Training with FES-assisted cycling in a subject with spinal cord injury: Psychological, physical and physiological considerations.

The Journal of Spinal Cord Medicine
Charles FattalChristine Azevedo

Abstract

People with spinal cord injury (SCI) experience the effects of a sedentary lifestyle very early on. Literature data suggest that programs using FES-assisted cycling would contribute to reduce the consequences of physical inactivity. The objective was to assess the feasibility of 12-month training on a FES-assisted bike of a subject with paraplegia for 21 years, T3, Asia Impairment Scale (AIS) A. An evaluation of morbidity, self-esteem, satisfaction, quality of life and duration of pedaling was performed. The impact on pain, cardiorespiratory function, body composition and bone metabolism were also assessed. The acceptability score of the training constraints increased from 51 to 59/65 and satisfaction was high around 8/10. The pedaling duration increased from 1' to 26' on the recumbent bike and from 1' to 15' on open terrain. No significant changes were found with BMD and cardiorespiratory measures during exercise tests. SF 36 showed significant improvement of more than 10% and the Rosenberg Self Esteem score rapidly improved from 36 to 39/40. At the end of the training, the patient reached the objective of the Cybathlon 2016 by covering 750 m in less than 8 minutes, at an average speed of 5.80 km/hr. A person with high and com...Continue Reading

References

Apr 1, 1994·International Journal of Sports Medicine·R M Glaser
Aug 16, 2000·Archives of Physical Medicine and Rehabilitation·M BélangerB Leduc
May 1, 2007·Medicine and Science in Sports and Exercise·Johann SzecsiAndreas Straube
May 8, 2014·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·Daniel KuhnWolfgang Schobersberger
Jun 26, 2015·The Journal of Spinal Cord Medicine·Deborah A CraneMaria R Reyes

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