Seat pressure changes after eight weeks of functional electrical stimulation cycling: A pilot study

David R. Dolbow, Ashraf S. Gorgey, James D. Dolbow, David Gater

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: Pressure ulcers (PUs) are a common secondary condition associated with spinal cord injury (SCI). PUs can potentially interfere with activities of daily living, occupational duties, and rehabilitation programs, and in severe cases they may threaten life. Functional electrical stimulation (FES) cycling has been proposed as an activity that may decrease the risk of PUs through the promotion of increased blood flow and thickening of the gluteus maximus. The purpose of this pilot study was to measure the effects of home-based FES cycling on the average and maximal seat pressure of wheel chair-reliant individuals with SCI. Method: Eight male veterans with C5-T6 SCI participated in FES cycling 3 times per week. Cycling parameters were individualized depending on the comfort of the participants and the amount of current needed to perform the cycling activity. Pressure mapping was completed immediately before and after the 8 weeks of FES cycling with the measurement performed by a force sensitive application (FSA) 4 pressure mapping system. Results: The mean average seat pressure decreased by 3.69 ± 4.46 mm Hg (35.57 ± 11.99 to 31.88 ± 13.02), while the mean maximum seat pressure decreased by 14.56 ±18.45 mm Hg (112 ± 34.73 to 98.36 ± 25.89). Although neither measurement was statistically significant, there was a strong trend toward a reduction in average and maximal seat pressure (P = .052 and P = .061, respectively). Conclusion: The positive trend of decreased seat pressure in our study creates incentive for further investigation of the effects of electrical stimulation activities on seat pressure and the prevention of PUs.

Original languageEnglish (US)
Pages (from-to)222-228
Number of pages7
JournalTopics in Spinal Cord Injury Rehabilitation
Volume19
Issue number3
DOIs
StatePublished - May 1 2013

Fingerprint

Electric Stimulation
Pressure
Pressure Ulcer
Spinal Cord Injuries
Wheelchairs
Veterans
Activities of Daily Living
Motivation
Rehabilitation

All Science Journal Classification (ASJC) codes

  • Clinical Neurology
  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Dolbow, David R. ; Gorgey, Ashraf S. ; Dolbow, James D. ; Gater, David. / Seat pressure changes after eight weeks of functional electrical stimulation cycling : A pilot study. In: Topics in Spinal Cord Injury Rehabilitation. 2013 ; Vol. 19, No. 3. pp. 222-228.
@article{40137223a71e442293726692eafa3255,
title = "Seat pressure changes after eight weeks of functional electrical stimulation cycling: A pilot study",
abstract = "Background: Pressure ulcers (PUs) are a common secondary condition associated with spinal cord injury (SCI). PUs can potentially interfere with activities of daily living, occupational duties, and rehabilitation programs, and in severe cases they may threaten life. Functional electrical stimulation (FES) cycling has been proposed as an activity that may decrease the risk of PUs through the promotion of increased blood flow and thickening of the gluteus maximus. The purpose of this pilot study was to measure the effects of home-based FES cycling on the average and maximal seat pressure of wheel chair-reliant individuals with SCI. Method: Eight male veterans with C5-T6 SCI participated in FES cycling 3 times per week. Cycling parameters were individualized depending on the comfort of the participants and the amount of current needed to perform the cycling activity. Pressure mapping was completed immediately before and after the 8 weeks of FES cycling with the measurement performed by a force sensitive application (FSA) 4 pressure mapping system. Results: The mean average seat pressure decreased by 3.69 ± 4.46 mm Hg (35.57 ± 11.99 to 31.88 ± 13.02), while the mean maximum seat pressure decreased by 14.56 ±18.45 mm Hg (112 ± 34.73 to 98.36 ± 25.89). Although neither measurement was statistically significant, there was a strong trend toward a reduction in average and maximal seat pressure (P = .052 and P = .061, respectively). Conclusion: The positive trend of decreased seat pressure in our study creates incentive for further investigation of the effects of electrical stimulation activities on seat pressure and the prevention of PUs.",
author = "Dolbow, {David R.} and Gorgey, {Ashraf S.} and Dolbow, {James D.} and David Gater",
year = "2013",
month = "5",
day = "1",
doi = "10.1310/sci1903-222",
language = "English (US)",
volume = "19",
pages = "222--228",
journal = "Topics in Spinal Cord Injury Rehabilitation",
issn = "1082-0744",
publisher = "Thomas Land Publishers Inc.",
number = "3",

}

Seat pressure changes after eight weeks of functional electrical stimulation cycling : A pilot study. / Dolbow, David R.; Gorgey, Ashraf S.; Dolbow, James D.; Gater, David.

In: Topics in Spinal Cord Injury Rehabilitation, Vol. 19, No. 3, 01.05.2013, p. 222-228.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Seat pressure changes after eight weeks of functional electrical stimulation cycling

T2 - A pilot study

AU - Dolbow, David R.

AU - Gorgey, Ashraf S.

AU - Dolbow, James D.

AU - Gater, David

PY - 2013/5/1

Y1 - 2013/5/1

N2 - Background: Pressure ulcers (PUs) are a common secondary condition associated with spinal cord injury (SCI). PUs can potentially interfere with activities of daily living, occupational duties, and rehabilitation programs, and in severe cases they may threaten life. Functional electrical stimulation (FES) cycling has been proposed as an activity that may decrease the risk of PUs through the promotion of increased blood flow and thickening of the gluteus maximus. The purpose of this pilot study was to measure the effects of home-based FES cycling on the average and maximal seat pressure of wheel chair-reliant individuals with SCI. Method: Eight male veterans with C5-T6 SCI participated in FES cycling 3 times per week. Cycling parameters were individualized depending on the comfort of the participants and the amount of current needed to perform the cycling activity. Pressure mapping was completed immediately before and after the 8 weeks of FES cycling with the measurement performed by a force sensitive application (FSA) 4 pressure mapping system. Results: The mean average seat pressure decreased by 3.69 ± 4.46 mm Hg (35.57 ± 11.99 to 31.88 ± 13.02), while the mean maximum seat pressure decreased by 14.56 ±18.45 mm Hg (112 ± 34.73 to 98.36 ± 25.89). Although neither measurement was statistically significant, there was a strong trend toward a reduction in average and maximal seat pressure (P = .052 and P = .061, respectively). Conclusion: The positive trend of decreased seat pressure in our study creates incentive for further investigation of the effects of electrical stimulation activities on seat pressure and the prevention of PUs.

AB - Background: Pressure ulcers (PUs) are a common secondary condition associated with spinal cord injury (SCI). PUs can potentially interfere with activities of daily living, occupational duties, and rehabilitation programs, and in severe cases they may threaten life. Functional electrical stimulation (FES) cycling has been proposed as an activity that may decrease the risk of PUs through the promotion of increased blood flow and thickening of the gluteus maximus. The purpose of this pilot study was to measure the effects of home-based FES cycling on the average and maximal seat pressure of wheel chair-reliant individuals with SCI. Method: Eight male veterans with C5-T6 SCI participated in FES cycling 3 times per week. Cycling parameters were individualized depending on the comfort of the participants and the amount of current needed to perform the cycling activity. Pressure mapping was completed immediately before and after the 8 weeks of FES cycling with the measurement performed by a force sensitive application (FSA) 4 pressure mapping system. Results: The mean average seat pressure decreased by 3.69 ± 4.46 mm Hg (35.57 ± 11.99 to 31.88 ± 13.02), while the mean maximum seat pressure decreased by 14.56 ±18.45 mm Hg (112 ± 34.73 to 98.36 ± 25.89). Although neither measurement was statistically significant, there was a strong trend toward a reduction in average and maximal seat pressure (P = .052 and P = .061, respectively). Conclusion: The positive trend of decreased seat pressure in our study creates incentive for further investigation of the effects of electrical stimulation activities on seat pressure and the prevention of PUs.

UR - http://www.scopus.com/inward/record.url?scp=84881184015&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84881184015&partnerID=8YFLogxK

U2 - 10.1310/sci1903-222

DO - 10.1310/sci1903-222

M3 - Article

C2 - 23960706

AN - SCOPUS:84881184015

VL - 19

SP - 222

EP - 228

JO - Topics in Spinal Cord Injury Rehabilitation

JF - Topics in Spinal Cord Injury Rehabilitation

SN - 1082-0744

IS - 3

ER -