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Ambulatory Exercise Procedures and Effects

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Functional Electrical Rehabilitation

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Abstract

Various problems have limited the use of functional electrical stimulation (FES) technology for ambulation of the spinal-cord-injured individual (Stallard et al., 1989). For example, the high energy cost associated with movement induced by FES results in rapid muscular fatigue (Marsolais and Edwards, 1988).

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References

  • Brindley, G.S., Polkey, C.E., and Rushton, D.N. Electrical splinting of the knee in paraplegia. Paraplegia, 16: 428–435, 1979.

    Article  PubMed  CAS  Google Scholar 

  • Buhrman, J.R., and Phillips, C.A. A mathematical model to analyze control of upright posture and balance. Automedica (London) 11: 111–122, 1989.

    Google Scholar 

  • Coxe, W., and Grubb, R. Trauma to the central nervous system. In Neurological Pathology, S. Eliasson, A. Prensky, and W. Hardin, Jr., Eds. Oxford University Press, New York, 1974.

    Google Scholar 

  • Douglas, R., Larson, P.F., D’Ambrosia, R.E., and McCall, R.E. The LSU reciprocating gait orthosis. Orthopedics, 6: 834–839, 1983.

    Google Scholar 

  • Hendershot, D.M., and Phillips, C.A. Improvement of efficiency in a quadriplegic individual using an FESRGO system. Proc. IEEE/EMBS Tenth Int. Conf. 10: 1577–1578, 1988.

    Google Scholar 

  • Hendershot, D.M., Moore, M.L., and Phillips, C.A. Cardiopulmonary conditioning when walking with and without FES in the paralyzed. Fed. Proc. 44: 680, 1987.

    Google Scholar 

  • Holle, J., Frey, M., Gruber, H., Kern, H., Stohr, H., and Thoma, H. Functional electrical stimulation of paraplegics. Orthopedics, 7: 1145, 1984.

    Google Scholar 

  • IPAT Staff. The 16PF Questionnaire. Institute for Personality and Ability Testing, Inc., Champaign, IL, 1986.

    Google Scholar 

  • Jaeger, R.J. Design and simulation of closed-loop electrical stimulation orthoses for restoration of quiet standing in paraplegia. J. Biomech. 19: 825, 1986.

    Article  PubMed  CAS  Google Scholar 

  • Kralj, A. Electrical stimulation of lower extremities in spinal cord injury. In Spinal Cord Injury Medical Engineering, D.N. Ghista, and J.L. Frankel, Eds. Charles C. Thomas, Springfield, IL, p. 439, 1986.

    Google Scholar 

  • Kralj, A., Bajd, T., and Turk, R. Electrical stimulation providing functional use of paraplegic patient muscles. Med. Prog. Technol. 7: 3, 1980.

    PubMed  CAS  Google Scholar 

  • Marsolais, E.B., and Edwards, B.G. Energy costs of walking and standing with functional neuromuscular stimulation and long-leg braces. Arch. Phys. Med. Rehabil. 69: 243–249, 1988.

    PubMed  CAS  Google Scholar 

  • Marsolais, E.B., and Kobetic, R. Functional walking in paralyzed patients by means of electrical stimulation. Clin. Orthop. Relat. Res., 175: 30, 1983.

    PubMed  Google Scholar 

  • McCall, R.E., Douglas, R., and Rightor, N. Surgical treatment in patients with myelodysplasia before using the LSU reciprocating system. Orthopedics, 6: 843–848, 1983.

    Google Scholar 

  • Petrofsky, J.S., and Phillips, C.A. Closed-loop control of movement of skeletal muscle. CRC Crit. Rev. Bioeng. 13: 35–96, 1985.

    CAS  Google Scholar 

  • Petrofsky, J.S., Phillips, C.A., and Heaton, H.H. Feedback control system for walking in man. Comput. Biol. Med. 14: 135, 1984.

    Article  PubMed  CAS  Google Scholar 

  • Petrofsky, J.S., Phillips, C.A., Larson, P., and R. Douglas. Computer synthesized walking: An application of orthosis and functional electrical stimulation (FES). J. Neurol. Orthop. Med. Surg. 6: 219–230, 1985.

    Google Scholar 

  • Petrofsky, J.S., Phillips, C.A., Douglas, R., and P. Larson. Computer-controlled walking system: The combination of an orthosis with functional electrical stimulation. J. Clin. Eng. 11: 121–133, 1986.

    Google Scholar 

  • Phillips, C.A. Sensory feedback control of upper and lower extremity motor prostheses. CRC Crit. Rev. Biomed. Eng. 16: 105–140, 1988.

    CAS  Google Scholar 

  • Phillips, C.A. An interactive system of electronic stimulators and gait orthosis for walking in the spinal cord injured. Automedica (London) 11: 247–261, 1989a.

    Google Scholar 

  • Phillips, C.A. Electrical muscle stimulators in combination with a reciprocating gait orthosis for ambulation by paraplegics. J. Biomed. Eng. 11: 338–344, 1989b.

    Article  PubMed  CAS  Google Scholar 

  • Phillips, C.A. Functional electrical stimulation and lower extremity bracing for ambulation exercise of the SCI individual: A medically prescribed system. Phys. Titer. 69: 842–849, 1989c.

    Google Scholar 

  • Phillips, C.A. Physician directed ambulation for rehabilitation of spinal cord injury. Surg. Rounds Orthop. 4: 41–47, 1990.

    Google Scholar 

  • Phillips, C.A., and Petrofsky, J.S. Cognitive feedback as a sensory adjunct to functional electrical stimulation (FES) neural prosthesis. J. Neurol. Orthop. Med. Surg. 6: 231–238, 1985a.

    Google Scholar 

  • Phillips, C.A., and Petrofsky, J.S. Preliminary report on balance/stance in paraplegia with and without a cognitive feedback system. Physiologist, 28: 302, 1985b.

    Google Scholar 

  • Phillips, C.A., and Petrofsky, J.S. A total neural prosthesis for spinal cord injury rehabilitation: The cognitive feedback system with a functional electric stimulation (FES) orthosis. J. Neurol. Orthop. Med. Surg. 7: 225–234, 1986.

    Google Scholar 

  • Phillips, C.A., Petrofsky, J.S., Hendershot, D.M., and Stafford, D. Functional electrical exercise: A comprehensive approach for physical conditioning of the spinal cord injured individual. Orthopedics, 7: 1112–1123, 1984.

    Google Scholar 

  • Phillips, C.A., Danopulos, D., Kezdi, P., and Hendershot, D. Muscular, respiratory and cardiovascular responses of quadriplegics to an FES bicycle ergometer conditioning program. Int. J. Rehabil. Res. 12: 147–157, 1989.

    Article  PubMed  CAS  Google Scholar 

  • Phillips, C.A., Heard, D.C.Y., Koubek, R.J., and Hendershot, D.M. A sensory feedback system for constant velocity control during EMS-RGO ambulation. Proc. 12th Annu. Conf. IEEE Eng. Med. Biol. Soc. 12: 2260–2261, 1990.

    Google Scholar 

  • Pierrynowski, M.R., Winter, D.A., and Norman, R.W. Metabolic measures to ascertain the optimal load to be carried by man. Ergonomics, 24: 393–399, 1981.

    Article  PubMed  CAS  Google Scholar 

  • Runyon, R.P. Nonparametric Statistics: A Contemporary Approach. Addison-Wesley, Reading, M., 1977.

    Google Scholar 

  • Solomonow, M., Baratta, R., Shoji, H., et al. FES powered locomotion of paraplegics fitted with the LSU-RGO. Proc. 10th Annu. Conf. IEEE Eng. Med. Biol. Soc. 10: 1672, 1988.

    Google Scholar 

  • Stallard, J., Major, R., and Patrick, J. A review of the fundamental design problems of providing ambulation for paraplegic patients. Paraplegia, 27: 70–75, 1989.

    Article  PubMed  CAS  Google Scholar 

  • Thomas, D.P., and Whiney, R.J. Postural movements during normal standing in man. J. Anat. 93: 524–539, 1959.

    PubMed  CAS  Google Scholar 

  • Vander, A.J., Sherman, J.H., and Luciano, D.S. Human Physiology—Mechanisms of Body Function, 2nd ed. McGraw-Hill, New York, pp. 549–550, 1975.

    Google Scholar 

  • Vodovnik, L., Bajd, T., Kralj, A., Gracanin, F., and Strojnik, P. Functional electrical stimulation for control of locomotor systems. CRC Crit. Rev. Bioeng. 6: 63, 1981.

    CAS  Google Scholar 

  • Wickens, C.D. Engineering Psychology and Human Performance. Charles E. Merrill, Columbus, OH, pp. 123–126, 133, 292–296; 1984.

    Google Scholar 

  • Yngve, D.A., Douglas, R., and Roberts, J.M. The reciprocation gait orthosis and myelomeningocele. J. Pediatr. Orthop. 4: 304–310, 1984.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Biomedical and Human Factors Engineering, College of Engineering and Computer Science/School of Medicine, Wright State University, 45435, Dayton, OH, USA

    Chandler Allen Phillips M.D., P.E., Ph.D. (Hon.)

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  1. Chandler Allen Phillips M.D., P.E., Ph.D. (Hon.)
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© 1991 Springer-Verlag New York Inc.

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Phillips, C.A. (1991). Ambulatory Exercise Procedures and Effects. In: Functional Electrical Rehabilitation. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-3096-0_10

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  • DOI: https://doi.org/10.1007/978-1-4612-3096-0_10

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-7796-5

  • Online ISBN: 978-1-4612-3096-0

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