Author/Editor     Primožič, AM; Bizjak, I; Povše, M; Petelin-Suhadolnik, M
Title     Functional electrical stimulation (FES) in multiple sclerosis (MS) patients
Type     članek
Source     In: Vodušek DB, editor. Proceedings of the Symposium on multiple sclerosis with the 11th dr. Janez Faganel memorial lecture; 1995 Oct 6-7; Ljubljana. Ljubljana: University institute of clinical neurophysiology,
Publication year     1995
Volume     str. 146-7
Language     eng
Abstract     Purpose: The purpose is to represent the use of functional electrical stimulation (FES) method(1) which represents modern approach in the field of rehabilitation of patients suffering from multiple sclerosis (MS). It is an additional physiotherapeutic method which has a significant part in the rutine physiotherapeutic programme for MS patients in the Rehabilitation Institute Ljubljana(2). In the course of MS disease it often occurs that patients suffer from reduced voluntary nervous control and by FES application the paretic or paralytic muscle or muscle groups can be reactivated and to some degree a better functioning of locomotor system can be achieved (3-7). Destription: An overview of 236 MS patients, who were trated in the Rehabilitation Institute Ljubljana from 1989 to 1993, was done. FES was applied to 119 patients (50,4 precent), 44 being male (37 precent) and 75 female (63 precent). Most applications - 73 (61 precent) were on peroneal nerves, among them on 49 patients unilaterally (67 precent) and on 24 bilaterally (33 precent). 37 patients (31 precent) received FES as orthotic aid to improve gait - functional electrical peroneal apparatus (FEPA 10) for home use, among them unilaterally 23 (62 precent) and 14 bilaterally (38 precent). To 8 patients FES was applied on quadriceps muscles (6,7 precent) and to 6 (5 precent) on extensors of wrists and fingers. To 32 patients (27,3 precent) FES was applied on extensors of wrists and fingers and on peroneal nerves or quadriceps muscles. All stimulators were produced in the Rehabilitation Institute Ljubljana. The parameters of stimulation were: frequency 30-50 Hz duration of single impulse 0,5 ms, intensity from 40V up to 100V. Observations: According to our experience, although the course of MS disease is progressive, in a certain phase of the disease with the FES method we can reduce spasticity, strengthen the weakened muscles, improve blood circulation and increase range of motion.(Abstract truncated)
Descriptors     MULTIPLE SCLEROSIS
ELECTRIC STIMULATION THERAPY