Monitoring of spasticity and functional ability in individuals with incomplete spinal cord injury with a functional electrical stimulation cycling system
DOI:
https://doi.org/10.2340/16501977-0979Keywords:
spasticity, SCI, paraplegia, tetraplegia, FES, cycling, 10MWT.Abstract
Background: The aim of this study was to investigate the integration of motor function and spasticity assessment of individuals with spinal cord injury into cycling therapy. Methods: Twenty-three participants with incomplete spinal cord injury performed 18 training sessions (standard deviation (SD) 14) on an instrumented tricycle combined with functional electrical stimulation. Each therapy session included a power output test to assess the participants? ability to pedal actively and a spasticity test routine that measures the legs? resistance to the pedalling motion. In addition, the required time for the therapy phases was monitored. Results: The results of the power output test showed a monthly increase in power output of 4. 4 W (SD 13. 7) at 30 rpm and 18. 2 W (SD 23. 9) at 60 rpm. The results of the spasticity assessment indicate a 12. 2 W (SD 9. 7) reduction in resistance at 60 rpm after the FES training for the subject group with spasticity. Conclusion: In clinical use over a time-period of 2 years this combined form of therapy and motor function assessment was well accepted by participants. The active power output test and the spasticity test routine offered a proper tool to monitor participants? progress in functional rehabilitation and changes in spasticity.Downloads
Downloads
Published
How to Cite
Issue
Section
License
All digitalized JRM contents is available freely online. The Foundation for Rehabilitation Medicine owns the copyright for all material published until volume 40 (2008), as from volume 41 (2009) authors retain copyright to their work and as from volume 49 (2017) the journal has been published Open Access, under CC-BY-NC licences (unless otherwise specified). The CC-BY-NC licenses allow third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for non-commercial purposes, provided proper attribution to the original work.
From 2024, articles are published under the CC-BY licence. This license permits sharing, adapting, and using the material for any purpose, including commercial use, with the condition of providing full attribution to the original publication.
