Towards the Development of Full Motion FES Rowing with Accurate Ergometry: RowStim IV

Andrews, B.J.; Gibbons, Robin; Goodey, Simon; Poulton, Adrian; Shippen, James

doi:10.1007/978-3-030-01845-0_184

Cited by 1 publication

(2 citation statements)

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“…Semi‐automatic control is being explored, as a compromise for some rowers, to improve performance. We are also exploring the “floating” stretcher principle to determine if this can enable a closer simulation of on‐water FES rowing to be achieved . We also envisage the use of FES rowing as a cardiovascular cross‐training modality for adaptive rowing and other wheelchair sports athletes where the FES activation of the paralyzed lower limbs may help reduce upper limb overuse and address the imbalance often seen in the relative size of the athletes upper and lower bodies.…”

Section: Discussionmentioning

confidence: 99%

“…Importantly, the volume and intensity of FES rowing training represents a dramatic increase in physical activity above normal ADL, especially in tetraplegia . Recently, we have reported significant force actions during FES rowing, exceeding 1.5 times BW, which have produced widely distributed stresses in the tibia, a bone highly susceptible to fragility fracture following SCI .…”

Section: Overview Of the Primary Life Threatening Secondary Conditionmentioning

confidence: 99%

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Development of Functional Electrical Stimulation Rowing: The Rowstim Series

2017

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Potentially, functional electrical stimulation (FES)-assisted exercise may have an important therapeutic role in reducing comorbidities associated with spinal cord injury (SCI). Here, we present an overview of these secondary life-threatening conditions, discuss the rationale behind the development of a hybrid exercise called FES rowing, and describe our experience in developing FES rowing technology. FES rowing and sculling are unique forms of adaptive rowing for those with SCI. The paralyzed leg musculature is activated by multiple channels of electrical pulses delivered via self-adhesive electrodes attached to the skin. The stimulated muscle contractions are synchronized with voluntary rowing movements of the upper limbs. A range of steady-state FES rowing exercise intensities have been demonstrated from 15.2 ± 1.8 mL/kg/min in tetraplegia to 22.9 ±7.1 mL/kg/min in paraplegia. We expect that such high levels may help some to achieve significant reductions in the risks to their health, particularly where a dose-response relationship exists as is the case for cardiovascular disease and Type II diabetes. Furthermore, preliminary results suggest that cyclical forces more than 1.5 times body weight are imposed on the leg long bones which may help to reduce the risk of fragility fractures. We have demonstrated the feasibility of FES rowing on land and water using adapted rowing technology that includes; a fixed stretcher indoor ergometer (adapted Concept 2, Model E), a floating stretcher indoor ergometer (adapted Concept 2 Dynamic), a turbine powered water rowing tank, a custom hydraulic sculling simulator and a single scull (adapted Alden 16). This has involved volunteers with paraplegia and tetraplegia with SCI ranging from C4 to T12 AIS A using at least 4-channels of surface electrical stimulation. FES rowers, with SCI, have competed alongside non-SCI rowers over the Olympic distance of 2000 m at the British Indoor Rowing Championships in 2004, 2005, and 2006 and the World Indoor Rowing Championships in 2006 (CRASH-B's) in Boston, MA, USA. The best 2000 m FES rowing performance to date has been achieved by a 23-year-old male, Tom Aggar T12 AIS A, in 10 min 28 s. Moreover, two of our FES rowers with complete paraplegia have gone on to successfully compete in the Adaptive Rowing arms-only category (AM1x) at the World Rowing Championships and Paralympic Games.

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Section: Discussionmentioning

confidence: 99%

Section: Overview Of the Primary Life Threatening Secondary Conditionmentioning

confidence: 99%