Comparison of strategies and performance of functional electrical stimulation cycling in spinal cord injury pilots for competition in the first ever CYBATHLON

Coste, Christine; Bergeron, Vance; Berkelmans, Rik; Martins, Eliane; Fornusek, Ché; Arnin, J.; Hunt, Kenneth J.; Tong, Kai-Yu; Triolo, Ronald J.; Wolf, Peter

doi:10.4081/ejtm.2017.7219

Cited by 26 publications

(17 citation statements)

References 38 publications

(9 reference statements)

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“…Taking part in a competition as the final aim of the training program demonstrated a real benefit on training constraints tolerance. 20-27 This experience and the interactions with other teams breaks new grounds to innovative and generic FES-cycling based training programs for an important range of SCI subjects. However, the constraints and the reality behind people with SCI daily lives are far from the Cybathlon FES bike context and require numerous improvements such as further investigations to enable a safe recreational use in complete autonomy of this activity.…”

Section: Discussionmentioning

confidence: 99%

Participation to the first Cybathlon: an overview of the FREEWHEELS team FES-cycling solution

Sijobert

Fattal²,

Daubigney

et al. 2017

Eur J Transl Myol

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This article is a contribution to a special issue aiming at collecting data and documenting the different specificities of the teams which participated into Cybathlon 2016 FES-bike discipline. Our team prepared one paraplegic pilot over one year and developed a FES-cycling device based on existing commercial products. Our pilot (47 y.o, spinal cord lesion T3 AIS A since year 1995) was qualified for the final race and finished in 6th position over 12 participants in the discipline, covering a total distance of 750m at an average speed of 5.71km/h, propelled by his own quadriceps and hamstrings muscles.

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Section: Discussionmentioning

confidence: 99%

Participation to the first Cybathlon: an overview of the FREEWHEELS team FES-cycling solution

Sijobert

Fattal²,

Daubigney

et al. 2017

Eur J Transl Myol

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“…24 , 25 Exchange of information with other teams present at the first Cybathlon FES Cycling competition will provide further hints and tips. 26-32 …”

Section: Discussionmentioning

confidence: 99%

Functional electrical stimulation cycling strategies tested during preparation for the First Cybathlon Competition – a practical report from team ENS de Lyon

Metani

Popović-Maneski

Mateo³

et al. 2017

Eur J Transl Myol

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Whether it is from the patient’s or the physical therapist’s point of view, FES cycling can be considered either as a recreational activity, or an engaging rehabilitation tool. In both cases, it keeps patients with lower-limb paralysis motivated to sustain a regular physical activity. Thus, it is not surprising that it was selected as one of the six disciplines of the first Cybathlon competition held on October 8, 2016. However, many unresolved issues prevent FES cycling from being an activity practiced outdoors on a daily basis; such as, low power production, rapid muscle fatigue, precise electrode positioning, lack of systematic procedures to determine stimulation patterns, and the difficulty of transferring disabled riders from their wheelchair to the tricycle. This article documents the challenges we faced during preparation for the Cybathlon 2016 FES cycling race, and provides results obtained during different phases of the process. A particular specificity of our team was that, unlike most other teams where pilots were mainly paraplegic, both the primary and backup pilots for team ENS de Lyon are C6/C7 tetraplegics, with neither voluntary control of their abdominal muscles nor hand grip, and only partial use of their arms.

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“…Collaboration with other teams present at the first Cybathlon FES Cycling competition and beyond will provide further hints and tips. 16-23 …”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Functional Electrical Stimulation (FES) in On-Off Mode for Enhancing the Cycling Performance of Team Phoenix at 2016 Cybathlon

et al. 2017

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In this study we designed a Functional Electrical Stimulation (FES) trike for a female subject with spinal cord injury to exercise her lower limbs and improve her lower limb muscle condition for attending the 2016 Cybathlon FES bike competition. Our FES pilot was the only female participant, in the FES cycling competition and she rode for Team Phoenix from the Chinese University of Hong Kong. Due to the weakness of muscles in the lower limb of the subject, and due to scoliosis over her thoracolumbar aéra, the mechanical structure of the trike had to be tailor-made to ensure she sat on the bike in a safe and secure position. A six-phase angle-driven stimulation pattern was developed to stimulate quadriceps and hamstrings without gluteus muscles for contraction through four surface electrodes, thereby creating a cycling movement. To improve the cycling endurance and reduce the muscle fatigue, an on-off mode was developed for controlling the stimulation time that allowed the subject to cycle for 20s, then pause while the trike advanced without stimulation for 5s, followed by a subsequent 20 sec stimulation, to continue cycling. The pilot participated in the training procedure including training exercise at home, trike fitting in the trike by modifying the mechanical structure, and conducting the cycling exercise for six months. We observed significant improvements in the pilot’s lower limb condition. The on-off mode enabled our pilot to extend her cycling endurance effectively, from 1 min to 2.5 mins and the distance from 62m to 100m. Over the eight minutes time limit, our team successfully finished 100 m in the Cybathlon FES.

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Comparison of strategies and performance of functional electrical stimulation cycling in spinal cord injury pilots for competition in the first ever CYBATHLON

Cited by 26 publications

References 38 publications

Participation to the first Cybathlon: an overview of the FREEWHEELS team FES-cycling solution

Participation to the first Cybathlon: an overview of the FREEWHEELS team FES-cycling solution

Functional electrical stimulation cycling strategies tested during preparation for the First Cybathlon Competition – a practical report from team ENS de Lyon

The Effectiveness of Functional Electrical Stimulation (FES) in On-Off Mode for Enhancing the Cycling Performance of Team Phoenix at 2016 Cybathlon

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