot Stimulator (ODFS).  Clinical Rehabilitation, 13, 1999, 5, s. 439-446.

34. TAYLOR, P. N.: The use of electrical stimulation for correction of dropped foot in subjects with upper motor neuron lesions. Advances in Clinical Neuroscience and Rehabilitation, 2, 2002, 1, s. 16-18.

35. VAN ASCH, P.: Impact of mobility impairment in multiple sclerosis 2–patients’ perspectives. Eur Neurol. Re., 6, 2011, 2, s. 115-120.

36. VAN DER LINDEN, M. L., HOOPER, J. E., COWAN, P., WELLER, B. B., MERCER, T. H.: Habitual functional electrical stimulation therapy improves gait kinematics and walking performance, but not patient-reported functional outcomes, of people with multiple sclerosis who present with foot-drop.  PloS One, 9, 2014, 8, e103368.

37. WENING, J., FORD, J., JOUETT, L. D.: Orthotics and FES for maintenance of walking in patients with MS. Disease-a-Month, 59, 2013, 8, s. 284-289.

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Physiotherapist, university degree Rehabilitation Sports medicine
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