Document Detail


Monitoring of spasticity and functional ability in individuals with incomplete spinal cord injury with a functional electrical stimulation cycling system.
MedLine Citation:
PMID:  22549654     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The aim of this study was to investigate the integration of motor function and spasticity assessment of individuals with spinal cord injury into cycling therapy.
METHODS: Twenty-three participants with incomplete spinal cord injury performed 18 training sessions (standard deviation (SD) 14) on an instrumented tricycle combined with functional electrical stimulation. Each therapy session included a power output test to assess the participants' ability to pedal actively and a spasticity test routine that measures the legs' resistance to the pedalling motion. In addition, the required time for the therapy phases was monitored.
RESULTS: The results of the power output test showed a monthly increase in power output of 4.4 W (SD 13.7) at 30 rpm and 18.2 W (SD 23.9) at 60 rpm. The results of the spasticity assessment indicate a 12.2 W (SD 9.7) reduction in resistance at 60 rpm after the FES training for the subject group with spasticity.
CONCLUSION: In clinical use over a time-period of 2 years this combined form of therapy and motor function assessment was well accepted by participants. The active power output test and the spasticity test routine offered a proper tool to monitor participants' progress in functional rehabilitation and changes in spasticity.
Authors:
Werner Reichenfelser; Harald Hackl; Josef Hufgard; Josef Kastner; Karin Gstaltner; Margit Gföhler
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of rehabilitation medicine     Volume:  44     ISSN:  1651-2081     ISO Abbreviation:  J Rehabil Med     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-05-02     Completed Date:  2013-01-15     Revised Date:  2014-05-30    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  444-9     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living*
Adolescent
Adult
Bicycling
Disability Evaluation*
Electric Stimulation / methods*
Exercise Therapy
Female
Humans
Male
Middle Aged
Monitoring, Physiologic / methods
Muscle Contraction
Muscle, Skeletal
Paraplegia / rehabilitation
Quadriplegia / rehabilitation
Spasm / rehabilitation*
Spinal Cord Injuries / complications,  pathology,  rehabilitation*
Treatment Outcome*
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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