Is the Routine Use of a Functional Electrical Stimulation Cycle for Lower Limb Movement Standard of Care for Acute Spinal Cord Injury Rehabilitation?

Stampas, Argyrios; York, Henry S.; O’Dell, Michael W.

doi:10.1016/j.pmrj.2017.03.005

Cited by 2 publications

(2 citation statements)

References 42 publications

(45 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…I would like to thank Drs. Stampas and York for their very interesting Point/Counterpoint debate on the use of functional electrical stimulation (FES) cycles as part of the standard of care for patients with spinal cord injury (SCI) [1]. Although some of the authors' points may apply only to their hypothetical patient, other comments appear intended to be generalizable.…”

Section: To the Editormentioning

confidence: 99%

Re: Is the Routine Use of a Functional Electrical Stimulation Cycle for Lower Limb Movement Standard of Care for Acute Spinal Cord Injury Rehabilitation?

Beaupré

2018

PM&R

View full text Add to dashboard Cite

Section: To the Editormentioning

confidence: 99%

Re: Is the Routine Use of a Functional Electrical Stimulation Cycle for Lower Limb Movement Standard of Care for Acute Spinal Cord Injury Rehabilitation?

Beaupré

2018

PM&R

View full text Add to dashboard Cite

“…18 A secondary aim was to examine relationships between muscle volume outcomes and other variables, such as parameters of exercise dose. Furthermore, because recommendations regarding appropriate patient selection are lacking, 19,20 additional clinical factors potentially affecting response were explored.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing thigh muscle volume change with cycling exercises in acute spinal cord injury – a secondary analysis of a randomized controlled trial

Panisset

El-Ansary

Dunlop

et al. 2020

The Journal of Spinal Cord Medicine

View full text Add to dashboard Cite

Objective: To conduct a per-protocol analysis on thigh muscle volume outcomes from the Spinal Cord Injury and Physical Activity (SCIPA) Switch-On Trial. Design: Secondary analysis from an assessor-blind randomized, controlled trial. Setting: Four acute/sub-acute hospitals in Australia and New Zealand. Participants: 24 adults (1 female) within four weeks of motor complete or incomplete spinal cord injury (SCI) Intervention: Functional electrical stimulation-assisted cycling (FESC) or passive cycling (PC) 4x/week for 12 weeks. Outcome Measures: Whole thigh and muscle group volumes calculated from manually segmented MR images. Results: 19/24 participants completed ≥ twelve weeks of the intervention. Five participants experienced hypertrophy (4 FESC; 1 PC) and eight attenuation of atrophy (<20% volume loss) (3 FESC; 5 PC) in thigh muscle volume. Six participants were non-responders, exhibiting atrophy >20% (3 FESC; 3 PC). Mean (SD) change for FESC was −2.3% (25.3%) and PC was −14.0% (12.3%). After controlling for baseline muscle volumes, a strong significant correlation was found between mean weekly exercise frequency and quadriceps and hamstring volumes (r=6.25, P=0.006), regardless of mode. Average watts was highly correlated to quadriceps volumes only (r=5.92, P=0.01), while total number of sessions was strongly correlated with hamstring volumes only (r=5.91, P=0.01). Conclusion: This per-protocol analysis of FESC and PC early after SCI reports a partial response in 42% and a beneficial response in 25% of patients who completed 12 weeks intervention, regardless of mode. Strong correlations show a dose-response according to exercise frequency. Characteristics of non-responders are discussed to inform clinical decision-making.

show abstract

Is the Routine Use of a Functional Electrical Stimulation Cycle for Lower Limb Movement Standard of Care for Acute Spinal Cord Injury Rehabilitation?

Cited by 2 publications

References 42 publications

Re: Is the Routine Use of a Functional Electrical Stimulation Cycle for Lower Limb Movement Standard of Care for Acute Spinal Cord Injury Rehabilitation?

Re: Is the Routine Use of a Functional Electrical Stimulation Cycle for Lower Limb Movement Standard of Care for Acute Spinal Cord Injury Rehabilitation?

Factors influencing thigh muscle volume change with cycling exercises in acute spinal cord injury – a secondary analysis of a randomized controlled trial

Contact Info

Product

Resources

About