The effects of functional electrical stimulation leg ergometry training on arterial compliance in individuals with spinal cord injury

Spinal Cord, 2008 · DOI: 10.1038/sc.2008.34 · Published: November 1, 2008

Spinal Cord Injury Cardiovascular Science Rehabilitation

Simple Explanation

This study investigated the impact of functional electrical stimulation leg cycle ergometry (FES-LCE) training on arterial health in women with spinal cord injury (SCI). The researchers measured the flexibility of large and small arteries before and after a 3-month FES-LCE training program. The study found that FES-LCE training significantly improved the flexibility of small arteries, suggesting a potential benefit for cardiovascular health in this population.

Study Duration

3 months

Participants

Four women with spinal cord injury

Evidence Level

Not specified

Key Findings

1
There was no significant change in large artery compliance after FES-LCE training.
2
There was a marked (63%) increase in small artery compliance after the FES training program
3
Participants exhibited small artery compliance 53% of normal values whereas large artery compliance values were within normal limits.

Research Summary

The purpose of this study was to examine the effects of FES-LCE training on systemic arterial compliance in persons with SCI. This investigation revealed for the first time that FES-LCE is effective in improving small artery compliance in women with SCI. In this investigation we revealed that FES training has the potential to improve significantly the small artery compliance of women with SCI.

Practical Implications

Improved Cardiovascular Health

FES-LCE training can improve small artery compliance, which is an independent risk factor for cardiovascular events in individuals with SCI.

Utility of FES Training

The findings provide direct support for the utility of FES training in rehabilitation settings for improving the long-term cardiovascular health of persons with SCI.

Early CVD Detection

The assessment of arterial compliance appears to be an important method for the non-invasive, early detection of CVD following SCI.

Study Limitations

1
Small sample size may limit the generalizability of our findings.
2
Practical limitations (including cost, increased staffing, and potential for adverse responses) may limit its use in rehabilitation settings.
3
Despite these limitations, FES-LCE clearly has the potential to lead to multiple health benefits.

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