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  4. Facilitation of Dependent Transfers with Functional Neuromuscular Stimulation – A Computer Simulation Study

Facilitation of Dependent Transfers with Functional Neuromuscular Stimulation – A Computer Simulation Study

Med Biol Eng Comput, 2022 · DOI: 10.1007/s11517-022-02672-3 · Published: December 1, 2022

Spinal Cord InjuryNeurologyBiomechanics

Simple Explanation

This study explores how functional neuromuscular stimulation (FNS) can help people with spinal cord injuries (SCI) during assisted lifts. FNS uses electrical stimulation to activate paralyzed muscles. The researchers used computer simulations to model patient lifts with and without FNS. They also estimated the spinal compression experienced by caregivers during these lifts. The simulations suggest that FNS can reduce the amount of force required from caregivers, potentially lowering their risk of back injury.

Study Duration
Not specified
Participants
Simulation study, no human participants
Evidence Level
Not specified

Key Findings

  • 1
    Simulation without muscle activation predicted caregiver spinal compression approximately 1.3x the NIOSH recommended ‘Action Limit’.
  • 2
    Simulations with two unique patterns of muscle activation both predicted caregiver spinal compressions below NIOSH recommendations.
  • 3
    Activating knee, hip, and trunk extensors decreased caregiver spinal compression to levels similar to quiet standing.

Research Summary

This study used musculoskeletal models to simulate patient lifts and estimate caregiver spinal compression with and without FNS. The results suggest that FNS can reduce the force required from caregivers and lower their risk of back injury during dependent transfers. The study highlights the potential of FNS to improve the safety of patient handling tasks and the need for tailored activation patterns for individual users.

Practical Implications

Reduced Caregiver Injury Risk

FNS may decrease the mechanical load on caregivers' lower backs, potentially reducing the risk of chronic injuries.

Personalized FNS Programs

Tailored muscle activation patterns are crucial for optimizing FNS effectiveness and safety for individual users.

Improved Transfer Assistance

FNS can enable patients with SCI to contribute to their own lifts, making transfers easier and safer for both patients and caregivers.

Study Limitations

  • 1
    Motion constrained to the sagittal plane.
  • 2
    Simplified connection between patient and caregiver models.
  • 3
    Limited and heuristically defined patterns of muscle activation.

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