PMID- 29108487
OWN - NLM
STAT- MEDLINE
DCOM- 20191009
LR  - 20240328
IS  - 2045-7723 (Electronic)
IS  - 1079-0268 (Print)
IS  - 1079-0268 (Linking)
VI  - 41
IP  - 3
DP  - 2018 May
TI  - A clinically meaningful training effect in walking speed using functional 
      electrical stimulation for motor-incomplete spinal cord injury.
PG  - 361-366
LID - 10.1080/10790268.2017.1392106 [doi]
AB  - CONTEXT/OBJECTIVE: The study aimed to investigate the presence of a training 
      effect for rehabilitation of walking function in motor-incomplete spinal cord 
      injury (SCI) through daily use of functional electrical stimulation (FES). 
      SETTING: A specialist FES outpatient centre. PARTICIPANTS: Thirty-five 
      participants (mean age 53, SD 15, range 18-80; mean years since diagnosis 9, 
      range 5 months - 39 years) with drop foot and motor-incomplete SCI (T12 or 
      higher, ASIA Impairment Scale C and D) able to ambulate 10 metres with the use of 
      a walking stick or frame. INTERVENTIONS: FES of the peroneal nerve, glutei and 
      hamstrings as clinically indicated over six months in the community. OUTCOME 
      MEASURES: The data was analysed for a training effect (difference between 
      unassisted ten metre walking speed at baseline and after six months) and orthotic 
      effects (difference between walking speed with and without FES) initially on day 
      one and after six months. The data was further analysed for a minimum clinically 
      important difference (MCID) (>0.06 m/s). RESULTS: A clinically meaningful, 
      significant change was observed for initial orthotic effect (0.13m/s, CI: 
      0.04-0.17, P = 0.013), total orthotic effect (0.11m/s, CI: 0.04-0.18, P = 0.017) 
      and training effect (0.09m/s, CI: 0.02-0.16, P = 0.025). CONCLUSION: The results 
      suggest that daily independent use of FES may produce clinically meaningful 
      changes in walking speed which are significant for motor-incomplete SCI. Further 
      research exploring the mechanism for the presence of a training effect may be 
      beneficial in targeting therapies for future rehabilitation.
FAU - Street, Tamsyn
AU  - Street T
AUID- ORCID: 0000-0002-9859-6732
AD  - a Clinical Science and Engineering , Salisbury NHS Foundation Trust , Salisbury , 
      UK.
FAU - Singleton, Christine
AU  - Singleton C
AD  - b West Midlands Rehabilitation Centre , Birmingham Community Healthcare NHS , 
      Birmingham , UK.
LA  - eng
PT  - Journal Article
DEP - 20171106
PL  - England
TA  - J Spinal Cord Med
JT  - The journal of spinal cord medicine
JID - 9504452
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Exercise Therapy/instrumentation/*methods
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Muscle, Skeletal/innervation/physiopathology
MH  - Neurological Rehabilitation/*methods
MH  - Orthotic Devices
MH  - Peroneal Nerve/physiopathology
MH  - Spinal Cord Injuries/pathology/*rehabilitation
MH  - Transcutaneous Electric Nerve Stimulation/*methods
MH  - *Walking Speed
PMC - PMC6055946
OTO - NOTNLM
OT  - Functional electrical stimulation
OT  - Peroneal nerve stimulation
OT  - Spinal cord injury
OT  - Training effect
EDAT- 2017/11/08 06:00
MHDA- 2019/10/11 06:00
PMCR- 2019/05/01
CRDT- 2017/11/08 06:00
PHST- 2017/11/08 06:00 [pubmed]
PHST- 2019/10/11 06:00 [medline]
PHST- 2017/11/08 06:00 [entrez]
PHST- 2019/05/01 00:00 [pmc-release]
AID - yscm-41-361 [pii]
AID - 10.1080/10790268.2017.1392106 [doi]
PST - ppublish
SO  - J Spinal Cord Med. 2018 May;41(3):361-366. doi: 10.1080/10790268.2017.1392106. 
      Epub 2017 Nov 6.