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  4. FES-rowing: a well-tolerated and highly beneficial exercise for a patient with Brown-Sequard syndrome

FES-rowing: a well-tolerated and highly beneficial exercise for a patient with Brown-Sequard syndrome

The Journal of Spinal Cord Medicine, 2023 · DOI: 10.1080/10790268.2023.2165369 · Published: January 1, 2023

NeurologyRehabilitation

Simple Explanation

Brown-Séquard Syndrome (BSS) is a rare neurological condition associated with Spinal Cord Injury (SCI). This case report evaluates the feasibility and effectiveness of a 3-month FES-rowing program in a patient with BSS. The study found that FES-rowing was well-tolerated and resulted in improvements in rowing capacity, walking ability, muscle strength and thickness, and quality of life for the patient. The study suggests that FES-rowing could be a valuable exercise option for individuals with incomplete spinal cord injuries, potentially opening new avenues for physical exercise and rehabilitation.

Study Duration
3 Months
Participants
1 patient with Brown-Sequard syndrome
Evidence Level
Level 4: Case Report

Key Findings

  • 1
    The patient demonstrated excellent tolerance and adherence to the FES-rowing training protocol over the 3-month period.
  • 2
    Significant improvements were observed in rowing capacity (+30%), walking capacity (+26%), isometric strength (+24.5%), and quadriceps muscle thickness (+21.9%).
  • 3
    The patient's physical quality of life score increased by 34.5% following the 3-month FES-rowing program.

Research Summary

This case report investigated the feasibility and effectiveness of a 3-month FES-rowing program for a patient with Brown-Sequard Syndrome (BSS). The study found that FES-rowing was well-tolerated and led to significant improvements in muscle strength and thickness, walking capacity, and quality of life. The authors conclude that FES-rowing may be a beneficial exercise option for patients with incomplete spinal cord injuries, warranting further investigation through larger-scale studies.

Practical Implications

Rehabilitation Strategy

FES-rowing can be considered as a potential rehabilitation strategy for patients with incomplete SCI, specifically BSS, to improve muscle strength, walking capacity and overall quality of life.

Exercise Option

FES-rowing offers a new exercise avenue for patients with BSS, who may have limited options due to paralysis and sensory dysfunction.

Future Research

The positive results warrant larger-scale studies with control groups to confirm the effectiveness and safety of FES-rowing in patients with incomplete SCI.

Study Limitations

  • 1
    Case report design limits generalizability
  • 2
    Lack of a control group
  • 3
    Single participant study

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