Neuromuscular electrical stimulation and dietary interventions to reduce oxidative stress in a secondary progressive multiple sclerosis patient leads to marked gains in function: a case report

David Reese; Ezzatolah T Shivapour; Terry L Wahls; Shauna D Dudley-Javoroski; Richard Shields

doi:10.4076/1757-1626-2-7601

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Neuromuscular electrical stimulation and dietary interventions to reduce oxidative stress in a secondary progressive multiple sclerosis patient leads to marked gains in function: a case report

Journal article

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Neuromuscular electrical stimulation and dietary interventions to reduce oxidative stress in a secondary progressive multiple sclerosis patient leads to marked gains in function: a case report

David Reese, Ezzatolah T Shivapour, Terry L Wahls, Shauna D Dudley-Javoroski and Richard Shields

Cases journal, Vol.2(8), p.7601

2009

DOI: 10.4076/1757-1626-2-7601

PMCID: PMC2769364

PMID: 19918474

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Abstract

Neuromuscular electrical stimulation has been used to aid musculoskeletal recovery. Excessive oxidative stress and excitoxicity are implicated in secondary progressive multiple sclerosis. A 52-year-old white female with SPMS had been scooter- and cane-dependent for 4 years. She requested and received a trial of neuromuscular electrical stimulation. Two months after initiating NMES the patient adopted several nutritional interventions to lower oxidative stress and excito-toxicity. During the first 2 months of neuromuscular electrical stimulation, the therapist observed modest gait improvements. Following the addition of nutritional interventions, more rapids gains in strength and endurance, including muscle groups not receiving neuromuscular electrical stimulation were observed by both the therapist and the patient. After 8 months of neuromuscular electrical stimulation (6 months of nutritional intervention) the patient’s function had improved sufficiently that she no longer used a scooter or cane and rode her bicycle routinely 8 miles, including hills.

Case report

Details

Title: Subtitle: Neuromuscular electrical stimulation and dietary interventions to reduce oxidative stress in a secondary progressive multiple sclerosis patient leads to marked gains in function: a case report
Creators: David Reese
Ezzatolah T Shivapour
Terry L Wahls
Shauna D Dudley-Javoroski
Richard Shields
Resource Type: Journal article
Publication Details: Cases journal, Vol.2(8), p.7601
DOI: 10.4076/1757-1626-2-7601
PMID: 19918474
PMCID: PMC2769364
NLM abbreviation: Cases J
ISSN: 1757-1626
eISSN: 1757-1626
Publisher: Cases Network Ltd
Language: English
Date published: 2009
Academic Unit: Neurology; Epidemiology; Orthopedics and Rehabilitation; Physical Therapy and Rehabilitation Science; General Internal Medicine; Internal Medicine
Record Identifier: 9984020988802771

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