Document Detail


Functional electrical stimulation-supported interval training following sensorimotor-complete spinal cord injury: a case series.
MedLine Citation:
PMID:  22151365     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Objective. To investigate the effect of interval training supported by Functional Electrical Stimulation (FES) on ambulation ability in complete spinal cord injury (SCI). Methods. We trained four men with sensorimotor-complete (ASIA A) SCI, who achieved gait through FES of the quadriceps femoris, gluteus maximus, and common peroneal nerve on each side on a motorized treadmill. Training involved progressive interval walking exercise, consisting of periods of activity followed by equal periods of rest, repeated until muscle fatigue. We used time to muscle fatigue during continuous treadmill ambulation as the primary outcome measure. We also recorded the patterns of incremental stimulation for all training and testing sessions. Results. All subjects increased their ambulation capacity; however, the responses varied from subject to subject. Some subjects increased the total distance walked by as much as 300% with progressive improvement over the entire training period; however, others made more modest gains and appeared to reach a performance plateau within a few training sessions. Conclusions. FES-supported interval training offers a useful and effective strategy for strength-endurance improvement in the large muscle groups of the lower limb in motor-complete SCI. We believe that this training protocol offers a viable alternative to that of continuous walking training in people with SCI using FES to aid ambulation.
Authors:
Jack Crosbie; Michael Russold; Jacqui Raymond; James W Middleton; Glen M Davis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neuromodulation : journal of the International Neuromodulation Society     Volume:  12     ISSN:  1094-7159     ISO Abbreviation:  Neuromodulation     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2011-12-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9804159     Medline TA:  Neuromodulation     Country:  United States    
Other Details:
Languages:  eng     Pagination:  224-31     Citation Subset:  -    
Copyright Information:
© 2009 International Neuromodulation Society.
Affiliation:
Faculty of Health Sciences, The University of Sydney, Sydney, NSW, Australia; and The Faculty of Medicine, The University of Sydney, Sydney, NSW, Australia.
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