scholarly journals Feasibility of home-based functional electrical stimulation cycling: case report

Spinal Cord ◽  
2011 ◽  
Vol 50 (2) ◽  
pp. 170-171 ◽  
Author(s):  
D R Dolbow ◽  
A S Gorgey ◽  
D X Cifu ◽  
J R Moore ◽  
D R Gater
Diagnostics ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. 529 ◽  
Author(s):  
Helmut Kern ◽  
Ugo Carraro

Spinal cord injury (SCI) produces muscle wasting that is especially severe after complete and permanent damage of lower motor neurons, as can occur in complete conus and cauda equina syndrome. Even in this worst-case scenario, mass and function of permanently denervated quadriceps muscle can be rescued by surface functional electrical stimulation using a purpose designed home-based rehabilitation strategy. Early diagnostics is a key factor in the long-term success of this management. Function of quadriceps muscle was quantitated by force measurements. Muscle gross cross-sections were evaluated by quantitative color computed tomography (CT) and muscle and skin biopsies by quantitative histology, electron microscopy, and immunohistochemistry. Two years of treatment that started earlier than 5 years from SCI produced: (a) an increase in cross-sectional area of stimulated muscles; (b) an increase in muscle fiber mean diameter; (c) improvements in ultrastructural organization; and (d) increased force output during electrical stimulation. Improvements are extended to hamstring muscles and skin. Indeed, the cushioning effect provided by recovered tissues is a major clinical benefit. It is our hope that new trials start soon, providing patients the benefits they need.


2021 ◽  
Vol 28 (5) ◽  
pp. 1-8
Author(s):  
Marie Vazquez Morgan ◽  
Suzanne Tinsley ◽  
Rachael Henderson

Background/aims Polymyositis is an inflammatory myopathy characterised by chronic and progressive muscle weakness. This case report discusses a 61-year-old African-American man with polymyositis. Even though pharmacological and physical therapy interventions had previously been prescribed, they had not been beneficial. This case report examined the effects of a functional electric stimulation-assisted exercise programme. Methods The patient was treated in an outpatient clinic two times a week and performed exercises three times a week on alternating days for 36 weeks. In the clinic, he received functional electrical stimulation-assisted strengthening to quadriceps, hamstrings and gluteus maximus while performing activities such as sit to stand, squats, bridging and cycling. For endurance training, he ambulated on the clinic track with a neuroprosthetic to assist with dorsiflexion in the swing phase of gait. At home, he performed lower extremity and core strengthening exercises. Measures to evaluate the intervention included the Manual Muscle Test, functional mobility (Timed Up and Go Test), balance (Berg Balance Scale, Activities of Balance Confidence Scale), endurance (Six-Minute Walk Test with a modified Borg scale) and gait speed (10-Metre Walk Test). Results After 36 weeks of treatment, the patient had made gains in strength in all muscle groups in his bilateral lower extremities except hip extensors. Timed Up and Go time decreased by 14.01 seconds. The patient changed from a medium fall risk to low fall risk on the Berg Balance Scale and his confidence increased by 46.2% on the Activities of Balance Confidence Scale. Furthermore, he gained endurance as exhibited by his increased distance of 289 feet on the Six-Minute Walk Test and his modified Borg score decreased from 4 out of 10 to 2 out of 10. The patient made subjective and objective gains in gait speed, increasing from 0.18 metres per second at his initial examination to 0.50 metres per second. Conclusions This case study demonstrates that functional electrical stimulation-assisted exercise, conducted in an outpatient setting, can improve strength and functional mobility in an individual with polymyositis without detrimental effects.


2016 ◽  
Vol 29 (4) ◽  
pp. 507-514 ◽  
Author(s):  
Carlos Bustamante ◽  
Francisco Brevis ◽  
Sebastián Canales ◽  
Sebastián Millón ◽  
Rodrigo Pascual

Medicine ◽  
2019 ◽  
Vol 98 (52) ◽  
pp. e18509 ◽  
Author(s):  
Giovanna Albertin ◽  
Barbara Ravara ◽  
Helmut Kern ◽  
Christian Hofer ◽  
Stefan Loefler ◽  
...  

2009 ◽  
Vol 4 (6) ◽  
pp. 429-438 ◽  
Author(s):  
Woei-Luen Chen ◽  
Walter H. Chang ◽  
Chih-Chen Chen ◽  
Jung-Chai Hsieh ◽  
Ying-Ying Shih ◽  
...  

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