Document Detail


Prolonged electrical stimulation-induced gluteal and hamstring muscle activation and sitting pressure in spinal cord injury: Effect of duty cycle.
MedLine Citation:
PMID:  24301439     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Pressure ulcers (PUs) are highly prevalent in people with spinal cord injury (SCI). Electrical stimulation (ES) activates muscles and might reduce risk factors. Our objectives were to study and compare the effects of two duty cycles during 3 h of ES-induced gluteal and hamstring activation on interface pressure distribution in sitting individuals with SCI and study the usability of a newly developed electrode garment (ES shorts). Ten individuals with SCI participated in this study, in which two ES protocols with different duty cycles (1:1 s vs 1:4 s on-off) were applied in counterbalanced order using a custom-made garment with built-in electrodes. Outcome variables included interface pressure of the ischial tuberosities (ITs) and pressure gradient. A questionnaire was used to determine usability of the ES shorts. In both protocols, ES caused a significant decrease in average IT pressure compared with rest (no ES); on average, 35% for protocol 1:4 and 13% for protocol 1:1. The ES on-off duty cycle of protocol 1:4 showed less muscle fatigue. In general, participants scored the usability of the ES shorts as satisfactory. In this study, the application of ES resulted in a significant decrease in IT pressure. The ES on-off duty cycle of 1:4 s is recommended because of the less fatiguing effect. ES of the hamstrings and gluteal muscles might be a promising method in preventing PUs, but further study is needed.
Authors:
Christof A J Smit; Karin J A Legemate; Anja de Koning; Sonja de Groot; Janneke M Stolwijk-Swuste; Thomas W J Janssen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of rehabilitation research and development     Volume:  50     ISSN:  1938-1352     ISO Abbreviation:  J Rehabil Res Dev     Publication Date:  2013 Nov 
Date Detail:
Created Date:  2013-12-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8410047     Medline TA:  J Rehabil Res Dev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1035-46     Citation Subset:  IM    
Affiliation:
Reade, Spinal Cord Unit, Location Overtoom, PO Box 58271, 1040 HG Amsterdam, the Netherlands. c.smit@reade.nl.
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