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  4. Screening and Habituation of FES-Leg Cycle Ergometry for Individuals with Spinal Cord Injury: A Pilot Study

Screening and Habituation of FES-Leg Cycle Ergometry for Individuals with Spinal Cord Injury: A Pilot Study

J Neurol Phys Ther, 2008 · DOI: 10.1097/NPT.0b013e31818de56f · Published: December 1, 2008

Spinal Cord InjuryRehabilitation

Simple Explanation

This study documents the process of screening individuals with spinal cord injury (SCI) to determine their eligibility for a functional electrical stimulation leg cycle ergometry (FES-LCE) exercise program. The study also outlines the habituation procedures used to help participants adapt to the FES-LCE and attain target duration and cycle speed. Almost half of the individuals interested in participating in the FES-LCE exercise program did not pass the screening phase.

Study Duration
Not specified
Participants
13 subjects with SCI (mean years since injury, 7; mean age, 34.8 years; injury range, C4 – T10; 7 male)
Evidence Level
Level 3; Prospective descriptive study

Key Findings

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    Almost half of the individuals interested in participating in the FES-LCE exercise program did not pass the screening phase due to factors such as previous fragility fracture, excessive spasticity, pain, autonomic dysreflexia, or lack of electrical stimulation response.
  • 2
    Time to attain target cycle speed for 30 continuous minutes ranged from 30 – 779 minutes (1 – 31 training sessions).
  • 3
    All participants who completed the habituation phase reported little adverse effects to using the device.

Research Summary

The study documented the screening process and developed habituation procedures for FES-LCE exercise for individuals with SCI. Almost half of the individuals were not eligible for the FES-LCE habituation program due to various reasons. The habituation phase was time-consuming, but participants reported few adverse effects after completing this phase.

Practical Implications

Clinical Screening

A thorough screening process is essential to identify individuals with SCI who are suitable candidates for FES-LCE exercise programs.

Individualized Habituation

Habituation protocols should be individualized to address the specific needs and reactions of each participant.

Adverse Effect Management

Mild adverse effects, such as autonomic dysreflexia, can be managed with gradual progression of stimulation intensity.

Study Limitations

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