Intensive Training of Subjects with Chronic Hemiparesis on a Motorized Cycle Combined with Functional Electrical Stimulation (FES): A Feasibility and Safety Study.
This study tested the safety and ability of subjects with chronic hemiplegia to tolerate intensive training using a motorized cycle combined with functional electrical stimulation (FES) system. A case series of 10 subjects with chronic stroke participated in 30-minute three times per week cycling on...
| Publicado en: | Physiotherapy Research International Vol. 16; no. 2; pp. 81 - 92 |
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| Autores principales: | , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2011
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104708258&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104708258 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13582267 GPG jtl: Physiotherapy Research International issn: 13582267 maglogo: Y pubinfo: dt: Jun2011 vid: 16 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 104708258 60770925 10.1002/pri.475 NLM21110414 104708258 ppf: 81 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Intensive Training of Subjects with Chronic Hemiparesis on a Motorized Cycle Combined with Functional Electrical Stimulation (FES): A Feasibility and Safety Study. aug: au: Alon, Gad Conroy, Vincent M. Donner, Thomas W. affil: Physical Therapy and Rehabilitation Sciences, University of Maryland, School of Medicine, MD, USA sug: subj: Hemiplegia Rehabilitation Cycling Electrical Stimulation, Functional Combined Modality Therapy Stroke Complications Stroke Rehabilitation Exercise Tolerance Equipment Design Human Maryland Stroke Patients Dorsiflexion Plantarflexion Quadriceps Muscles Physiology Hamstring Muscles Physiology Exercise Intensity Algorithms Pretest-Posttest Design Energy Metabolism Statistical Significance Rising Evaluation Walking Evaluation Exercise Physiology Male Female Middle Age Aged Aged, 80 and Over Adult Body Weights and Measures Descriptive Statistics Nonparametric Statistics Friedman Test Wilcoxon Signed Rank Test Heart Rate Evaluation Clinical Assessment Tools Pilot Studies Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Adult: 19-44 years Male Female ab: This study tested the safety and ability of subjects with chronic hemiplegia to tolerate intensive training using a motorized cycle combined with functional electrical stimulation (FES) system. A case series of 10 subjects with chronic stroke participated in 30-minute three times per week cycling on a stationary motorized cycling system combined with FES (RT300). The stimulation activated the dorsal and plantar flexors, the quadriceps and the hamstrings using four channels and a stimulation pattern that assisted cycling motion of the paretic lower limb. Patients were instructed to cycle as close as possible to 60 rpm and the resistance to cycling was gradually increased using a computer-based algorism. The training lasted eight weeks. All 10 participants completed the training without adverse reactions to the training or the FES. The kcal utilized during the training increased significantly ( p = 0.0003) between session 1 (2.2 ± 0.47), session 12 (4.3 ± 1.2) and session 24 (7.5 ± 1.8). Peak pedaling power increased from 6.5 ± 0.5 W pre-training to 18.0 ± 5.4 W post-training. Locomotion variables that improved significantly were time to complete the get up and go test (45.4 ± 54.9 seconds vs. 34.0 ± 31.8 seconds) a 24.6% improvement ( p = 0.03) and gait velocity, which increased 25.0% from 0.4 ± 0.3 m/sec to 0.5 ± 0.4 m/sec ( p = 0.01). Using a motorized cycle combined with FES intensive training appears safe and can be tolerated by patients with chronic stroke of wide age range, diverse severity of cardio-pulmonary deconditioning, motor loss and locomotor deficits. Copyright © 2010 John Wiley & Sons, Ltd. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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