Article

Objective: To investigate the feasibility of neuromuscular electrical stimulation
cycling modified to suit persons with advanced multiple sclerosis. Subjects:
Eight women with secondary progressive multiple sclerosis. Methods: Subjects
participated in an 18-session (40 min) neuromuscular electrical stimulation
cycling program. A pedaling cadence of 10 rev*min-1 was employed and stimulation
intensity was not modulated to control cadence, but increased gradually
throughout each session. The outcomes included the stimulation intensity
tolerated, thigh circumference changes, and power output and cardiorespiratory
response during cycling. Participants were interviewed about perceived benefits
of the treatment including changes in transfer ability. Results: Seven
participants (Expanded Disability Status Scale 6.5-8.5) (mean 7.4 (standard
deviation 0.7)) completed the training program over an average of 10 weeks.
Greater stimulation intensities were tolerated than previously reported for
persons with multiple sclerosis. Increases were found in thigh volume. Perceived
benefits included improvements in transfer ability, leg circulation, spasticity
and strength. Conclusion: Modifying neuromuscular electrical stimulation cycling
allowed persons with advanced multiple sclerosis to tolerate greater stimulation
intensities and exercise their muscles more intensely than previous studies. The
benefits reported, which were solely due to neuromuscular electrical stimulation
cycling, demonstrate that persons with preserved sensation and muscle
paralysis/paresis might benefit from neuromuscular electrical stimulation
exercise when it is adjusted appropriately.

Langue : ANGLAIS