Fornusek Ché, Hoang Phu
Exercise Health and Performance Faculty Research Group, University of Sydney , , NSW 1824 Sydney, Australia.
J Rehabil Med. 2014 Jul;46(7):698-702. doi: 10.2340/16501977-1792.
To investigate the feasibility of neuromuscular electrical stimulation cycling modified to suit persons with advanced multiple sclerosis.
Eight women with secondary progressive multiple sclerosis.
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.
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.
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.
研究改良的神经肌肉电刺激骑行对晚期多发性硬化症患者的可行性。
八名继发进展型多发性硬化症女性患者。
受试者参加了一个为期18节（40分钟）的神经肌肉电刺激骑行项目。采用每分钟10转的蹬踏节奏，刺激强度不进行调节以控制节奏，而是在每节课程中逐渐增加。结果包括可耐受的刺激强度、大腿围度变化、骑行时的功率输出和心肺反应。对参与者进行访谈，了解他们对治疗益处的感知，包括转移能力的变化。
七名参与者（扩展残疾状态量表评分6.5 - 8.5）（平均7.4（标准差0.7））在平均10周的时间内完成了训练项目。与先前报道的多发性硬化症患者相比，他们能够耐受更高的刺激强度。大腿体积有所增加。感知到的益处包括转移能力、腿部血液循环、痉挛和力量的改善。
改良的神经肌肉电刺激骑行使晚期多发性硬化症患者能够耐受比以往研究更高的刺激强度，并更强烈地锻炼其肌肉。所报告的益处完全归因于神经肌肉电刺激骑行，这表明感觉保留且存在肌肉麻痹/轻瘫的患者在适当调整后可能从神经肌肉电刺激运动中获益。
