Article

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.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS