UI researchers develop [URL="http://news-releases.uiowa.edu/2011/nov ... study.html"][U]innovative protocol of treatment[/U][/URL] for MS patients
[QUOTE]University of Iowa researchers, using an innovative therapy involving intensive nutrition, progressive exercise, and neuromuscular stimulation, have observed evidence of improvement in patients with secondary progressive multiple sclerosis (SPMS).[/QUOTE]
[QUOTE]Terry Wahls, a clinical professor of internal medicine at the UI Carver College of Medicine and the Iowa City VA Medical Center, is the senior study author and living proof of the effectiveness of this treatment plan.[/QUOTE]
[QUOTE]The researchers had eight patients complete a three-month intervention that included an intensive nutrition food plan —- nine cups of fruits and vegetables, protein rich foods, and nutritional supplements —- a customized exercise program to strengthen weak muscles of the trunk and legs, and customized neuromuscular stimulation to strengthen weak muscles.
At the end of three months, seven patients showed very good compliance, and one showed fair compliance. Two patients showed a deterioration of symptoms. These patients were severely disabled at baseline and could take only minimal amounts of electrical stimulation current and perform only minimal exercise.
The other six patients showed improvement in their level of fatigue (averaging 5.6 before the intervention and 3.25 afterwards on the seven-point Fatigue Severity Scale; the lower the number the more clinical improvement in fatigue) and gait (29-percent average increase in mean walking speed). One subject who initially walked with a cane is now walking three miles a day unassisted. Another subject who was unable to walk upstairs a single step is now able to walk upstairs seven steps holding onto railings and with minimal assistance from the caregiver.
Reported side effects were weight loss, nausea, and gastric problems associated with the supplements.[/QUOTE]
[QUOTE]The researchers are planning to conduct a randomized controlled clinical trial to test the hypothesis that the combination of treatments involving major lifestyle changes results in a more rapid stabilization and reversal of disease symptoms than using a single treatment modality.[/QUOTE]
Terry Wahls: Intensive nutrition, progressive exercise, and neuromuscular stimulation
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Sebastiaan
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Marsei
Ik vermoed dat er weinig SPMS-ers zijn die zo door revalidatie verbeterd zijn als [URL="http://www.thewahlsfoundation.com/about ... y-wahls-2/"][U]Terry Wahls[/U][/URL] met haar programma is.
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Marsei
A case report: Terry Wahls
A case report: Terry Wahls
Neuromuscular electrical stimulation and dietary interventions to reduce oxidative stress in a secondary progressive multiple sclerosis patient leads to marked gains in function: [URL="http://www.mendeley.com/research/neurom ... se-report/"][U]a case report[/U][/URL]
[QUOTE]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 patients function had improved sufficiently that she no longer used a scooter or cane and rode her bicycle routinely 8 miles, including hills.[/QUOTE]
Neuromuscular electrical stimulation and dietary interventions to reduce oxidative stress in a secondary progressive multiple sclerosis patient leads to marked gains in function: [URL="http://www.mendeley.com/research/neurom ... se-report/"][U]a case report[/U][/URL]
[QUOTE]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 patients function had improved sufficiently that she no longer used a scooter or cane and rode her bicycle routinely 8 miles, including hills.[/QUOTE]
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Marsei
neuromuscular electrical stimulation
neuromuscular electrical stimulation
Rehabilitation with [URL="http://www.ncbi.nlm.nih.gov/pubmed/21138391"][U]neuromuscular electrical stimulation[/U][/URL] leads to functional gains in ambulation in patients with secondary progressive and primary progressive multiple sclerosis: a case series report.
[QUOTE][B]BACKGROUND[/B]: Gait disability in patients with secondary progressive multiple sclerosis (SPMS) or primary progressive multiple sclerosis (PPMS) rarely improves.
[B]PRIMARY STUDY OBJECTIVE[/B]:
This article reports on a case series of patients with SPMS and PPMS who were treated using neuromuscular electrical stimulation (NMES), a well-tolerated physical therapy (PT) treatment modality used to aid musculoskeletal recovery, coupled with a home-exercise program (HEP) to treat MS-related gait disability.
[B]SETTING[/B]:
The setting for this trial was a PT private practice.
[B]PATIENTS[/B]:
This trial was conducted with patients who had SPMS or PPMS with MS-related gait disability. CASE SERIES DESCRIPTION/INTERVENTION: Between June 2007 and June 2009, a licensed physical therapist (R.D.) used NMES coupled with a HEP to work with patients who had SPMS/PPMS and multiple sclerosis (MS)-related gait disability. All of the cases in which an NMES test session of NMES was conducted were included in the case series. Data regarding MS symptoms, treatment, gait, and function were abstracted from the PT clinic notes. Results of assessment with the expanded Kurtzke Disability Status Scale (EDSS) at presentation and at most recent visit were abstracted from the clinical record by the treating physical therapist (R.D.).
[B]CLINICAL OUTCOME/RESULTS[/B]: Nine (9) patients (7 with SPMS and 2 with PPMS) met inclusion criteria for review. Mean of years of diagnosis was 10.4 (range, 4-15), and mean EDSS score at presentation was 5.9 (range, 4.5-6.5). Mean of days of NMES was 140 (range, 22-495). Mean EDSS scores improved by 0.78 (range, 0-2.0).
[B]CONCLUSIONS[/B]:
NMES, an approved Food and Drug Administration treatment modality for muscle spasm, muscle pain, and disuse atrophy-all of which are commonly present in patients with gait disability associated with SPMS and PPMS-was associated with measurable gains in ambulatory function. Additional studies are warranted.[/QUOTE]
Rehabilitation with [URL="http://www.ncbi.nlm.nih.gov/pubmed/21138391"][U]neuromuscular electrical stimulation[/U][/URL] leads to functional gains in ambulation in patients with secondary progressive and primary progressive multiple sclerosis: a case series report.
[QUOTE][B]BACKGROUND[/B]: Gait disability in patients with secondary progressive multiple sclerosis (SPMS) or primary progressive multiple sclerosis (PPMS) rarely improves.
[B]PRIMARY STUDY OBJECTIVE[/B]:
This article reports on a case series of patients with SPMS and PPMS who were treated using neuromuscular electrical stimulation (NMES), a well-tolerated physical therapy (PT) treatment modality used to aid musculoskeletal recovery, coupled with a home-exercise program (HEP) to treat MS-related gait disability.
[B]SETTING[/B]:
The setting for this trial was a PT private practice.
[B]PATIENTS[/B]:
This trial was conducted with patients who had SPMS or PPMS with MS-related gait disability. CASE SERIES DESCRIPTION/INTERVENTION: Between June 2007 and June 2009, a licensed physical therapist (R.D.) used NMES coupled with a HEP to work with patients who had SPMS/PPMS and multiple sclerosis (MS)-related gait disability. All of the cases in which an NMES test session of NMES was conducted were included in the case series. Data regarding MS symptoms, treatment, gait, and function were abstracted from the PT clinic notes. Results of assessment with the expanded Kurtzke Disability Status Scale (EDSS) at presentation and at most recent visit were abstracted from the clinical record by the treating physical therapist (R.D.).
[B]CLINICAL OUTCOME/RESULTS[/B]: Nine (9) patients (7 with SPMS and 2 with PPMS) met inclusion criteria for review. Mean of years of diagnosis was 10.4 (range, 4-15), and mean EDSS score at presentation was 5.9 (range, 4.5-6.5). Mean of days of NMES was 140 (range, 22-495). Mean EDSS scores improved by 0.78 (range, 0-2.0).
[B]CONCLUSIONS[/B]:
NMES, an approved Food and Drug Administration treatment modality for muscle spasm, muscle pain, and disuse atrophy-all of which are commonly present in patients with gait disability associated with SPMS and PPMS-was associated with measurable gains in ambulatory function. Additional studies are warranted.[/QUOTE]
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Marsei
IC People Terry Wahls
IC People Terry Wahls
[URL="http://www.youtube.com/watch?v=jLPVsO8o ... e=youtu.be"][U]Video[/U][/URL]: IC People Terry Wahls
[URL="http://www.youtube.com/watch?v=jLPVsO8o ... e=youtu.be"][U]Video[/U][/URL]: IC People Terry Wahls
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Marsei
Eerste resultaten
Eerste resultaten
[URL="http://www.abstractsonline.com/Plan/Vie ... DD5E6C8%7D"][U]Effects[/U][/URL] of intensive directed nutrition, progressive exercise program and neuromuscular electrical stimulation on secondary progressive multiple sclerosis
[QUOTE]Thus, we investigated whether individuals with SPMS can tolerate a similar combined intervention including NMES, PEP and IDN and how this intervention affects their fatigue, transfers and gait.
Eleven subjects were recruited into a run-in phase which included IDN and PEP. To enroll in the Main Study, subjects had to fully comply with IDN and PEP.
Nine subjects were enrolled into the main study, with 8 showing very good compliance with each of the interventions (IDN, PEP, and NMES) and one with fair compliance. We have outcome data for 6 months on 3 subjects and 3 months on 5 subjects. One subject had a relapse during the 3rd month into the study and could not complete 25 foot walk and get up and go tests at that time. Thus, in this preliminary analysis data of only 4 subjects are presented.
Characteristics at baseline (mean, range): Age and sex (51.25, 45-54 years, all female), years since MS diagnosis (11.75, 3-20), EDSS (6.1, 6-6.5). At 3 months, outcome measures improved from baseline as follows: Fatigue Severity Scale by 34.2%, Timed 25 foot walk by 16.6%, Get up and go test by 20.7%, average speed during 25 foot walk test by 20.35% and total Multiple Sclerosis Spasticity Scale (MSSS-88) by 16.3%.
At 6 month average improvement of first 3 subjects were as follows: Fatigue Severity Scale by 31.4%, Timed 25 foot walk by 14.4%, Get up and go test by 27.1%, average speed during 25 foot walk test by 17.5% and total MSSS-88 by 26.5%. No significant adverse events were reported. In conclusion, individuals with SPMS are willing to complete a complex behavioral change involving intensive directed nutrition, neuromuscular electrical stimulation and progressive exercise program. [B]Preliminary results indicate beneficial effects of this combined intervention on fatigue and gait in subjects with a progressive disease who are not expected to show improvement.[/B][/QUOTE]
NMES= neuromuscular electrical stimulation
PEP= progressive home exercise program
IDN= intensive directed nutrition
[URL="http://www.abstractsonline.com/Plan/Vie ... DD5E6C8%7D"][U]Effects[/U][/URL] of intensive directed nutrition, progressive exercise program and neuromuscular electrical stimulation on secondary progressive multiple sclerosis
[QUOTE]Thus, we investigated whether individuals with SPMS can tolerate a similar combined intervention including NMES, PEP and IDN and how this intervention affects their fatigue, transfers and gait.
Eleven subjects were recruited into a run-in phase which included IDN and PEP. To enroll in the Main Study, subjects had to fully comply with IDN and PEP.
Nine subjects were enrolled into the main study, with 8 showing very good compliance with each of the interventions (IDN, PEP, and NMES) and one with fair compliance. We have outcome data for 6 months on 3 subjects and 3 months on 5 subjects. One subject had a relapse during the 3rd month into the study and could not complete 25 foot walk and get up and go tests at that time. Thus, in this preliminary analysis data of only 4 subjects are presented.
Characteristics at baseline (mean, range): Age and sex (51.25, 45-54 years, all female), years since MS diagnosis (11.75, 3-20), EDSS (6.1, 6-6.5). At 3 months, outcome measures improved from baseline as follows: Fatigue Severity Scale by 34.2%, Timed 25 foot walk by 16.6%, Get up and go test by 20.7%, average speed during 25 foot walk test by 20.35% and total Multiple Sclerosis Spasticity Scale (MSSS-88) by 16.3%.
At 6 month average improvement of first 3 subjects were as follows: Fatigue Severity Scale by 31.4%, Timed 25 foot walk by 14.4%, Get up and go test by 27.1%, average speed during 25 foot walk test by 17.5% and total MSSS-88 by 26.5%. No significant adverse events were reported. In conclusion, individuals with SPMS are willing to complete a complex behavioral change involving intensive directed nutrition, neuromuscular electrical stimulation and progressive exercise program. [B]Preliminary results indicate beneficial effects of this combined intervention on fatigue and gait in subjects with a progressive disease who are not expected to show improvement.[/B][/QUOTE]
NMES= neuromuscular electrical stimulation
PEP= progressive home exercise program
IDN= intensive directed nutrition
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Marsei
Het dieet in fasen
Het dieet in fasen
Terry Wahls op [URL="https://www.facebook.com/permalink.php? ... 6531629073"][U]FB[/U][/URL]:[QUOTE]Consider a phased approach to changing your diet. In my clinics I may start people at phase 1, 2 or 3 depending on the clinical circumstance.
Phase 1 - 9 cups veg/ fruit/ grass fed meat;
Phase 2 - gluten free, dairy free;
Phase 3- Paleo (no grain, potatoes, dairy or legumes);
Phase 4 - consultation with functional medicine doctor for more complete evaluation and testing.
Keeping advancing in the diet ( or see a functional medicine doctor) if you have not achieved the level of health that you are seeking.[/QUOTE]
[QUOTE]Not everyone can tolerate 3 cups of greens. It may be easier steamed. Or you may need somewhat fewer greens depending on your unique DNA.[/QUOTE]
Terry Wahls op [URL="https://www.facebook.com/permalink.php? ... 6531629073"][U]FB[/U][/URL]:[QUOTE]Consider a phased approach to changing your diet. In my clinics I may start people at phase 1, 2 or 3 depending on the clinical circumstance.
Phase 1 - 9 cups veg/ fruit/ grass fed meat;
Phase 2 - gluten free, dairy free;
Phase 3- Paleo (no grain, potatoes, dairy or legumes);
Phase 4 - consultation with functional medicine doctor for more complete evaluation and testing.
Keeping advancing in the diet ( or see a functional medicine doctor) if you have not achieved the level of health that you are seeking.[/QUOTE]
[QUOTE]Not everyone can tolerate 3 cups of greens. It may be easier steamed. Or you may need somewhat fewer greens depending on your unique DNA.[/QUOTE]