Article

OBJECTIVE: To review the efficacy of functional electrical stimulation (FES) used
for foot drop in people with multiple sclerosis (pwMS) on gait speed in short and
long walking performance tests. DATA SOURCES: Five databases (Cochrane Library,
CINAHL, Embase, MEDLINE, and PubMed) and reference lists were searched. STUDY
SELECTION: Studies of both observational and experimental design where gait speed
data in pwMS could be extracted were included. DATA EXTRACTION: Data were
independently extracted and recorded. Methodologic quality was assessed using the
Effective Public Health Practice Project tool. DATA SYNTHESIS: Nineteen studies
(described in 20 articles) recruiting 490 pwMS were identified and rated as
moderate or weak, with none gaining a strong rating. All studies rated weak for
blinding. Initial and ongoing orthotic and therapeutic effects were assessed
regarding the effect of FES on gait speed in short and long walking tests.
Meta-analyses of the short walk tests revealed a significant initial orthotic
effect (t=2.14, P=.016), with a mean increase in gait speed of .05m/s, and
ongoing orthotic effect (t=2.81, P=.003), with a mean increase of .08m/s. There
were no initial or ongoing effects on gait speed in long walk tests and no
therapeutic effect on gait speed in either short or long walk tests. CONCLUSIONS:
FES used for foot drop has a positive initial and ongoing effect on gait speed in
short walking tests. Further fully powered randomized controlled trials comparing
FES with alternative treatments are required.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS