Can FES-rowing mediate bone mineral density in SCI: a pilot study
| Autor: | Christopher G. Stock, Angela Gall, I. D. McCarthy, James Shippen, R. S. Gibbons, Brian J. Andrews |
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| Rok vydání: | 2014 |
| Předmět: |
musculoskeletal diseases
Adult medicine.medical_specialty medicine.medical_treatment Rowing Pilot Projects Fractures Bone Physical medicine and rehabilitation Bone Density medicine Humans Clinical significance Femur Spinal cord injury Spinal Cord Injuries Bone mineral Paraplegia Rehabilitation Tibia business.industry General Medicine musculoskeletal system medicine.disease Electric Stimulation Trabecular bone Mineral density medicine.anatomical_structure Neurology Lower Extremity Physical therapy Neurology (clinical) Ankle business |
| Zdroj: | Spinal cord. 52 |
| ISSN: | 1476-5624 |
| Popis: | A single case study. To compare proximal tibia trabecular bone mineral density (BMD) of a participant with complete spinal cord injury (SCI), long-termed functional electrical stimulation-rowing (FES-R) trained, with previously reported SCI and non-SCI group norms. To estimate lower limb joint contact forces (JCFs) in the FES-R trained participant. UK University and orthopaedic hospital research centre. Bilateral proximal tibial trabecular BMD of the FES-R trained participant was measured using peripheral quantitative computerised tomography, and the data were compared with SCI and non-SCI groups. An instrumented four-channel FES-R system was used to measure the lower limb JCFs in the FES-R trained participant. Structurally, proximal tibial trabecular BMD was higher in the FES-R trained participant compared with the SCI group, but was less than the non-SCI group. Furthermore, left (184.7 mg cm−3) and right (160.7 mg cm−3) BMD were well above the threshold associated with non-traumatic fracture. The knee JCFs were above the threshold known to mediate BMD in SCI, but below threshold at the hip and ankle. As pathological fractures predominate in the distal femur and proximal tibia in chronic SCI patients, the fact that the FES-R trained participant’s knee JCFs were above those known to partially prevent bone loss, suggests that FES-R training may provide therapeutic benefit. Although the elevated bilateral proximal tibial BMD of the FES-R participant provides circumstantial evidence of osteogenesis, this single case precludes any statement on the clinical significance. Further investigations are required involving larger numbers and additional channels of FES to increase loading at the hip and ankle. |
| Databáze: | OpenAIRE |
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