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Decreased central fatigue in multiple sclerosis patients after 8 weeks of surface functional electrical stimulation.

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  • معلومة اضافية
    • Author-Supplied Keywords:
      central fatigue
      demyelinating disease
      fatigue
      functional electrical stimulation
      interpolated twitch
      maximum voluntary contraction
      multiple sclerosis
      peripheral fatigue
      rehabilitation
      twitch
    • NAICS/Industry Codes:
      333997 Scale and Balance Manufacturing
      333990 All other general-purpose machinery manufacturing
    • Abstract:
      Effective treatments for multiple sclerosis (MS)-associated central fatigue have not been established. Surface functional electrical stimulation (FES), which can challenge the peripheral neuromuscular system without overloading the central nervous system, is a relatively safe therapeutic strategy. We investigated the effect of 8 weeks of surface FES training on the levels of general, central, and peripheral fatigue in MS patients. Seven of nine individuals with MS (average age: 42.86 +/- 13.47 years) completed 8 weeks of quadriceps muscle surface FES training. Maximal voluntary contraction, voluntary activation level, twitch force, General Fatigue Index (FI), Central Fatigue Index (CFI), Peripheral Fatigue Index, and Modified Fatigue Impact Scale (MFIS) scores were determined before and after training. The results showed that FI (p = 0.01), CFI (p = 0.02), and MFIS (p = 0.02) scores improved significantly after training. Improvements in central fatigue contributed significantly to improvements in general fatigue (p < 0.01). The results of the current study showed that central fatigue was a primary limitation in patients with MS during voluntary exercise and that 8 weeks of surface FES training for individuals with MS led to significantly reduced fatigue, particularly central fatigue. [ABSTRACT FROM AUTHOR]
    • Abstract:
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    • Author Affiliations:
      1Department of Physical Therapy and Graduate Institute of Rehabilitation Science, Chang Gung University, Taoyuan, Taiwan
      2Department of Physical Therapy, College of Health Science, Kaohsiung Medical University,
      3Department of Physical Medicine and Rehabilitation, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
      4Department of Statistics, Tunghai University, Taichung, Taiwan
    • ISSN:
      0748-7711
    • Accession Number:
      10.1682/JRRD.2010.03.0038
    • Accession Number:
      70392679
  • Citations
    • ABNT:
      YA-JU CHANG et al. Decreased central fatigue in multiple sclerosis patients after 8 weeks of surface functional electrical stimulation. Journal of Rehabilitation Research & Development, [s. l.], v. 48, n. 5, p. 555–564, 2011. DOI 10.1682/JRRD.2010.03.0038. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=70392679&custid=s8280428. Acesso em: 12 jul. 2020.
    • AMA:
      Ya-Ju Chang, Miao-Ju Hsu, Shin-Man Chen, Cheng-Hsiang Lin, Wong AMK. Decreased central fatigue in multiple sclerosis patients after 8 weeks of surface functional electrical stimulation. Journal of Rehabilitation Research & Development. 2011;48(5):555-564. doi:10.1682/JRRD.2010.03.0038.
    • AMA11:
      Ya-Ju Chang, Miao-Ju Hsu, Shin-Man Chen, Cheng-Hsiang Lin, Wong AMK. Decreased central fatigue in multiple sclerosis patients after 8 weeks of surface functional electrical stimulation. Journal of Rehabilitation Research & Development. 2011;48(5):555-564. doi:10.1682/JRRD.2010.03.0038
    • APA:
      Ya-Ju Chang, Miao-Ju Hsu, Shin-Man Chen, Cheng-Hsiang Lin, & Wong, A. M. K. (2011). Decreased central fatigue in multiple sclerosis patients after 8 weeks of surface functional electrical stimulation. Journal of Rehabilitation Research & Development, 48(5), 555–564. https://doi.org/10.1682/JRRD.2010.03.0038
    • Chicago/Turabian: Author-Date:
      Ya-Ju Chang, Miao-Ju Hsu, Shin-Man Chen, Cheng-Hsiang Lin, and Alice M. K. Wong. 2011. “Decreased Central Fatigue in Multiple Sclerosis Patients after 8 Weeks of Surface Functional Electrical Stimulation.” Journal of Rehabilitation Research & Development 48 (5): 555–64. doi:10.1682/JRRD.2010.03.0038.
    • Harvard:
      Ya-Ju Chang et al. (2011) ‘Decreased central fatigue in multiple sclerosis patients after 8 weeks of surface functional electrical stimulation’, Journal of Rehabilitation Research & Development, 48(5), pp. 555–564. doi: 10.1682/JRRD.2010.03.0038.
    • Harvard: Australian:
      Ya-Ju Chang, Miao-Ju Hsu, Shin-Man Chen, Cheng-Hsiang Lin & Wong, AMK 2011, ‘Decreased central fatigue in multiple sclerosis patients after 8 weeks of surface functional electrical stimulation’, Journal of Rehabilitation Research & Development, vol. 48, no. 5, pp. 555–564, viewed 12 July 2020, .
    • MLA:
      Ya-Ju Chang, et al. “Decreased Central Fatigue in Multiple Sclerosis Patients after 8 Weeks of Surface Functional Electrical Stimulation.” Journal of Rehabilitation Research & Development, vol. 48, no. 5, Aug. 2011, pp. 555–564. EBSCOhost, doi:10.1682/JRRD.2010.03.0038.
    • Chicago/Turabian: Humanities:
      Ya-Ju Chang, Miao-Ju Hsu, Shin-Man Chen, Cheng-Hsiang Lin, and Alice M. K. Wong. “Decreased Central Fatigue in Multiple Sclerosis Patients after 8 Weeks of Surface Functional Electrical Stimulation.” Journal of Rehabilitation Research & Development 48, no. 5 (August 2011): 555–64. doi:10.1682/JRRD.2010.03.0038.
    • Vancouver/ICMJE:
      Ya-Ju Chang, Miao-Ju Hsu, Shin-Man Chen, Cheng-Hsiang Lin, Wong AMK. Decreased central fatigue in multiple sclerosis patients after 8 weeks of surface functional electrical stimulation. Journal of Rehabilitation Research & Development [Internet]. 2011 Aug [cited 2020 Jul 12];48(5):555–64. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=70392679&custid=s8280428