Arm-cranking exercise assisted by functional electrical stimulation in C6 tetraplegia

a pilot study

Sylvie Coupaud, Henrik Gollee, Kenneth Hunt, Matthew Fraser, David Allan, Alan McLean

Research output: Contribution to journalArticle

12 Citations (Scopus)
71 Downloads (Pure)

Abstract

Tetraplegic volunteers undertook progressive exercise training, using novel systems for arm-cranking exercise assisted by Functional Electrical Stimulation (FES). The main aim was to determine potential training effects of FES-assisted arm-crank ergometry (FES-ACE) on upper limb strength and cardiopulmonary (fitness) in tetraplegia. Surface FES was applied to the biceps and triceps during exercise on an instrumented ergometer. Two tetraplegic volunteers with C6 Spinal Cord Injury (SCI) went through muscle strengthening, baseline exercise testing and three months of progressive FES-ACE training. Repeat exercise tests were carried out every four weeks during training, and post-training, to monitor upper-limb strength and cardiopulmonary fitness. At each test point, an incremental test was carried out to determine peak work rate, peak oxygen uptake, gas exchange threshold and oxygen uptake-work rate relationship during FES-ACE. Peak oxygen uptake for Subject A increased from 0.7 l/min to 1.1 l/min, and peak power output increased from 7 W to 38 W after FES-ACE training. For Subject B, peak oxygen uptake was unchanged, but peak power output increased from 3 W to 8 W. These case studies illustrate potential benefits of FES-ACE in tetraplegia, but also the differences in exercise responses between individuals.
Original languageEnglish
Pages (from-to)415-427
Number of pages13
JournalTechnology and Health Care
Volume16
Issue number6
Publication statusPublished - 2008

Fingerprint

Quadriplegia
Electric Stimulation
Arm
Exercise
Oxygen
Exercise equipment
Upper Extremity
Volunteers
Muscle
Gases
Ergometry
Spinal Cord Injuries
Exercise Test
Testing
Muscles

Keywords

  • spinal cord injury
  • functional electrical stimulation
  • exercise prescription
  • exercise testing
  • tetraplegia
  • arm-cranking exercise
  • pilot study

Cite this

Coupaud, Sylvie ; Gollee, Henrik ; Hunt, Kenneth ; Fraser, Matthew ; Allan, David ; McLean, Alan. / Arm-cranking exercise assisted by functional electrical stimulation in C6 tetraplegia : a pilot study. In: Technology and Health Care. 2008 ; Vol. 16, No. 6. pp. 415-427.
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abstract = "Tetraplegic volunteers undertook progressive exercise training, using novel systems for arm-cranking exercise assisted by Functional Electrical Stimulation (FES). The main aim was to determine potential training effects of FES-assisted arm-crank ergometry (FES-ACE) on upper limb strength and cardiopulmonary (fitness) in tetraplegia. Surface FES was applied to the biceps and triceps during exercise on an instrumented ergometer. Two tetraplegic volunteers with C6 Spinal Cord Injury (SCI) went through muscle strengthening, baseline exercise testing and three months of progressive FES-ACE training. Repeat exercise tests were carried out every four weeks during training, and post-training, to monitor upper-limb strength and cardiopulmonary fitness. At each test point, an incremental test was carried out to determine peak work rate, peak oxygen uptake, gas exchange threshold and oxygen uptake-work rate relationship during FES-ACE. Peak oxygen uptake for Subject A increased from 0.7 l/min to 1.1 l/min, and peak power output increased from 7 W to 38 W after FES-ACE training. For Subject B, peak oxygen uptake was unchanged, but peak power output increased from 3 W to 8 W. These case studies illustrate potential benefits of FES-ACE in tetraplegia, but also the differences in exercise responses between individuals.",
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Coupaud, S, Gollee, H, Hunt, K, Fraser, M, Allan, D & McLean, A 2008, 'Arm-cranking exercise assisted by functional electrical stimulation in C6 tetraplegia: a pilot study', Technology and Health Care, vol. 16, no. 6, pp. 415-427.

Arm-cranking exercise assisted by functional electrical stimulation in C6 tetraplegia : a pilot study. / Coupaud, Sylvie; Gollee, Henrik; Hunt, Kenneth; Fraser, Matthew; Allan, David; McLean, Alan.

In: Technology and Health Care, Vol. 16, No. 6, 2008, p. 415-427.

Research output: Contribution to journalArticle

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