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  4. The effects of electrical stimulation on body composition and metabolic profile after spinal cord injury – Part II

The effects of electrical stimulation on body composition and metabolic profile after spinal cord injury – Part II

The Journal of Spinal Cord Medicine, 2015 · DOI: 10.1179/2045772314Y.0000000244 · Published: January 1, 2015

Spinal Cord InjuryEndocrinologyNeurology

Simple Explanation

This review examines how electrical stimulation can help people with spinal cord injuries (SCI) improve their body composition and metabolic health. SCI often leads to muscle loss and metabolic problems. Electrical stimulation techniques, like NMES and FES, are used to exercise paralyzed muscles. Studies show these methods can increase muscle size and improve glucose metabolism after SCI. While electrical stimulation shows promise, the ideal training methods and its impact on fat tissue and lipid profiles still need more research to optimize health benefits for individuals with SCI.

Study Duration
6 weeks to 24 months
Participants
SCI patients, varied across studies
Evidence Level
Review

Key Findings

  • 1
    Electrical stimulation, including NMES and FES, can increase muscle size in paralyzed lower extremities after SCI.
  • 2
    Electrical stimulation improves glucose metabolism and insulin sensitivity after SCI.
  • 3
    The effects of electrical stimulation on lipid profile are unclear and require further investigation.

Research Summary

This review discusses the use of neuromuscular electrical stimulation (NMES) or functional electrical stimulation (FES) to improve body composition and metabolic profile after SCI. NMES and FES training can increase skeletal muscle size and lean mass, and improve glucose metabolism, especially insulin sensitivity. The optimal training parameters (duration, frequency, intensity) and the effects on lipid metabolism and regional adiposity require further research.

Practical Implications

Rehabilitation Strategies

NMES and FES can be incorporated into rehabilitation programs to combat muscle atrophy and metabolic disorders after SCI.

Personalized Training

Further research is needed to determine the optimal electrical stimulation parameters for individual patients with SCI.

Home-Based Therapy

Home-based FES-LCE therapy options are becoming more widely known as home-based FES-LCE therapy options are becoming available

Study Limitations

  • 1
    Lack of consensus on optimal stimulation parameters.
  • 2
    Limited evidence on the effects of training on lipid profile.
  • 3
    Accessibility and cost of NMES/FES equipment for home use.

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