Benefits of 1-Yr Home Training With Functional Electrical Stimulation Cycling in Paraplegia During COVID-19 Crisis

Charles Fattal, Martin Schmoll, Ronan Le Guillou, Berengère Raoult, Alain Frey, Robert Carlier, Christine Azevedo-Coste, Charles Fattal, Martin Schmoll, Ronan Le Guillou, Berengère Raoult, Alain Frey, Robert Carlier, Christine Azevedo-Coste

Abstract

The purpose of this observational study was to report the experience of a 1-yr home training with functional electrical stimulation cycling of a person with T4 American Impairment Scale A paraplegia for 9 yrs, homebound due to the COVID-19 health crisis. The 40-yr-old participant had a three-phase training: V1, isometric stimulation; V2, functional electrical stimulation cycling for 3 sessions/wk; and V3, functional electrical stimulation cycling for 2-4 sessions/wk. Data on general and physical tolerance, health impact, and performance were collected. Borg Scale score relating to fatigue was 10.1 before training and 11.8 after training. The average score for satisfaction at the end of sessions was 8.7. Lean leg mass increased more than 29%, although total bone mineral density dropped by 1.6%. The ventilatory thresholds increased from 19.5 to 29% and the maximum ventilatory peak increased by 9.5%. Rosenberg's Self-esteem Scale score returned to its highest level by the end of training. For the only track event on a competition bike, the pilot covered a distance of 1607.8 m in 17 mins 49 secs. When functional electrical stimulation cycling training is based on a clear and structured protocol, it offers the person with paraplegia the opportunity to practice this activity recreationally and athletically. In times of crisis, this training has proven to be very relevant.

Trial registration: ClinicalTrials.gov NCT04412447.

Conflict of interest statement

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

Figures

FIGURE 1
FIGURE 1
Performances in duration of pedaling at each training session (with and without the help of the upper limbs).
FIGURE 2
FIGURE 2
Increase in resistance against the wheel from level 1 to level 8 during the phases V2 and V3. The participant was instructed to gradually increase the resistance of the ergocycle (adjustment of a dial graduated from 1 to 8, with 8 being the strongest resistance) every minute until autonomous cycling was no longer possible. The highest level at which a full minute of cycling was achieved was used as starting resistance for the following training sessions.

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Source: PubMed

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