Additional study is required to further investigate the integration of FES cycling into clinical practice for management of SPMS. Modest improvement in some walking measures was observed when intervening with functional electrical stimulation (FES) cycling or passive cycling in patients with secondary progressive multiple sclerosis (SPMS), a recent study found. Investigators presented data at the Americas Committee for Treatment and Research in Multiple Sclerosis (ACTRIMS) Forum 2022 , February 24-26, in West Palm Beach, Florida, suggesting that the integration of FES cycling into clinical practice for SPMS shows promise as a form of exercise for those with more severe disability but will require further study. 1
A total of 16 patients with SPMS met inclusion criteria, and 14 patients (87.5%) completed the study. Eight patients were randomized to receive FES-assisted cycling group and 8 were randomized to the passive cycling group, with 2 participants in the passive cycling group not completing the study. Primary outcome measures were change in the Timed 25-Foot Walk (T25FW) test, with baseline score subtracted from final average values. Secondary end points were changes in the Timed Up and Go (TUG) test and the 2-Minute Walk Test.
Investigators, including Kathy Zackowski, PhD, OTR , senior director of patient management, care, and rehabilitation research, National Multiple Sclerosis Society, found that mean change in T25FW scores was –0.89 seconds (SD, 0.97) in the FES-assisted group and +0.15 seconds (SD, 1.19) in the passive cycling group (P = .11). Mean differences in TUG test times were –2.01 seconds (SD, […]