scholarly journals Improvement in overactive bladder symptoms in patients using functional electrical stimulation of the common peroneal nerve for walking

2018 ◽  
Vol 32 (10) ◽  
pp. 1357-1362
Author(s):  
Nicola Hare ◽  
Petros Georgopoulos ◽  
Kate E Philips ◽  
Joanne E Johnson ◽  
Coralie Seary ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Electrical Stimulation ◽  
Overactive Bladder ◽  
Functional Electrical Stimulation ◽  
Walking Speed ◽  
Motor Neurone ◽  
Foot Drop ◽  
Overactive Bladder Symptoms ◽  
Bladder Symptoms ◽  
Multiple Sclerosis Patients

Objective: Functional electrical stimulation is used to improve walking speed and reduces falls in people with upper motor neurone foot-drop. Following anecdotal observations of changes in bladder symptoms, an observational study was performed to explore this association further. Design: A total of 47 consecutive patients attending for setup with functional electrical stimulation during a six-month period were asked to complete a questionnaire assessing bladder symptoms (ICIQ-OAB (International Consultation on Incontinence Questionnaire Overactive Bladder)) at baseline and three  months during routine appointments. Subjects: In all, 35 (75%) had multiple sclerosis and the other 12 subjects had a total of 9 diagnoses including 3 with stroke. Other conditions included cerebral palsy, motor neurone disease, hereditary spastic paraparesis, meningioma and spinocerebellar ataxias. Results: Improvement in overactive bladder symptoms was not significant in the whole cohort, however, was significant in patients with multiple sclerosis ( n  =  35; mean change in ICIQ-OAB score 1.0, P  =  0.043). Specifically, significant improvements were seen in urgency and urge incontinence in multiple sclerosis patients. There was a significant negative correlation of moderate strength within the multiple sclerosis cohort between baseline walking speed and subsequent change in ICIQ-OAB score (correlation coefficient of r  =  −0.40, P  =  0.046). Thus, greater changes in bladder symptoms were seen with lower baseline walking speeds. Conclusion: The results of this exploratory study suggest that functional electrical stimulation use does improve overactive bladder symptoms in people with multiple sclerosis. Further exploration is needed to study this association and explore whether the mechanism is similar to that of percutaneous tibial nerve stimulation, a recognized treatment for the overactive bladder.

scholarly journals Five-Year Follow-up of a Longitudinal Cohort Study of the Effectiveness of Functional Electrical Stimulation for People with Multiple Sclerosis

2018 ◽  
Vol 20 (5) ◽  
pp. 224-230 ◽  
Author(s):  
Tamsyn Street ◽  
Christine Singleton
Keyword(s):  
Multiple Sclerosis ◽  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Joint Pain ◽  
Walking Speed ◽  
Foot Drop ◽  
Longitudinal Cohort ◽  
Significant Difference

Abstract Background: Few studies have examined the long-term consequences of using peroneal nerve functional electrical stimulation (FES) for people with multiple sclerosis (MS). This study examines orthotic effects on a longitudinal cohort and explores additional benefits of FES on self-reported measures such as joint pain. Methods: One hundred forty-five people with foot drop and MS were included (mean age, 52 [range, 28–74] years). Orthotic effects, unassisted walking speed, and clinically important differences (ie, ≥0.05 and ≥0.10 m/s) were derived from walking speed over 10 m. Visual analogue scales examined joint pain, walking effort, trips, confidence, and quality of life. Measures were taken on day 1, after 6 months, and at 2, 3, 4, and 5 years. Results: A significant difference was found overall for walking with FES compared with walking without FES for the 5-year period (P < .001). Despite a significant decline in overall unassisted walking speed at baseline (0.58 m/s) compared with 5 years later (0.46 m/s) (P < .001), participants achieved an orthotic effect with (0.52 m/s) versus without (0.46 m/s) FES after 5 years (P < .001). A significant decrease in joint pain was found after 6 months compared with day 1 (P = .004), which was maintained after 5 years (P < .001). Conclusions: Despite progression of MS, long-term users of FES still benefit from an orthotic effect after using FES for 5 years. The study highlights the need for further work to assess the perceived benefits of FES regarding the experience of joint pain.

Mirabegron Versus Solifenacin in Multiple Sclerosis Patients With Overactive Bladder Symptoms: A Prospective Comparative Nonrandomized Study

Urology ◽  
2020 ◽  
Vol 145 ◽  
pp. 94-99
Author(s):  
Benjamin M Brucker ◽  
Dora Jericevic ◽  
Temitope Rude ◽  
Ekene Enemchukwu ◽  
Dominique Pape ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Overactive Bladder ◽  
Nonrandomized Study ◽  
Overactive Bladder Symptoms ◽  
Bladder Symptoms ◽  
Multiple Sclerosis Patients

scholarly journals An exploration of the experiences and utility of functional electrical stimulation for foot drop in people with multiple sclerosis

2018 ◽  
Vol 42 (4) ◽  
pp. 510-518
Author(s):  
Linda (Miller) Renfrew ◽  
Paul Flowers ◽  
Anna C. Lord ◽  
Danny Rafferty ◽  
Angus K. McFadyen ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Foot Drop

Functional Electrical Stimulation for Foot Drop in Multiple Sclerosis

US Neurology ◽  
2015 ◽  
Vol 11 (01) ◽  
pp. 10 ◽  
Author(s):  
Geraldine P Dapul ◽  
Francois Bethoux ◽  
◽  
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Electrical Stimulation ◽  
Effective Treatment ◽  
Functional Electrical Stimulation ◽  
Treatment Strategy ◽  
Foot Drop ◽  
Walking Ability ◽  
Gait Performance

Functional electrical stimulation is an effective treatment strategy for the management of foot drop in various neurologic conditions, as demonstrated in improvements in gait performance, mobility, physiologic cost, perceived walking ability, balance, fall frequency, and quality of life. In this article, we review the current literature on the effects of functional electrical stimulation for foot drop in persons with multiple sclerosis.

Functional electrical stimulation using microstimulators to correct foot drop: a case study

2004 ◽  
Vol 82 (8-9) ◽  
pp. 784-792 ◽  
Author(s):  
D J Weber ◽  
R B Stein ◽  
K M Chan ◽  
G E Loeb ◽  
F J.R Richmond ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Peroneal Nerve ◽  
Walking Speed ◽  
Common Peroneal Nerve ◽  
Foot Drop ◽  
Cost Index ◽  
Cord Injury ◽  
Stimulation Of

This paper presents a case study that tested the feasibility and efficacy of using injectable microstimulators (BIONs®) in a functional electrical stimulation (FES) device to correct foot drop. Compared with surface stimulation of the common peroneal nerve, stimulation with BIONs provides more selective activation of specific muscles. For example, stimulation of the tibialis anterior (TA) and extensor digitorum longus (EDL) muscles with BIONs produces ankle flexion without excessive inversion or eversion of the foot (i.e., balanced flexion). Efficacy was assessed using a 3-dimensional motion analysis of the ankle and foot trajectories during walking with and without stimulation. Without stimulation, the toe on the affected leg drags across the ground. BION stimulation of the TA muscle and deep peroneal nerve (which innervates TA and EDL) elevates the foot such that the toe clears the ground by 3 cm, which is equivalent to the toe clearance in the less affected leg. The physiological cost index (PCI) measured effort during walking. The PCI equals the change in heart rate (from rest to activity) divided by the walking speed; units are beats per metre. The PCI is high without stimulation (2.29 ± 0.37, mean ± SD) and greatly reduced with surface (1.29 ± 0.10) and BIONic stimulation (1.46 ± 0.24). Also, walking speed increased from 9.4 ± 0.4 m/min without stimulation to 19.6 ± 2.0 m/min with surface and 17.8 ± 0.7 m/min with BIONic stimulation. These results suggest that FES delivered by a BION is an alternative to surface stimulation and provides selective control of muscle activation.Key words: FES, BION, foot drop, stroke, spinal cord injury.

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