ELECTRICAL STIMULATION-ASSISTED ROWING EXERCISE IN SPINAL-CORD INJURED PEOPLE - A PILOT-STUDY

被引：49

作者：

LASKIN, JJ ^{[1
]}

ASHLEY, EA ^{[1
]}

OLENIK, LM ^{[1
]}

BURNHAM, R ^{[1
]}

CUMMING, DC ^{[1
]}

STEADWARD, RD ^{[1
]}

WHEELER, GD ^{[1
]}

机构：

[1] UNIV ALBERTA,RICK HANSEN CTR,W1-67 VAN VLIET,EDMONTON T6G 2H9,AB,CANADA

来源：

PARAPLEGIA | 1993年 / 31卷 / 08期

关键词：

FUNCTIONAL ELECTRICAL STIMULATION; SPINAL CORD INJURED; HYBRID ROWING MACHINE; QUALITATIVE ASSESSMENT;

D O I：

10.1038/sc.1993.87

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Recently a FES (functional electrical stimulation)-assisted rowing machine was developed to enhance cardiovascular training in people with spinal cord injuries. The machine was assessed in terms of its efficacy as a training tool. Six patients who were quadriplegic (C6-T1) and 2 who were paraplegic (T3-6) completed a series of three tests in succession: (1) leg stimulation only (quadriceps and hamstring groups)-'Stim', (2) arm row only-'Row' and (3) simultaneous row and stimulation-'R & S'. Measurements recorded included oxygen uptake (VO2), minute ventilation (Ve), respiratory exchange ratio (RER), heart rate (HR) and blood pressure (BP). In addition, 6 out of the 8 subjects took part in a qualitative assessment comprising a guided interview exploring the subject's perception of the machine and test. Significant increases in VO2 were demonstrated between the three tests with R & S producing mean steady-state values of 16.34 nm (+/- 0.74) ml/kg/min (83% of maximum). These values represented a 12% increase, over Row alone. Of interest was the qualitative assessment which revealed that subjects perceived R & S to be easier than Row despite the higher levels of VO2 observed. The results suggest that the rowing machine represents a potentially valuable hybrid training device that may significantly reduce risk factors for cardiovascular disease and improve the quality of life of people with SCI.

引用

页码：534 / 541

页数：8

共 16 条

[1]

Kennedy E.J., Spinal Cord Injury: Facts and Figures, (1986)

[2]

Hoffman M.D., Cardiorespiratory fitness and training in quadriplegics and paraplegics, Sports Med, 3, pp. 312-330, (1986)

[3]

Shephard R.J., Bouhlel E., Vandewalle H., Monod H., Muscle mass as a factor limiting physical work, JAppl Physiol, 64, pp. 1472-1479, (1988)

[4]

Bhambhani Y.N., Eriksson P., Gomes P.S., Transfer effects of endurance training with the arms andlegs, Med Sci Sports Exerc, 23, 9, pp. 1035-1041, (1991)

[5]

Phillips C.A., Petrofsky J.S., Hendershot D.M., Stafford D., Functional electrical exercise-a comprehensive approach for physical conditioning of the spinal cord injured patient, Orthopaedics, 7, 7, pp. 1112-1123, (1984)

[6]

Petrofsky J.S., Brown S.W., Cerrel-Bazo H., Active physical therapy and its benefits in rehabilitations, Palaestra, 8, 3, pp. 23-32, (1992)

[7]

Ragnarsson K., O'Daniel W., Edgar R., Pollack S., Petrofsky J., Nash M.S., Clinical evaluation ofcomputerized functional electrical stimulation after spinal cord injury: A multicenter pilot study, Arch PhysMed Rehabil, 69, pp. 672-677, (1988)

[8]

Edwards B.G., Marsolais E.B., Metabolic responses to arm ergometry and functional neuromuscularstimulation, J Rehabil Res Dev, 27, 2, pp. 107-114, (1990)

[9]

Davis G.M., Servedio F.J., Glaser R.M., Gupta S.C., Suryaprasad A.G., Cardiovascular responses to armcranking and FNS-induced leg exercise in paraplegics, J Appl Physiol, 69, 2, pp. 671-677, (1990)

[10]

Hooker S.P., Figoni S.F., Rodgers M.M., Rm G., Mathews T., Suryaprasad A.G., Et al., Metabolic andhemodynamic responses to concurrent voluntary arm crank and electrical stimulation exercise in quadriplegics, J Rehabil Res Dev, 29, 3, pp. 1-11, (1992)

← 1 2 →