Document Detail

Report of practicability of a 6-month home-based functional electrical stimulation cycling program in an individual with tetraplegia.
MedLine Citation:
PMID:  22507029     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Sedentarism is common among people with spinal cord injury (SCI). However, new technologies such as functional electrical stimulation cycles with internet connectivity may provide incentive by removing some of the limitations and external barriers.
OBJECTIVE: To determine the effectiveness of a long-term home-based functional electrical stimulation lower extremities cycling (FES-LEC) program on exercise adherence, body composition, energy expenditure, and quality of life (QOL) in an adult with chronic tetraplegia.
PARTICIPANT: A 53-year-old man, 33 years post-motor complete C4 SCI participated in FES-LEC in his home, three sessions per week for 24 weeks.
METHODS: Exercise adherence was calculated as the percentage of performed cycling sessions relative to the recommended number of cycling sessions. Body composition was measured by dual-energy X-ray absorptiometry. Energy expenditure was measured using a COSMED K4b2 and QOL via the World Health Organization Quality of Life (WHO-QOL) Brief Questionnaire. Testing was performed before and after the 24-week exercise program.
RESULTS: The participant cycled 59 out of a recommended 72 sessions which is an exercise adherence rate of 82%. Body composition displayed increases in total body lean mass (LM) with an increase of 3.3% and an increase in leg LM of 7.1%. Energy expenditure increased by 1.26 kcal/minute or greater than 200%. The physical and psychological domain scores of QOL increased by 25 and 4.5%, respectively.
CONCLUSION: This case study provides encouragement concerning the practicality of a home-based FES-LEC program for those with SCI.
David R Dolbow; Ashraf S Gorgey; Jewel R Moore; David R Gater
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The journal of spinal cord medicine     Volume:  35     ISSN:  1079-0268     ISO Abbreviation:  J Spinal Cord Med     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-17     Completed Date:  2012-09-17     Revised Date:  2014-07-31    
Medline Journal Info:
Nlm Unique ID:  9504452     Medline TA:  J Spinal Cord Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  182-6     Citation Subset:  IM    
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MeSH Terms
Body Composition / physiology
Body Mass Index
Electric Stimulation Therapy / methods*
Exercise Therapy / methods*
Middle Aged
Muscle, Skeletal / physiopathology
Patient Compliance
Quadriplegia / physiopathology,  rehabilitation*
Quality of Life
Treatment Outcome

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

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