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  4. Feasibility of overnight electrical stimulation-induced muscle activation in people with a spinal cord injury. A Pilot study

Feasibility of overnight electrical stimulation-induced muscle activation in people with a spinal cord injury. A Pilot study

Spinal Cord Series and Cases, 2020 · DOI: 10.1038/s41394-019-0254-0 · Published: January 1, 2020

Spinal Cord InjuryPhysiologyNeurology

Simple Explanation

This study investigated whether using electrical stimulation overnight is a doable way to activate muscles in the legs of people with spinal cord injuries. The goal was to see if it's possible to make the muscles contract for 8 hours overnight using special shorts with built-in electrodes. The researchers wanted to find out if the muscles would still contract after 8 hours, if the electrical stimulation would disturb sleep, and if the specially designed shorts were easy and safe to use in bed. The study found that the electrical stimulation did cause the muscles to contract, although they did get tired. It also showed that the electrical stimulation didn't disturb sleep and might even improve it. The participants found the shorts easy to use.

Study Duration
2 weeks
Participants
8 participants with motor complete SCI
Evidence Level
Pilot study

Key Findings

  • 1
    After 8 hours of electrical stimulation, muscles still contracted, indicating the method's feasibility for prolonged use.
  • 2
    Participants reported improved sleep quality after the electrical stimulation intervention compared to a period without it.
  • 3
    The ES-shorts were reported to be user-friendly, with most participants willing to use them in the future if positive effects are proven.

Research Summary

This pilot study investigated the feasibility of overnight electrical stimulation (ES) to activate leg muscles in individuals with spinal cord injury (SCI). The study found that overnight ES-induced muscle activation using ES-shorts is a feasible method that does not interfere with sleep, although muscle fatigue occurs. Participants reported improved sleep quality and found the ES-shorts user-friendly, suggesting the potential for nightly use as part of a daily routine for individuals with SCI.

Practical Implications

Pressure Ulcer Prevention

Overnight ES can be part of a daily routine to prevent pressure ulcers.

Improved Sleep Quality

ES may improve sleep quality in SCI individuals.

Clinical Practice Integration

ES can be made easier to use in daily medical care.

Study Limitations

  • 1
    Small sample size
  • 2
    Short intervention period (2 weeks)
  • 3
    Contractions could not be reliably measured in three participants

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