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khoo57
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| Joined: | Thu Jun 12th, 2008 |
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Posted: Tue Mar 3rd, 2009 01:51 am |
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| Proof is always in the pudding irregardless of the research...my MS patients have been responding with reduced hypertonicity with increased use BWS with facilitation of hip and knee flexors. The overall tone is reduced with consistent use, even though it is still present over ground; patient trying too hard to bring the affected limb from stance through swing through phase. It helps to have AFO over treadmill and over ground. With pure verbal cues, i do not get as much reduction in hypertonicity. I have also used e-stim over LI4 and LI11 to reduce tone in the contralateral lower extremity with fairly good results. Parameters at 100pps with IFC or with TENS with the pulse width wide open; intensity to slight motor twitch.
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dorischong
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Posted: Sat Feb 28th, 2009 03:34 am |
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Thanks Shanna!
Doris
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shanna
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Posted: Fri Feb 27th, 2009 08:06 pm |
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Improving Gait in Multiple Sclerosis Using Robot-Assisted, Body Weight Supported Treadmill Training
Albert C. Lo,MD, PhD, and Elizabeth W. Triche, PhD
Attachment: Lo - Improving Gait in MS w BWSTT.pdf (Downloaded 6 times)
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shanna
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Posted: Fri Feb 27th, 2009 08:05 pm |
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This is article referenced by Geoff.
Locomotor training using body weight support on a treadmill improves mobility in persons with multiple sclerosis: a pilot study
Barbara Giesser1, Janell Beres-Jones1, Amy Budovitch1, Elise Herlihy1 and Susan Harkema2
Attachment: Giesser - BWSTT for MS.pdf (Downloaded 3 times)
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dorischong
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Posted: Fri Feb 27th, 2009 06:10 am |
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Thanks Geoff! I haven't got time to pubmed my search. Thanks for your help 
Doris
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geomosley
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Posted: Thu Feb 26th, 2009 09:39 pm |
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Try the following article:
Giesser B. Beres-Jones J. Budovitch A. Herlihy E. Harkema S. Locomotor training using body weight support on a treadmill improves mobility in persons with multiple sclerosis: a pilot study. Multiple Sclerosis. 13(2):224-31, 2007 Mar.
They did find improvements in spasticity with PWBGT.
Also Wernig found similar improvements in spasticity with SCI using PWBGT (either 1995 or 1998, I can't remember which).
Geoff
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dorischong
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Posted: Wed Feb 25th, 2009 03:04 am |
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I guess I can perform a literature search, but off the top of your head, does anyone know if there's research supporting the use of BWST in MS patients to reduce hypertonicity?
Thanks, Doris
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