Combined Effect of Functional Electrical Stimulation with Treadmill Training on Gait Parameters in Multiple Sclerosis Paraparesis
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- Category: Vol. 85, December 2017
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Combined Effect of Functional Electrical Stimulation with Treadmill Training on Gait Parameters in Multiple Sclerosis Paraparesis, NAHED A. SALEM, EBTESAM M. FAHMY, WALEED T. MANSOUR, MOSSA A. FATAH SHARF A. and AHMED M. NAGUIB
Abstract
Background: Multiple scelrosis is the most leading cause to functional disability and gait problems.
Objectives: The purpose of the study isto compare the effect of functional electrical stimulation combined with treadmill training versus treadmill training alone on gait parameter in patients with multiple sclerosis paraparesis.
Methods: Thirty patients in both sexes participated in this study. The patients were assigned randomly into two equal groups, (study and control). Patients in the study group received functional electrical stimulation inaddition totreadmill training in addition to selected physical therapy program for patients-multiple sclerosis. Patients in the control group received treadmill training selected physical therapy program only including: Strengthening exercises, stretching exercises, weight bearing, balance exercises and gait training.
The Outcome Measure: Biodex gait trainer 2 TM was used to assess selected gait kinematics (step length, walking speed) before and after six weeks training period (end of treatment) for both groups.
Results: There was a statistical significant increase in walking speed and step length in both groups. The improvement in gait parameters post treatment was significantly higher in the study group compared to the control group.
Conclusion: Functional electrical stimulation is effective in improving selected gait kinematics in multiple sclerosis patients when added to the selected physical therapy program.