ECTRIMS eLearning

Treatment of spasticity in patients with multiple sclerosis by using method of electrical stimulation according to Jantsch - a pilot study
Author(s): ,
M. Kovari
Affiliations:
Charles University | Rehabilitation Clinic, University Hospital Motol, 2nd Medical Faculty, Prague, Czech Republic
A. Pokorna
Affiliations:
Charles University | Rehabilitation Clinic, University Hospital Motol, 2nd Medical Faculty, Prague, Czech Republic
ECTRIMS Learn. Kovari M. 10/10/18; 229555; EP1718
Martina Kovari
Martina Kovari
Contributions
Abstract

Abstract: EP1718

Type: Poster Sessions

Abstract Category: Therapy - Others

Background: Spasticity is a serious symptom common in many patients with multiple sclerosis (MS). The electrical stimulation (ES) according to Jantsch was created with a primary aim to reduce spasticity, however its impact has been neither proved nor disproved by any studies. The aim of this study was to figure out if this type of ES can reduce the spasticity of triceps surae muscle (mTS) and whether decrease of spasticity of mTS can influence the speed of walk.
Methods: Fifteen probands (mean age 51.2 ±10.32 years with duration of MS 17.21 ± 6.48 years) participated in this pilot controlled study were divided in two groups - first (STIM) group (8 participants) underwent the application of ES, and the second (NONSTIM) group (7 participants) was without ES. Treatment duration was 8 days, 10 minutes per day during inpatient treatment and all participants had the same conventional physiotherapy. Spasticity was measured using by Tardieu Scale, and speed of walk was measured by using 10 metres Walk test (10MWT) and Time Up and Go test (TUG). On the end of the therapy the participants filled the subjective questionnare which was created for them. The intragroup difference was evaluated using ANOVA for repetitive measures with Fisher´s post-hoc test (p≤0.05).
Results: Our data showed that ES according to Jantsch had an immediate influence on the reduction of the spasticity of treated muscle (difference of measuring angle of catch STIM/NONSTIM was 9.86 degrees, p˂0.05) and ES increased the active range of movement of the antagonists (difference between STIM/NONSTIM was 10.40 degrees, p˂0.05). Furthermore, this effect had lasted throughout the whole period of treatment and it had the increasing tendency. The increase of speed of walk by using the ES was not proved (p˃0.05). From subjective point of view all participants evaluated the ES positively.
Conclusion: ES according to Jantsh decreases the spasticity of triceps surae muscle, but does not have the influence on speed of walk measured by 10 metres Walk Test and TUG test.
Disclosure: Kovari Martina: nothing to disclose.
Pokorna Anna: nothing to disclose.

Abstract: EP1718

Type: Poster Sessions

Abstract Category: Therapy - Others

Background: Spasticity is a serious symptom common in many patients with multiple sclerosis (MS). The electrical stimulation (ES) according to Jantsch was created with a primary aim to reduce spasticity, however its impact has been neither proved nor disproved by any studies. The aim of this study was to figure out if this type of ES can reduce the spasticity of triceps surae muscle (mTS) and whether decrease of spasticity of mTS can influence the speed of walk.
Methods: Fifteen probands (mean age 51.2 ±10.32 years with duration of MS 17.21 ± 6.48 years) participated in this pilot controlled study were divided in two groups - first (STIM) group (8 participants) underwent the application of ES, and the second (NONSTIM) group (7 participants) was without ES. Treatment duration was 8 days, 10 minutes per day during inpatient treatment and all participants had the same conventional physiotherapy. Spasticity was measured using by Tardieu Scale, and speed of walk was measured by using 10 metres Walk test (10MWT) and Time Up and Go test (TUG). On the end of the therapy the participants filled the subjective questionnare which was created for them. The intragroup difference was evaluated using ANOVA for repetitive measures with Fisher´s post-hoc test (p≤0.05).
Results: Our data showed that ES according to Jantsch had an immediate influence on the reduction of the spasticity of treated muscle (difference of measuring angle of catch STIM/NONSTIM was 9.86 degrees, p˂0.05) and ES increased the active range of movement of the antagonists (difference between STIM/NONSTIM was 10.40 degrees, p˂0.05). Furthermore, this effect had lasted throughout the whole period of treatment and it had the increasing tendency. The increase of speed of walk by using the ES was not proved (p˃0.05). From subjective point of view all participants evaluated the ES positively.
Conclusion: ES according to Jantsh decreases the spasticity of triceps surae muscle, but does not have the influence on speed of walk measured by 10 metres Walk Test and TUG test.
Disclosure: Kovari Martina: nothing to disclose.
Pokorna Anna: nothing to disclose.

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