The effects of functional electrically stimulated (FES)-arm ergometry on upper limb function and resting cardiovascular outcomes in individuals with tetraplegia: A pilot study ()
Abstract
Background: Functional electrically stimulated (FES)-arm ergometry has been shown to increase peak power output and aerobic capacity in individuals with cervical SCI. However, the functional benefits remain unknown. Objective: To determine the effects of FES-arm ergometry on exercise performance, upper limb function and resting cardiovascular function in individuals with tetraplegia. Methods: Five individuals (43.8 ± 15.4 years old) with SCI (C3-C5, AIS C-D, 14.0 ± 11.1 years post-injury) completed 12 weeks FES-arm ergometry. Exercise performance (time and distance to fatigue), perceived upper limb function [Capabilities of Upper Extremity Questionnaire (CUE), short form-Quadriplegia Index of Function Questionnaire (sf-QIF) and Spinal Cord Injury Spasticity Evaluation Tool (SCI-SET)] and resting mean arterial pressure (MAP) and heart rate (HR) were measured pre and post. Results: Following training, MAP significantly decreased (91.1 ± 14.0 to 87.7 ± 14.7 mmHg; p = 0.04), and there was a trend for an increased time to fatigue (804.6 ± 359.4 to 1483.8 ± 1110.2 sec; p = 0.08), distance to fatigue (3508.4 ± 3524.5 to 7412.6 ± 7773.1 m, p = 0.08) and the CUE scores pertaining to hand function (31.6 ± 12.8 to 38.0 ± 17.7; p = 0.07). Conclusion: Twelve-week FES-arm ergometry was associated with decreased resting MAP in individuals with tetraplegia, and may show promise as a means to increase exercise performance and hand function. Further research is required to verify these preliminary findings.
Share and Cite:
Ptasinski, J. , Sharif, H. and Ditor, D. (2013) The effects of functional electrically stimulated (FES)-arm ergometry on upper limb function and resting cardiovascular outcomes in individuals with tetraplegia: A pilot study.
Open Journal of Therapy and Rehabilitation,
1, 17-21. doi:
10.4236/ojtr.2013.12004.
Conflicts of Interest
The authors declare no conflicts of interest.
References
[1]
|
Anderson, K.D. (2004) Targeting recovery: Priorities of the spinal cord-injured population. Journal of Neurotrauma, 21, 1371-1383.
http://dx.doi.org/10.1089/neu.2004.21.1371
|
[2]
|
Hicks, A.L., Martin Ginis, K.A., Pelletier, C.A., Ditor, D.S., Foulon, B. and Wolfe, D.L. (2011) The effects of exercise training on physical capacity, strength, body composition and functional performance among adults with spinal cord injury: A systematic review. Spinal Cord, 49, 1103-1127. http://dx.doi.org/10.1038/sc.2011.62
|
[3]
|
Coupaud, S., Gollee, H., Hunt, K.J., Fraser, M.H., Allan, D.B. and McLean, A.N. (2008) Arm-cranking exercise assisted by functional electrical stimulation in C6 tetraplegia: A pilot study. Technology and Health Care, 16, 415-427.
|
[4]
|
Marino, R.J., Shea, J.A. and Stineman, M.G. (1998) The capabilities of upper extremity instrument: Reliability and validity of a measure of functional limitation in tetraplegia. Archives of Physical Medicine and Rehabilitation, 79, 1512-1521. http://dx.doi.org/10.1016/S0003-9993(98)90412-9
|
[5]
|
Marino, R.J. and Goin, J.E. (1999) Development of a short-form quadriplegia index of function scale. Spinal Cord, 37, 289-296.
http://dx.doi.org/10.1038/sj.sc.3100772
|
[6]
|
Adams, M.M., Martin Ginis, K.A. and Hicks, A.L. (2007) The spinal cord injury spasticity evaluation tool: Development and evaluation. Archives of Physical Medicine and Rehabilitation, 88, 1185-1192.
http://dx.doi.org/10.1016/j.apmr.2007.06.012
|