Effects of functional electrical stimulation on the joints of adolescents with spinal cord injury

R. Betz, B. Boden, R. Triolo, M. Mesgarzadeh, E. Gardner, R. Fife

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Nineteen adolescent subjects with complete spinal cord injuries resulting in paraplegia or tetraplegia participated in a functional electrical stimulation (FES) program consisting of computerized, controlled exercise and/or weight bearing. The effects of stimulated exercise and standing/walking on the lower extremity joints were prospectively studied. Plain radiographs and MRIs were obtained prior to and following completion of the exercise and standing and walking stages. In addition, the joints of five subjects were studied with synovial biopsies, arthroscopy, and the analysis of serum and synovial fluid for a 550 000 dalton cartilage matrix glycoprotein (CMGP). Pre-exercise joint abnormalities secondary to the spinal cord injury improved following the stimulation program. None of the subjects developed Charcot joint changes. Upon standing with FES, one subject with poor hip coverage prior to participation developed hip subluxation which required surgical repair. No other detrimental clinical effects occured in the lower extremity joints of subjects participating in an FES program over a 1-year period.

Original languageEnglish (US)
Pages (from-to)127-136
Number of pages10
JournalParaplegia
Volume34
Issue number3
DOIs
StatePublished - Jan 1 1996

Fingerprint

Spinal Cord Injuries
Electric Stimulation
Joints
Exercise
Walking
Hip
Lower Extremity
Neurogenic Arthropathy
Matrilin Proteins
Quadriplegia
Paraplegia
Synovial Fluid
Arthroscopy
Weight-Bearing
Biopsy
Serum

Keywords

  • Exercise
  • Functional electrical stimulation
  • Paraplegia
  • Spinal cord injury
  • Standing
  • Tetraplegia

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Effects of functional electrical stimulation on the joints of adolescents with spinal cord injury. / Betz, R.; Boden, B.; Triolo, R.; Mesgarzadeh, M.; Gardner, E.; Fife, R.

In: Paraplegia, Vol. 34, No. 3, 01.01.1996, p. 127-136.

Research output: Contribution to journalArticle

Betz, R. ; Boden, B. ; Triolo, R. ; Mesgarzadeh, M. ; Gardner, E. ; Fife, R. / Effects of functional electrical stimulation on the joints of adolescents with spinal cord injury. In: Paraplegia. 1996 ; Vol. 34, No. 3. pp. 127-136.
@article{f2988cd8ff9a4e5fbec8863f59a73bb5,
title = "Effects of functional electrical stimulation on the joints of adolescents with spinal cord injury",
abstract = "Nineteen adolescent subjects with complete spinal cord injuries resulting in paraplegia or tetraplegia participated in a functional electrical stimulation (FES) program consisting of computerized, controlled exercise and/or weight bearing. The effects of stimulated exercise and standing/walking on the lower extremity joints were prospectively studied. Plain radiographs and MRIs were obtained prior to and following completion of the exercise and standing and walking stages. In addition, the joints of five subjects were studied with synovial biopsies, arthroscopy, and the analysis of serum and synovial fluid for a 550 000 dalton cartilage matrix glycoprotein (CMGP). Pre-exercise joint abnormalities secondary to the spinal cord injury improved following the stimulation program. None of the subjects developed Charcot joint changes. Upon standing with FES, one subject with poor hip coverage prior to participation developed hip subluxation which required surgical repair. No other detrimental clinical effects occured in the lower extremity joints of subjects participating in an FES program over a 1-year period.",
keywords = "Exercise, Functional electrical stimulation, Paraplegia, Spinal cord injury, Standing, Tetraplegia",
author = "R. Betz and B. Boden and R. Triolo and M. Mesgarzadeh and E. Gardner and R. Fife",
year = "1996",
month = "1",
day = "1",
doi = "10.1038/sc.1996.25",
language = "English (US)",
volume = "34",
pages = "127--136",
journal = "Spinal Cord",
issn = "1362-4393",
publisher = "Nature Publishing Group",
number = "3",

}

TY - JOUR

T1 - Effects of functional electrical stimulation on the joints of adolescents with spinal cord injury

AU - Betz, R.

AU - Boden, B.

AU - Triolo, R.

AU - Mesgarzadeh, M.

AU - Gardner, E.

AU - Fife, R.

PY - 1996/1/1

Y1 - 1996/1/1

N2 - Nineteen adolescent subjects with complete spinal cord injuries resulting in paraplegia or tetraplegia participated in a functional electrical stimulation (FES) program consisting of computerized, controlled exercise and/or weight bearing. The effects of stimulated exercise and standing/walking on the lower extremity joints were prospectively studied. Plain radiographs and MRIs were obtained prior to and following completion of the exercise and standing and walking stages. In addition, the joints of five subjects were studied with synovial biopsies, arthroscopy, and the analysis of serum and synovial fluid for a 550 000 dalton cartilage matrix glycoprotein (CMGP). Pre-exercise joint abnormalities secondary to the spinal cord injury improved following the stimulation program. None of the subjects developed Charcot joint changes. Upon standing with FES, one subject with poor hip coverage prior to participation developed hip subluxation which required surgical repair. No other detrimental clinical effects occured in the lower extremity joints of subjects participating in an FES program over a 1-year period.

AB - Nineteen adolescent subjects with complete spinal cord injuries resulting in paraplegia or tetraplegia participated in a functional electrical stimulation (FES) program consisting of computerized, controlled exercise and/or weight bearing. The effects of stimulated exercise and standing/walking on the lower extremity joints were prospectively studied. Plain radiographs and MRIs were obtained prior to and following completion of the exercise and standing and walking stages. In addition, the joints of five subjects were studied with synovial biopsies, arthroscopy, and the analysis of serum and synovial fluid for a 550 000 dalton cartilage matrix glycoprotein (CMGP). Pre-exercise joint abnormalities secondary to the spinal cord injury improved following the stimulation program. None of the subjects developed Charcot joint changes. Upon standing with FES, one subject with poor hip coverage prior to participation developed hip subluxation which required surgical repair. No other detrimental clinical effects occured in the lower extremity joints of subjects participating in an FES program over a 1-year period.

KW - Exercise

KW - Functional electrical stimulation

KW - Paraplegia

KW - Spinal cord injury

KW - Standing

KW - Tetraplegia

UR - http://www.scopus.com/inward/record.url?scp=28144447489&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=28144447489&partnerID=8YFLogxK

U2 - 10.1038/sc.1996.25

DO - 10.1038/sc.1996.25

M3 - Article

C2 - 8668353

AN - SCOPUS:28144447489

VL - 34

SP - 127

EP - 136

JO - Spinal Cord

JF - Spinal Cord

SN - 1362-4393

IS - 3

ER -