Functional electrical stimulation as a component of activity-based restorative therapy may preserve function in persons with multiple sclerosis

Edward R. Hammond, Albert C. Recio, Cristina L. Sadowsky, Daniel Becker

Research output: Contribution to journalArticle

Abstract

Objective: To examine the effect of functional electrical stimulation (FES) cycling on disability progression in persons with multiple sclerosis (MS). Design: Retrospective cohort, 40 participants with mean follow-up of 15 months. Setting: International Center for Spinal Cord Injury at Kennedy Krieger Institute in Baltimore, a rehabilitation referral center. Participants: Forty consecutive persons with MS undergoing rehabilitation from 2007 to 2011, with at least two evaluations based on the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI). Interventions: FES cycling as part of activity-based restorative therapy interventions. Outcome measures: Change in Expanded Disability Status Scale (EDSS) and ISNCSCI motor, light touch, and pin prick scores from baseline to latest evaluation. Results: In 71% of patients, activity-based rehabilitation included FES cycling. There was no disability progression on the EDSS. Lower extremity motor scores improved or stabilized in 75% of patients with primary progressive MS (PPMS), 71.4% with secondary progressive MS (SPMS), and 54.5% with relapsing remitting MS (RRMS). Among patients with improved or stabilized lower extremity motor function, PPMS recorded a mean 9% improvement, SPMS 3% and RRMS 6%. In PPMS, use of FES showed trend towards improvement in motor scores (P = 0.070). Conclusions: FES as part of activity-based rehabilitation may help preserve or improve neurological function in patients with MS.

Original languageEnglish (US)
Pages (from-to)68-75
Number of pages8
JournalJournal of Spinal Cord Medicine
Volume38
Issue number1
DOIs
StatePublished - Jan 1 2015

Fingerprint

Electric Stimulation
Multiple Sclerosis
Spinal Cord Injuries
Rehabilitation
Chronic Progressive Multiple Sclerosis
Lower Extremity
Relapsing-Remitting Multiple Sclerosis
Baltimore
Rehabilitation Centers
Touch
Referral and Consultation
Outcome Assessment (Health Care)

Keywords

  • Activity-based restorative therapy
  • Disability
  • Functional electrical stimulation
  • Multiple sclerosis

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

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title = "Functional electrical stimulation as a component of activity-based restorative therapy may preserve function in persons with multiple sclerosis",
abstract = "Objective: To examine the effect of functional electrical stimulation (FES) cycling on disability progression in persons with multiple sclerosis (MS). Design: Retrospective cohort, 40 participants with mean follow-up of 15 months. Setting: International Center for Spinal Cord Injury at Kennedy Krieger Institute in Baltimore, a rehabilitation referral center. Participants: Forty consecutive persons with MS undergoing rehabilitation from 2007 to 2011, with at least two evaluations based on the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI). Interventions: FES cycling as part of activity-based restorative therapy interventions. Outcome measures: Change in Expanded Disability Status Scale (EDSS) and ISNCSCI motor, light touch, and pin prick scores from baseline to latest evaluation. Results: In 71% of patients, activity-based rehabilitation included FES cycling. There was no disability progression on the EDSS. Lower extremity motor scores improved or stabilized in 75% of patients with primary progressive MS (PPMS), 71.4% with secondary progressive MS (SPMS), and 54.5% with relapsing remitting MS (RRMS). Among patients with improved or stabilized lower extremity motor function, PPMS recorded a mean 9% improvement, SPMS 3% and RRMS 6%. In PPMS, use of FES showed trend towards improvement in motor scores (P = 0.070). Conclusions: FES as part of activity-based rehabilitation may help preserve or improve neurological function in patients with MS.",
keywords = "Activity-based restorative therapy, Disability, Functional electrical stimulation, Multiple sclerosis",
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AU - Becker,Daniel

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N2 - Objective: To examine the effect of functional electrical stimulation (FES) cycling on disability progression in persons with multiple sclerosis (MS). Design: Retrospective cohort, 40 participants with mean follow-up of 15 months. Setting: International Center for Spinal Cord Injury at Kennedy Krieger Institute in Baltimore, a rehabilitation referral center. Participants: Forty consecutive persons with MS undergoing rehabilitation from 2007 to 2011, with at least two evaluations based on the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI). Interventions: FES cycling as part of activity-based restorative therapy interventions. Outcome measures: Change in Expanded Disability Status Scale (EDSS) and ISNCSCI motor, light touch, and pin prick scores from baseline to latest evaluation. Results: In 71% of patients, activity-based rehabilitation included FES cycling. There was no disability progression on the EDSS. Lower extremity motor scores improved or stabilized in 75% of patients with primary progressive MS (PPMS), 71.4% with secondary progressive MS (SPMS), and 54.5% with relapsing remitting MS (RRMS). Among patients with improved or stabilized lower extremity motor function, PPMS recorded a mean 9% improvement, SPMS 3% and RRMS 6%. In PPMS, use of FES showed trend towards improvement in motor scores (P = 0.070). Conclusions: FES as part of activity-based rehabilitation may help preserve or improve neurological function in patients with MS.

AB - Objective: To examine the effect of functional electrical stimulation (FES) cycling on disability progression in persons with multiple sclerosis (MS). Design: Retrospective cohort, 40 participants with mean follow-up of 15 months. Setting: International Center for Spinal Cord Injury at Kennedy Krieger Institute in Baltimore, a rehabilitation referral center. Participants: Forty consecutive persons with MS undergoing rehabilitation from 2007 to 2011, with at least two evaluations based on the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI). Interventions: FES cycling as part of activity-based restorative therapy interventions. Outcome measures: Change in Expanded Disability Status Scale (EDSS) and ISNCSCI motor, light touch, and pin prick scores from baseline to latest evaluation. Results: In 71% of patients, activity-based rehabilitation included FES cycling. There was no disability progression on the EDSS. Lower extremity motor scores improved or stabilized in 75% of patients with primary progressive MS (PPMS), 71.4% with secondary progressive MS (SPMS), and 54.5% with relapsing remitting MS (RRMS). Among patients with improved or stabilized lower extremity motor function, PPMS recorded a mean 9% improvement, SPMS 3% and RRMS 6%. In PPMS, use of FES showed trend towards improvement in motor scores (P = 0.070). Conclusions: FES as part of activity-based rehabilitation may help preserve or improve neurological function in patients with MS.

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