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  4. Novel instrumented frame for standing exercising of users with complete spinal cord injuries

Novel instrumented frame for standing exercising of users with complete spinal cord injuries

Scientific Reports, 2019 · DOI: 10.1038/s41598-019-49237-3 · Published: September 1, 2019

Spinal Cord InjuryNeurologyBiomedical

Simple Explanation

This paper describes a Functional Electrical Stimulation (FES) standing system for rehabilitation of bone mineral density (BMD) in people with Spinal Cord Injury (SCI). The standing system developed comprises an instrumented frame equipped with force plates and load cells, a motion capture system, and a purpose built 16-channel FES unit. To validate the system an alternate weight-shift exercise was used; 3 participants with complete SCI exercised in the system for 1 hour twice-weekly for 6 months.

Study Duration
6 Months
Participants
3 participants with complete SCI
Evidence Level
Not specified

Key Findings

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    We observed ground reaction forces over 70% of the full body-weight distributed to the supporting leg at each exercising cycle.
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    Exercise performance improved for each participant by an increase of 13.88 percentage points of body-weight in the loading of the supporting leg during the six-month period.
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    Importantly, the observed ground reaction forces are of higher magnitude than other studies which reported positive effects on BMD.

Research Summary

This paper describes a novel FES standing exercise system for SCI users which was validated as a platform for investigation of bone health. The standing frame improved work from previous systems, allowing synchronous data recording of postural and ground reaction data with real-time user feedback. Additionally, the system was validated through a case study of side to side exercises, allowing greater body weight percentage to be supported by each leg than previously reported.

Practical Implications

Rehabilitation of Bone Mineral Density

The FES standing system can be used to help rehabilitate bone mineral density in people with Spinal Cord Injury (SCI), reducing the risk of fractures and improving quality of life.

Safe and Effective Exercise Platform

The instrumented frame, combined with FES and visual feedback, provides a safe and effective platform for SCI patients to perform standing exercises and improve lower limb conditioning.

Potential for BMD Improvement Studies

The system's ability to generate higher ground reaction forces than other systems suggests its potential for studying and achieving significant BMD improvements in SCI patients.

Study Limitations

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