Health and fitness benefits of functional electrical stimulation-evoked leg exercise for spinal cord-injured individuals: a position review

@article{Hamzaid2009HealthAF,
  title={Health and fitness benefits of functional electrical stimulation-evoked leg exercise for spinal cord-injured individuals: a position review},
  author={Nur Azah Hamzaid and Glen M. Davis},
  journal={Topics in Spinal Cord Injury Rehabilitation},
  year={2009},
  volume={14},
  pages={88-121}
}
Purpose: To investigate the potential health and fitness benefits of lower extremity functional electrical stimulation (FES) exercise for people with spinal cord injury (SCI). Method: Systematic review strategy conducted from electronic databases from 1830 until July 2008. Studies with randomized and/or controlled designs were highlighted for analysis, but all relevant literature was described to develop an overall position statement. Study selection: (1) leg FES-evoked exercise for (2) people… 

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References

SHOWING 1-10 OF 211 REFERENCES

Benefits of FES gait in a spinal cord injured population

FES gait can enhance gait, muscle strength and cardiorespiratory fitness for people with SCI, however, these benefits are dependent on the nature of the injury and further research is required to generalize these results to the widespread population of SCI individuals.

Cardiorespiratory, metabolic, and biomechanical responses during functional electrical stimulation leg exercise: health and fitness benefits.

A position review of the available literature on the effects of FES-evoked exercise since the earliest date until 2007 is presented to warrant a conclusion about the current status and potential of FEST, as a rehabilitation therapy for paralyzed people.

Physiologic effects of electrical stimulation leg cycle exercise training in spinal cord injured persons.

The rise in total vascular conductance, implied by the significant decrease in posttraining TPR during Fes-LCE tests, denotes that a peripheral circulatory adaptation developed in the persons with SCI during FES-L CE exercise training.

Musculoskeletal responses of spinal cord injured individuals to functional neuromuscular stimulation-induced knee extension exercise training.

The lack of decrease in bone density in some subjects suggests that the training may retard the rate of bone loss which typically occurs with SCI, and a newly designed functional neuromuscular stimulation (FNS) exercise system that incorporates the most desired features of previously described systems is evaluated.

Physiology of Functional Electrical Stimulation-Induced Exercise: Basic Science Perspective

Research related to functional electrical stimulation (FES) techniques to induce exercise in the paralyzed lower-limb musculature of SCI individuals are presented, and physiologic responses with respect to improving health, physical fitness, and rehabilitation potential are evaluated.

Long-term exercise training in persons with spinal cord injury: effects on strength, arm ergometry performance and psychological well-being

These results demonstrate that long-term twice-weekly exercise training in this population is feasible, and results in significant gains in both physical and psychological well-being.

Physiological effects of lower extremity functional electrical stimulation in early spinal cord injury: lack of efficacy to prevent bone loss

There were no convincing trends to suggest that FES can play a clinically relevant role in osteoporosis prevention (or subsequent fracture risk) in the recently injured patient, and the lack of an osteogenic response in paralysed extremities to electrically evoked exercise during subacute and rehabilitation/recovery phases cannot be fully explained.

FES cycling may promote recovery of leg function after incomplete spinal cord injury

There was a substantial increase in the measured voluntary strength of the knee extensors and the subject reports improved leg function, suggesting FES-cycling may promote recovery after incomplete spinal cord injury.
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