Training with FES-assisted cycling in a subject with spinal cord injury: Psychological, physical and physiological considerations

This case report explores the feasibility and impact of a 12-month training program using FES-assisted cycling for an individual with long-term paraplegia. The study assessed physical, psychological, and functional outcomes. The training involved using a recumbent bike, initially stationary and then outdoors, with electrical stimulation to activate leg muscles. The subject's progress was monitored through various measures, including pedaling duration, self-esteem, and quality of life. The study found improvements in pedaling duration, self-esteem, and some aspects of quality of life. The participant was able to achieve the goal of participating in a cycling competition, demonstrating the potential of this type of training.

• 1
  The pedaling duration increased from 1’ to 26’ on the recumbent bike and from 1’ to 15’ on open terrain.
• 2
  SF 36 showed significant improvement of more than 10% and the Rosenberg Self Esteem score rapidly improved from 36 to 39/40.
• 3
  At the end of the training, the patient reached the objective of the Cybathlon 2016 by covering 750 m in less than 8 minutes, at an average speed of 5.80 km/hr.