The Effect of Surface Electric Stimulation of the Gluteal Muscles on the Interface Pressure in Seated People With Spinal Cord Injury

Londen, Andrea van; Herwegh, Mariska; Zee, Carlijn H. van der; Daffertshofer, Andreas; Smit, Christof A; Niezen, A.; Janssen, Thomas W J

doi:10.1016/j.apmr.2008.02.028

Cited by 34 publications

(36 citation statements)

References 20 publications

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“…These seating systems were demonstrated to positively influence interface pressure and skin oxygenation [15][16]. Other methods, such as electric gluteal muscle stimulation also showed effectiveness in decreasing the interface pressure, which might restore blood flow [17]. However, it is not clear what the optimal frequency of these seating interventions must be to increase the viability of the tissue.…”

Section: Introductionmentioning

confidence: 99%

Analysis of healthy sitting behavior: Interface pressure distribution and subcutaneous tissue oxygenation

Reenalda

Geffen²,

Nederhand³

et al. 2009

JRRD

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Abstract-Pressure ulcers are a large problem in individuals who use a wheelchair for their mobility and have limited trunk stability and motor function. Because no relation between interface pressure and pressure ulcer development has been established and no clinical threshold for pressure ulcer development can be given, looking at the sitting behavior of nondisabled individuals is important. Nondisabled individuals do not develop pressure ulcers because they continuously shift posture. We analyzed the sitting behavior of 25 nondisabled male subjects by using a combination of interface pressure measurement and subcutaneous tissue oxygenation measurement by means of the Oxygen to See. These subjects shifted posture on average 7.8 +/-5.2 times an hour. These posture shifts were merely a combination of posture shifts in the frontal and sagittal plane. Subcutaneous oxygen saturation increased on average 2.2% with each posture adjustment, indicating a positive effect of posture shifts on tissue viability. The results of this study can be used as a reference for seating interventions aimed at preventing pressure ulcers. Changing the sitting load at least every 8 minutes is recommended for wheelchair users.

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Section: Introductionmentioning

confidence: 99%

Analysis of healthy sitting behavior: Interface pressure distribution and subcutaneous tissue oxygenation

Reenalda

Geffen²,

Nederhand³

et al. 2009

JRRD

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“…16 Van Londen and associates completed a similar study on humans and found that the seat-buttocks interface pressure decreased whether the gluteal muscles were electrically stimulated simultaneously or alternately. 19 Functional electrical stimulation (FES) cycling has been proposed as an activity that may decrease the risk of PUs through the promotion of increased blood flow and thickening of the gluteus maximus. 20 Petrofsky et al compared the incidence of PUs in persons who performed FES cycling over a 2-year period with a non-FES cycling control group and found that the FES cycling group developed 90% fewer PUs.…”

mentioning

confidence: 99%

Seat Pressure Changes after Eight Weeks of Functional Electrical Stimulation Cycling: A Pilot Study

Dolbow

Gorgey

Dolbow

et al. 2013

Topics in Spinal Cord Injury Rehabilitation

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“…In 2007-2008 Janssen et al reported on the benefits of GM activation through surface stimulation in 13 SCI males [30,72]. Alternating side-toside stimulation was compared with simultaneous bilateral stimulation.…”

Section: State Of the Artmentioning

confidence: 99%

Preventing Ischial Pressure Ulcers: I. Review of Neuromuscular Electrical Stimulation

Kaplan

Loeb

2011

Applied Bionics and Biomechanics

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Abstract.Objective: Pressure ulcers (PUs) are common and debilitating wounds that arise when immobilized patients cannot shift their weight. Treatment is expensive and recurrence rates are high. Pathophysiological mechanisms include reduced bulk and perfusion of chronically atrophic muscles as well as prolonged occlusion of blood flow to soft tissues from lack of voluntary postural shifting of body weight. This has suggested that PUs might be prevented by reanimating the paralyzed muscles using neuromuscular electrical stimulation (NMES). A review of the published literature over the past 2 decades is detailed.Outcomes: Historically gluteus maximus (GM) has been an important target for NMES, but results have been difficult to interpret and suitable technology has been lacking.Conclusions: NMES of the buttock muscles appears to be valuable in terms of its trophic effects, improving vascularity and soft tissue bulk. It remains unclear, however, whether GM can actually achieve sufficient unloading of normal forces to permit blood flow in the capillary beds of the skin and muscle. Analysis of the skeletal biomechanics is required to assess the relative value of GM vs. hamstring (HS) hip extensors in this regard.

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The Effect of Surface Electric Stimulation of the Gluteal Muscles on the Interface Pressure in Seated People With Spinal Cord Injury

Cited by 34 publications

References 20 publications

Analysis of healthy sitting behavior: Interface pressure distribution and subcutaneous tissue oxygenation

Analysis of healthy sitting behavior: Interface pressure distribution and subcutaneous tissue oxygenation

Seat Pressure Changes after Eight Weeks of Functional Electrical Stimulation Cycling: A Pilot Study

Preventing Ischial Pressure Ulcers: I. Review of Neuromuscular Electrical Stimulation

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