Clinical Benefits and System Design of FES-Rowing Exercise for Rehabilitation of Individuals with Spinal Cord Injury: A Systematic Review

Ye, Gongkai; Grabke, Emerson Paul; Pakosh, Maureen; Furlan, Julio C.; Masani, Kei

doi:10.1016/j.apmr.2021.01.075

Cited by 13 publications

(19 citation statements)

References 42 publications

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“…FES rowing combines upper-body exercise with electrically stimulated lower body exercise, allowing an individual to row in a similar fashion to an able-bodied person. A recent systematic review showed FES rowing improved cardiovascular fitness and reduced bone density loss in persons with SCI [ 19 , 20 ]. Activation of typically weaker and less used posterior shoulder muscles was observed with rowing [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Acute physiological comparison of sub-maximal exercise on a novel adapted rowing machine and arm crank ergometry in people with a spinal cord injury

et al. 2022

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Study design Non-randomized crossover trial. Objectives The objective of this study was to assess the oxygen uptake during exercise using the Adapted ROWing machine (AROW) compared to the more commonly used Arm Crank Ergometry (ACE) for people with spinal cord injury/disease (SCI/D) with or without trunk stability. Setting Canada, Vancouver. Methods Participants were from a convenience sample of 14 adults with SCI/D (age 21–63 y) which include those with lumbar to low cervical impairments currently exercising at least once per week using cardiovascular exercise equipment at our Physical Activity Research Centre. The interventions were non-randomized steady-state exercise bouts at self-selected low and moderate workloads on the AROW and ACE for 5 min each. Our primary outcomes were the rate of oxygen consumption (mL/kg/min) and the Borg 0–10 Rating Scale of Perceived Exertion (RPE). Results A repeated measures two-way ANOVA ( p < 0.05) indicated that exercising on the AROW resulted significantly greater oxygen consumption and perceived exertion than ACE at similar sub-maximal workloads which may be explained by the differences in efficiency between the devices (Partial eta squared = 0.84, F stat = 48.25; Partial eta squared = 0.86, F stat = 53.54). Conclusions We have demonstrated that this form of upper extremity exercise had a greater RPE and VO 2 on the ACE at a given workload. Thus, the AROW could provide a functional upper extremity workout that can be used for daily exercise for those with varying levels of SCI.

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Section: Introductionmentioning

confidence: 99%

Acute physiological comparison of sub-maximal exercise on a novel adapted rowing machine and arm crank ergometry in people with a spinal cord injury

et al. 2022

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“…However, due to muscle paralysis, exercises are typically restricted to the upper body, such as arm crank ergometry and weight training [5,6]. Notably, these exercises have limited ability to produce the high exercise intensity required for cardiovascular adaptation, as only a small amount of muscle mass is typically involved [3,7].…”

Section: Introductionmentioning

confidence: 99%

“…One possible solution to increase exercise intensity and enhance cardiovascular performance is through functional electrical stimulation (FES) assisted exercise [7][8][9]. FES-leg exercises can activate a larger amount of muscle mass by stimulating the major lower limb muscles [7]. As a result, the exercise intensity is significantly higher when compared with traditional arms-only exercises [7].…”

Section: Introductionmentioning

confidence: 99%

“…FES-leg exercises can activate a larger amount of muscle mass by stimulating the major lower limb muscles [7]. As a result, the exercise intensity is significantly higher when compared with traditional arms-only exercises [7]. Recently, hybrid FES exercises which combine voluntary upper limb motion with FES have shown to induce greater aerobic demands, as Sensors 2022, 22, 1813 2 of 11 determined by higher maximal oxygen consumption (VO 2 ), than FES exercises alone [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

“…As a result, the exercise intensity is significantly higher when compared with traditional arms-only exercises [7]. Recently, hybrid FES exercises which combine voluntary upper limb motion with FES have shown to induce greater aerobic demands, as Sensors 2022, 22, 1813 2 of 11 determined by higher maximal oxygen consumption (VO 2 ), than FES exercises alone [7][8][9]. The two popular forms of hybrid FES exercise are FES during cycling (FES-cycling) and FES during rowing (FES-rowing).…”

Section: Introductionmentioning

confidence: 99%

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Development of a Coaching System for Functional Electrical Stimulation Rowing: A Feasibility Study in Able-Bodied Individuals

Tajali

Fok

Theventhiran

et al. 2022

Sensors

Self Cite

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Background: Functional electrical stimulation (FES) during rowing has substantial effects on cardiovascular health in individuals with spinal cord injuries. Currently, manual stimulation control where stimulation is operated by rowers is mostly utilized. However, it takes time to obtain the skill to initiate FES at the optimal timing. The purpose of this study was to develop a coaching system that helps rowers to initiate FES at the optimal timing. Methods: The optimal range for FES application was identified based on the electromyography of the left quadriceps in 10 able-bodied individuals (AB). Then, the effects of the coaching system on the timing of button-pressing, power, and work were investigated in 7 AB. Results: Vastus lateralis (VL) activation began consistently before the seat reached the anterior-most position. Therefore, seat position at the onset of VL was used as the variable to control the switch timing in the coaching system. The results revealed significantly higher power and work outputs in the coaching than the no-coaching condition (median power coaching: 19.10 W, power no-coaching: 16.48 W, p = 0.031; median work coaching: 109.74 J, work no-coaching: 65.25 J, p = 0.047). Conclusions: The coaching system can provide the optimal timing for FES, resulting in improved performance.

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Fusing Electrical Stimulation and Wearable Robots with Humans to Restore and Enhance Mobility

Schauer

Fosch‐Villaronga

Moreno

2023

Cyber–Physical–Human Systems

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Clinical Benefits and System Design of FES-Rowing Exercise for Rehabilitation of Individuals with Spinal Cord Injury: A Systematic Review

Cited by 13 publications

References 42 publications

Acute physiological comparison of sub-maximal exercise on a novel adapted rowing machine and arm crank ergometry in people with a spinal cord injury

Acute physiological comparison of sub-maximal exercise on a novel adapted rowing machine and arm crank ergometry in people with a spinal cord injury

Development of a Coaching System for Functional Electrical Stimulation Rowing: A Feasibility Study in Able-Bodied Individuals

Fusing Electrical Stimulation and Wearable Robots with Humans to Restore and Enhance Mobility

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