Effect of high-tone external muscle stimulation on fatigue and functional outcomes in multiple sclerosis: A randomized controlled trial

Authors

  • Khalid Taha Yassin Turky Department of Internal Medicine and Genetics, Faculty of Physical Therapy, Salhyia El Gadida University, Egypt.
  • Nevin M Shalaby Department of Neurology, Faculty of Medicine, Cairo University Cairo, Egypt.
  • Asmaa Foad Abdelmonem Faculty of Physical Therapy, Cairo University, Egypt.
  • Tayseer Saber Abdeldayem Physical Therapy Department for Woman and Child Health, Faculty of Physical Therapy, Beni-Suef University, Egypt.
  • Mohammed Ali Mohammed Sarhan Faculty of Physical Therapy, Suez Canal University, Egypt.
  • Ghada S M Omar Physical Therapy Department, Faculty of Allied Medical Sciences, Aqaba University of Technology, Jordan / Physical Therapy Department for Surgery, Faculty of Physical Therapy, Cairo University, Egypt.
  • Lama Saad El-Din Mahmoud Department of Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, October 6 University, Egypt.
DOI: https://doi.org/10.6018/sportk.665861
Keywords: Multiple Sclerosis, Fatigue, Function, High-tone External Muscle Stimulation

Abstract

A major symptom experienced by subjects with multiple sclerosis is fatigue, which induces a decline in physical, cognitive, and functional capacity. Exercise and electrotherapy are cornerstones of rehabilitation that elicit acceptable effects on feelings of fatigue and on performing activities of daily living. A randomized controlled trial was conducted to investigate the effects of high-tone external muscle stimulation on fatigue and functional outcomes in multiple sclerosis patients. A total of 40 multiple sclerosis patients were allocated randomly to either: the study or control groups. The study group received high-tone external muscle stimulation, while the control group received a conventional selected exercise training program. Both groups received 3 sessions per week for one month. Both groups showed a significant improvement post-study compared with pre-study. There was a significant reduction in Disability Status Scale (p=0.002), Fatigue Severity Scale scores (p=0.004), and total scores of Modified Fatigue Impact Scale (p=0.001) of the study group compared with that of the control group. High-tone external muscle stimulation showed an important improvement effect for both fatigue and functional outcomes in multiple sclerosis patients, being more effective than the conventional exercise training program; therefore, it should be considered a beneficial treatment method for patients with multiple sclerosis.

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References

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Published
09-06-2025
How to Cite
Yassin Turky, K. T., Shalaby, N. M., Abdelmonem, A. F., Abdeldayem, T. S., Mohammed Sarhan , M. A., M Omar , G. S., & El-Din Mahmoud, L. S. (2025). Effect of high-tone external muscle stimulation on fatigue and functional outcomes in multiple sclerosis: A randomized controlled trial. SPORT TK-EuroAmerican Journal of Sport Sciences, 14, 54. https://doi.org/10.6018/sportk.665861
Issue
Vol. 14 (2025)
Section
Articles

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The works and papers that are published in this Journal are subject to the following terms:

1. The Publication Service of the University of Murcia (the publisher) has the Publication Rights (Copyright) to the published papers and works, and favors and permits the reusing of the same under the license indicated in point 2.

© Servicio de Publicaciones, Universidad de Murcia, 2013

2. The papers and works are to be published in the digital edition of the Journal under the license Creative Commons Reconocimiento-No Comercial-Sin Obra Derivada 3.0 España (legal text). The copying, using, spreading, transmitting and publicly displaying of the papers, works or publication are permitted as long as: i) the authors and original sources (Journal, publisher and URL of the publication) are quoted; ii) it is not used for commercial benefit; iii) the existence and specifications of this users license are mentioned.

3. Conditions of Self-Archiving. It is permitted and encouraged that the authors spread electronically the pre-print (before printing) and/or post-print (the revised, evaluated and accepted) versions of their papers or works before their publication since this favors their circulation and early diffusion and therefore can help increase their citation and quotation, and also there reach through the academic community.