期刊名称：Ovidius University Annals, Series Physical Education and Sport/Science, Movement and Health
印刷版ISSN：1224-7359
出版年度：2009
卷号：9
期号：2
页码：335-342
语种：English
出版社：Ovidius University Press
摘要：In multiple sclerosis the difficulty in walking represents one of the main patients concern.This difficulty is due to the instability of the muscles of the foot to lift it up during the swing phase of walking,known as dropped foot.Different alternatives in the rehabilitation treatment try to improve the walking,but at the present moment,in clinical medicine,scientific quantification and analysis of human walking mechanism is not highly accurate due to the lack of an objective analysis.Progress quantification in walking is essential in evaluation of the efficiency of reabilitation procedures,improvement of these procedures or elaboration of individual models for each patient.Purpose The purpose of the present research is represented by both the completion of a prospective study regarding efficiency of functional electrical stimulation in walking rehabilitation at patients with multiple sclerosis and the use of last generation non-invasive methods in analyzing and quantifying the results.Methods The present paper is a case report regarding the results obtained after application of functional electrical stimulation to a patient with multiple sclerosis.Functional electrical stimulation was applyed in order to stimulate muscular groups involved in walking by the use of a 2 channel neurostimulator (O2CHS II).The trigger points choosed for stimulation permitted to obtain dorsiflexion and eversion of the foot,associated with knee flexion.Acquisition and analysis of the data specific to walking (contact pressure,forces.moments) were made by using a pressure plate for static and dynamic measurements (RSSCAN) before and during stimulation.Results Registered by the pressure plate allowed identification and quantification of improvements of the patient`s walking problems by the use of electrical functional stimulation.Conclusions Functional electrical stimulation offers an alternative within the rehabilitation treatment in multiple sclerosis,by encouraging active movement of the food and by constantly taking the foot through the full range of movement with walking,and avoiding stiffening up of the ankle.Identification of certain analysis models in walking,will offer a viable instrument in evaluation and treatment of multiple sclerosis and sustainable results on national and international level.
