The use of functional electrical stimulation (FES) in maintaining or improving the ability to stand and transfer in people with multiple sclerosis
The use of functional electrical stimulation (FES) in maintaining or improving the ability to stand and transfer in people with multiple sclerosis
Research has shown that Functional Electrical Stimulation (FES) is beneficial in improving standing and walking ability in patients with spinal cord and head injuries. This study investigates the efficacy of FES in maintaining or improving standing transfer in nine patients with Multiple Sclerosis (MS). Each patient underwent two programmes of treatment involving short and long term application of FES. During these programmes, phasic and tonic stretch reflexes of knee extensor and flexor muscles were measured using pendulum and tendon reflex tests. Force production and fatigue of knee extensor muscles were also assessed using a dynamometer. Standing posture alignment and Standing transfer were measured using the `Coda' movement detection system and stop watch respectively. The subjects recorded their views on standing transfer on a visual analogue scale. In the programme using short term FES across the nine patients, with measures taken from both legs there was a statistically significant short term improvement in phasic and tonic stretch reflexes. However, measures of increased fatigue were also statistically significant across the group. In comparison, long term application of FES progressively increased the muscle activation (motor units activation), reduced muscle fatiguability, improved standing transfer and led to a better standing posture in this group of MS patients. However, the degree of these improvements varied from one subject to another and between the two legs of the same subject. The results of this study indicate that the long term application of FES was a beneficial form of treatment for improving and maintaining standing transfer activity in these patients with MS.
University of Southampton
Bin Abdulwahab, Sami Saleh Ahmed
1992
Bin Abdulwahab, Sami Saleh Ahmed
Bin Abdulwahab, Sami Saleh Ahmed
(1992)
The use of functional electrical stimulation (FES) in maintaining or improving the ability to stand and transfer in people with multiple sclerosis.
University of Southampton, Doctoral Thesis.
Record type:
Thesis
(Doctoral)
Abstract
Research has shown that Functional Electrical Stimulation (FES) is beneficial in improving standing and walking ability in patients with spinal cord and head injuries. This study investigates the efficacy of FES in maintaining or improving standing transfer in nine patients with Multiple Sclerosis (MS). Each patient underwent two programmes of treatment involving short and long term application of FES. During these programmes, phasic and tonic stretch reflexes of knee extensor and flexor muscles were measured using pendulum and tendon reflex tests. Force production and fatigue of knee extensor muscles were also assessed using a dynamometer. Standing posture alignment and Standing transfer were measured using the `Coda' movement detection system and stop watch respectively. The subjects recorded their views on standing transfer on a visual analogue scale. In the programme using short term FES across the nine patients, with measures taken from both legs there was a statistically significant short term improvement in phasic and tonic stretch reflexes. However, measures of increased fatigue were also statistically significant across the group. In comparison, long term application of FES progressively increased the muscle activation (motor units activation), reduced muscle fatiguability, improved standing transfer and led to a better standing posture in this group of MS patients. However, the degree of these improvements varied from one subject to another and between the two legs of the same subject. The results of this study indicate that the long term application of FES was a beneficial form of treatment for improving and maintaining standing transfer activity in these patients with MS.
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Published date: 1992
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Local EPrints ID: 461279
URI: http://eprints.soton.ac.uk/id/eprint/461279
PURE UUID: 247b517b-e18d-4653-bc15-63df7783813a
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Date deposited: 04 Jul 2022 18:42
Last modified: 04 Jul 2022 18:42
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Author:
Sami Saleh Ahmed Bin Abdulwahab
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