Shoulder Functional Electrical Stimulation During Wheelchair Propulsion in Spinal Cord Injury Subjects
| Autor: | Orestes Freixes, María Julieta Russo, Sergio Anibal Fernández, Marcelo Andres Gatti, Lisandro Olmos, Marcos Jose Crespo |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Shoulder medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Electric Stimulation Therapy Wheelchair propulsion Hand pressure Synchronization (alternating current) 03 medical and health sciences 0302 clinical medicine Wheelchair Physical medicine and rehabilitation medicine Functional electrical stimulation Humans Muscle activity Spinal cord injury Exercise Spinal Cord Injuries Rehabilitation business.industry medicine.disease Treatment Outcome Wheelchairs Proffered Papers Physical therapy Neurology (clinical) 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Topics in spinal cord injury rehabilitation. 23(2) |
| ISSN: | 1945-5763 |
| Popis: | Background: Subjects with spinal cord injury (SCI) propel their wheelchairs by generating a different level of muscle activity given their multiple deficits in muscle strength. Exercise training programs seem to be effective in improving wheelchair propulsion capacity. Functional electrical stimulation (FES) therapy is a complementary tool for rehabilitation programs. Objectives: To determine the accuracy of the synchronization between the FES activation and the push phase of the propulsion cycle by using hand pressure sensors that allow anterior deltoids activation when the hand is in contact with the pushrim. Methods: We analyzed 2 subjects, with injuries at C6 American Spinal Injury Association Impairment Scale (AIS) A and T12 AIS A. The stimulation parameters were set for a 30 Hz frequency symmetrical biphasic wave, 300 μs pulse width. Data were collected as participants propelled the wheelchair over a 10-m section of smooth, level vinyl floor. Subjects were evaluated in a motion analysis laboratory (ELITE; BTS, Milan, Italy). Results: Subject 1 showed synchronization between the FES activation and the push phase of 87.5% in the left hand and of 80% in the right hand. Subject 2 showed synchronization of 95.1% in the left and of hand 94.9% in the right hand. Conclusion: Our study determined a high accuracy of a novel FES therapeutic option, showing the synchronization between the electrical stimulation and the push phase of the propulsion cycle. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|