Changes in spastic muscle tone increase in patients with spinal cord injury                 using functional electrical stimulation and passive leg movements

Krause, Phillip; Szecsi, J.; Straube, Andreas

doi:10.1177/0269215507084648

Cited by 65 publications

(61 citation statements)

References 20 publications

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“…In the present study, FES cycling led to a decrease in spasticity, which was consistent with previous studies. 17,21,22 Increase in muscle strength may allow to counteract spasticity in a more effective manner. FES-induced neural activity may change the balance of excitation in favor of inhibition in spinal cord by inducing neuroanatomical plasticity.…”

Section: Resultsmentioning

confidence: 99%

The effect of functional electrical stimulation cycling on late functional improvement in patients with chronic incomplete spinal cord injury

et al. 2015

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Study design: Prospective single-arm study. Objectives: To investigate the effect of functional electrical stimulation (FES) cycling on late functional recovery, spasticity, gait parameters and oxygen consumption during walking in patients with chronic incomplete spinal cord injury (SCI). Setting: Turkish Armed Forces Rehabilitation Center, Ankara, Turkey. Methods: Ten patients with chronic (duration of more than 2 years) incomplete SCI who could ambulate at least 10 m independently or with the assistance of a cane or walker, but no hip-knee-ankle-foot orthosis. The subjects underwent 1-h FES cycling sessions three times a week for 16 weeks. Outcome measures including the total motor score, the Functional Independence Measure (FIM) score, the Modified Ashworth Scale for knee spasticity, temporal spatial gait parameters and oxygen consumption rate during walking were assessed at baseline, 3 and 6 months after the baseline. Results: There were statistically significant improvements in total motor scores, the FIM scores and spasticity level at the 6-month follow-up (Po0.01). The changes in gait parameters reached no significant level (P40.05). Oxygen consumption rate of the patients showed significant reduction at only 6 months compared with baseline (Po0.01). Conclusion:The results suggest that FES cycling may provide some functional improvements in the late period of SCI.

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Section: Resultsmentioning

confidence: 99%

The effect of functional electrical stimulation cycling on late functional improvement in patients with chronic incomplete spinal cord injury

et al. 2015

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“…Krause et al, states that some patients with spinal cord injury using FES cycling can have beneficial effects on spastic muscle tone [12]. The client in this case report was trained to independently use the FES cycle during her ten treatment sessions so she could continue with a home program upon discharge.…”

Section: Interventionmentioning

confidence: 87%

“…Multiple studies include clients with a variety of neurologic conditions including; spinal cord injury (SCI), cerebral palsy (CP), stroke, and multiple sclerosis [9][10][11][12][13][14][15]. Outcomes of FES cycling include a range of improvements including; relaxation of muscle spasms, prevention or retardation of disuse atrophy, increase local blood circulation, and maintain or increase range of motion [9][10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Combination aquatic and land physical therapy program improved function and reduced spasticity after acute illness and exacerbation of multiple sclerosis: A case report

Roos¹

2017

Phys Med Rehabil Res

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Background and purpose: This case report provides retrospective review of an outpatient physical therapy program for a female client with primary progressive multiple sclerosis after acute illness requiring hospitalization that contributed to decline in function and deconditioning. This patient was prescribed a multi-modal intervention that included education and training to restore physical impairments and loss of function with a combination of aquatic and land-based interventions, and introduction to the functional electrical stimulation (FES) cycle.

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“…Bei der Verknüpfung einer FES-Stimulation mit einem Fahrradergometer und der damit verbundenen zyklischen Stimulationsabfolge spricht die Literatur von FESCycling, das als mögliche unterstützende Maßnahme zur Vorbeugung von Folgeschäden in der Behandlung Rückenmarkver-letzter gilt [33,54]. So wurden positive Effekte bei Patienten mit Querschnittlähmung in Bezug auf Spastikbeeinflussung [39], Zirkulationsanregung [28] und Osteoporoseprophylaxe [20] …”

Section: Discussionunclassified

FES-Cycling bei Menschen mit Querschnittlähmung – Auswirkung auf subjektives Empfinden und Aktivitäten des täglichen Lebens

Kühn¹,

Leichtfried

Schobersberger

et al. 2013

physioscience

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Zusammenfassung Hintergrund: Bei r?ckl?ufiger station?rer Aufenthaltsdauer von Patienten bestehen die Notwendigkeit einer bestm?glichen Unterst?tzung und damit Effektivierung der funktionsorientierten Physiotherapie. Insbesondere bei Menschen mit Querschnittl?hmung k?nnten Therapiehilfsmittel die Behandlung sinnvoll erg?nzen und sollten daher wissenschaftlich spezifiziert und weiterf?hrend evaluiert werden. Die funktionelle Elektrostimulation (FES) w?re eine solche Erg?nzung; bisherige Studien untersuchten jedoch nur prim?r messbare Effekte. Da die subjektive Patientenwahrnehmung f?r die Nutzung von Therapieger?ten im nachstation?ren Zeitraum von fundamentaler Bedeutung ist, sollte sie ebenfalls erfasst werden. Ziel: Diese prospektive Kohortenstudie untersuchte die Auswirkungen von FES auf funktionelle F?higkeiten und Leistungsparameter sowie das pers?nliche Schmerz- und Gesundheitsempfinden bei Patienten mit Querschnittl?hmung. Methode: Am FES-Cycling-Programm nahmen 30?Patienten (13 mit Tetra- und 17 mit Paraplegie) teil. Vor und nach jedem Training wurden das subjektive Schmerzempfinden mit einer Numeric Rating Scale (NRS), sowohl initial als auch abschlie?end die Aktivit?ten des t?glichen Lebens mit dem Spinal Cord Independence Measure III (SCIM III) und das gesundheitsbezogene Wohlbefinden (Short Form 36 Health Survey) beurteilt sowie die Leistungsdaten des Beinergometers ausgewertet. Ergebnisse: Der SCIM stieg nach 4-w?chigem Training von 42 (Beginn FES-Cycling) auf 51 Punkte an (p?=?0,004). Die Ergebnisse des SF 36 (subjektive Schmerzbeurteilung, Vitalit?t, psychisches Wohlbefinden) verbesserten sich deutlich (p?

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Changes in spastic muscle tone increase in patients with spinal cord injury using functional electrical stimulation and passive leg movements

Abstract: The study presents further interesting aspects of the usefulness of FES in patients with spinal cord injury to reduce spastic muscle tone.

Cited by 65 publications

References 20 publications

The effect of functional electrical stimulation cycling on late functional improvement in patients with chronic incomplete spinal cord injury

The effect of functional electrical stimulation cycling on late functional improvement in patients with chronic incomplete spinal cord injury

Combination aquatic and land physical therapy program improved function and reduced spasticity after acute illness and exacerbation of multiple sclerosis: A case report

FES-Cycling bei Menschen mit Querschnittlähmung – Auswirkung auf subjektives Empfinden und Aktivitäten des täglichen Lebens

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