Document Detail


Effects of dorsiflexor endurance exercises on foot drop secondary to multiple sclerosis: a pilot study.
MedLine Citation:
PMID:  16720937     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: This is a pilot study to determine if endurance exercises for dorsiflexors will improve walking for people with foot drop secondary to MS, and if improvement in muscle endurance for persons with MS can be predicted based on the amount of central fatigue (CF) in the muscle. Subjects: Five individuals with foot drop secondary to MS and five age-matched controls. METHODS: The intervention was 4 sets of 10 isometric contractions, at 60% of MVC, 3X/week, 8 weeks. Pretests-posttests included a dorsiflexor endurance test with superimposed electrical stimulation to measure CF, and a gait assessment including measurement of dorsiflexion at initial contact. RESULTS: Two of 5 subjects with MS had significant improvement in muscle endurance in both legs and in dorsiflexor control during walking. Correlation between CF and improved endurance was not significant (r=-0.07). One of the subjects with significant improvement in endurance had a significant decrease in central activation failure. CONCLUSIONS AND DISCUSSION: For individuals with foot drop secondary to MS, endurance exercises for the dorsiflexors can result in improved walking. CF may not be useful in predicting whether a muscle will improve in endurance with exercise. Improvement may result from either a peripheral training effect, a central learning effect, or both.
Authors:
Julie Mount; Stan Dacko
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Publication Detail:
Type:  Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  NeuroRehabilitation     Volume:  21     ISSN:  1053-8135     ISO Abbreviation:  NeuroRehabilitation     Publication Date:  2006  
Date Detail:
Created Date:  2006-05-24     Completed Date:  2006-08-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9113791     Medline TA:  NeuroRehabilitation     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  43-50     Citation Subset:  IM    
Affiliation:
Department of Physical Therapy, College of Health Professions, Thomas Jefferson University, Philadelphia, PA 19107, USA. julie.mount@jefferson.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Electric Stimulation
Exercise Therapy*
Female
Gait Disorders, Neurologic / etiology,  physiopathology*,  rehabilitation*
Humans
Leg / physiopathology
Male
Middle Aged
Multiple Sclerosis / complications,  physiopathology*,  rehabilitation*
Muscle Fatigue / physiology
Muscle, Skeletal / physiopathology
Physical Endurance / physiology*
Pilot Projects
Treatment Outcome
Walking / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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