Article

Functional electrical stimulation (FES) is a new rehabilitative
approach that combines electrical stimulation with a functional task. This pilot
study evaluated the safety and effectiveness of FES lower extremity training in
myotonic dystrophy type 1. DESIGN: This is a controlled pilot study that enrolled
20 patients with myotonic dystrophy type 1 over 2 years. Eight patients (age,
39-67 years) fulfilled the inclusion criteria. Four participants performed FES
cycling training for 15 days (one daily session of 30 minutes for 5 days a week).
A control group, matched for clinical and genetic variables, who had
contraindications to electrical stimulation, performed 6 weeks of conventional
resistance and aerobic training. The modified Medical Research Council Scale and
functional assessments were performed before and after treatment. Cohen d effect
size was used for statistical analysis. RESULTS:
Functional electrical
stimulation induced lower extremity training was well tolerated and resulted in a
greater improvement of tibialis anterior muscle strength (d = 1,583), overall
muscle strength (d = 1,723), and endurance (d = 0,626) than conventional
training. CONCLUSIONS: Functional electrical stimulation might be considered a
safe and valid tool to improve muscle function, also in muscles severely
compromised in which no other restorative options are available. Confirmation of
FES efficacy through further clinical trials is strongly advised.

Langue : ANGLAIS