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  4. Evaluating the health and fitness benefits of a 6-month FES-cycling program on a recumbent trike for individuals with motor complete SCI: a pilot study

Evaluating the health and fitness benefits of a 6-month FES-cycling program on a recumbent trike for individuals with motor complete SCI: a pilot study

Journal of NeuroEngineering and Rehabilitation, 2025 · DOI: https://doi.org/10.1186/s12984-025-01585-0 · Published: February 20, 2025

Spinal Cord InjuryNeurologyNeurorehabilitation

Simple Explanation

This study explores how a 6-month cycling program using Functional Electrical Stimulation (FES) on a recumbent trike affects people with complete Spinal Cord Injury (SCI). FES uses electrical pulses to stimulate paralyzed muscles, enabling activities like cycling. The researchers measured changes in muscle mass, bone density, and overall well-being of five participants who engaged in bi-weekly FES-cycling sessions. They used MRI scans, DXA scans, clinical scales, and questionnaires to assess these changes. The study found that FES-cycling significantly increased muscle mass and improved physical performance. Participants also reported high levels of well-being and motivation throughout the program. The results suggest that FES-cycling on a recumbent trike can be a beneficial therapy for individuals with SCI.

Study Duration
6 Months
Participants
5 male pilots with motor complete SCI
Evidence Level
Not specified

Key Findings

  • 1
    The FES-cycling program led to a significant increase in muscle mass of 34% after 6 months of training, which was correlated to improved cycling performance.
  • 2
    Participants reported high well-being and strong motivation throughout the training program, suggesting a positive psychological impact of FES-cycling.
  • 3
    While bone health, spasticity, bowel dysfunction, and pain levels did not significantly change overall, one participant with pre-existing bowel dysfunction showed improvement.

Research Summary

This pilot study investigated the effects of a 6-month FES-cycling program on a recumbent trike for individuals with motor complete SCI, focusing on muscle mass, bone density, autonomic nervous system function, and overall well-being. The study found significant improvements in muscle mass and physical performance, alongside maintained high levels of well-being and motivation among the participants. The results suggest that FES-cycling on a recumbent trike holds potential as a therapeutic and recreational activity for individuals with SCI, warranting further research with larger cohorts.

Practical Implications

Therapeutic Potential

FES-cycling on a recumbent trike can be a valuable therapeutic activity for individuals with SCI, improving muscle mass and physical performance.

Psychological Benefits

The program can positively impact psychological well-being and motivation, contributing to a better quality of life for participants.

Recreational Integration

FES-cycling can be integrated with recreational and sport-related activities, enhancing participant engagement and long-term adherence.

Study Limitations

  • 1
    Small sample size, affecting the generalizability of the findings.
  • 2
    Observed decrease in BMD in two participants, requiring further investigation with a control group.
  • 3
    Potential self-selection bias due to the participants' good well-being at baseline, limiting the observed benefits.

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