Pilot Randomized Trial of Progressive Resistance Exercise Augmented by Neuromuscular Electrical Stimulation for People With Multiple Sclerosis Who Use Walking Aids

被引:26
作者
Coote, Susan [1 ]
Hughes, Lonan [1 ]
Rainsford, Gary [2 ]
Minogue, Conor [2 ]
Donnelly, Alan [3 ]
机构
[1] Univ Limerick, Clin Therapies Dept, Limerick, Ireland
[2] Biomed Res Ltd, Galway, Ireland
[3] Univ Limerick, Phys Educ & Sports Sci Dept, Limerick, Ireland
来源
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2015年 / 96卷 / 02期
关键词
Mobility limitation; Multiple sclerosis; Rehabilitation; Therapeutic electrical stimulation; HAND-HELD DYNAMOMETRY; QUALITY-OF-LIFE; MUSCLE STRENGTH; BALANCE DISORDERS; FATIGUE; RELIABILITY; ENDURANCE; VALIDITY; MOBILITY; IMPROVE;
D O I
10.1016/j.apmr.2014.09.021
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objective: To investigate the feasibility and preliminary outcomes of a home progressive resistance training (PRT) program augmented by neuromuscular electrical stimulation (NMES). Design: Randomized controlled pilot trial. Setting: Participant homes. Participants: People with multiple sclerosis (MS) (N=37) who use a walking aid. Interventions: A 12-week home PRT program or the same program augmented by NMES. Main Outcome Measures: Strength using hand-held dynamometry; repeated sit to stand test; Berg Balance Scale; timed Up & Go test; 12-Item Multiple Sclerosis Walking Scale; Multiple Sclerosis Impact Scale-29, version 2; and Modified Fatigue Impact Scale (MFIS). The NMES group also completed a device usability questionnaire. Results: Only change in MFIS score was significantly greater in the NMES group than the PRT group (P=.012). The NMES group improved significantly in quadriceps endurance (median of change, 8.5; P=.043), balance (median of change, 3.5; P=.001), physical impact of MS (median of change, -8.3; P=.001), and impact of fatigue (median of change, 17; P=.001). Participants rated the device as highly usable. Conclusions: This pilot study suggests that a home PRT program with NMES is feasible, and the neuromuscular electrical stimulation device is usable by this population. Only reduction in impact of fatigue was greater in the NMES than the PRT group. (C) 2015 by the American Congress of Rehabilitation Medicine
引用
收藏
页码:197 / 204
页数:8
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