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Ambulatory Exercise Rehabilitation: Introduction and Overview

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Abstract

Interest in electrical stimulation for ambulation of spinal cord injury (SCI) individuals began with the report of “electrical splinting” of a paraplegic patient by Brindley et al. (1978) more than a decade ago. Since then, however, a number of problems associated with developing a practical electrical stimulation system for SCI have been encountered (Stallard et al., 1989). The most practical approach to date appears to combine electrical stimulation of paralyzed muscles with lower extremity orthotic bracing, as first proposed by investigators from two universities (Petrofsky et al., 1985, 1986). However, only recently has this approach been reduced to physician-prescribable, commercially available components.

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References

  • Balmaseda, M.T., Jr., Fatehi, M.T. Koozekanani, S.H., and Sheppard, J.S. Burns in functional electric stimulation: Two case reports. Arch. Phys. Med. Rehabil. 68: 452–453, 1987.

    PubMed  Google Scholar 

  • Bell, R., Kopf, E.H., and Toadvine, J. A study of personality changes in quadriplegics engaged in a functional electrical stimulation (FES) program. J. Neurol, Orthop. Med. Surg. 8: 353, 1987.

    Google Scholar 

  • Brindley, G.S., Polkey, C.E., and Rushton, D.N. Electrical splinting of the knee in paraplegia. Paraplegia, 16: 428, 1978.

    Article  Google Scholar 

  • Danopulos, D., Kezdi, P., Stanley, E., et al. Changes in cardiovascular circulatory dynamics after a twelve week active bicycle rehabilitation in young tetraplegics. J. Neurol. Orthop. Med. Surg. 7: 179–184, 1986.

    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. 46: 680, 1987.

    Google Scholar 

  • Hirokawa, S., Grimm, Le, T., et al. Energy consumption in paraplegic ambulation using the reciprocating gait orthosis and electrical stimulation of the muscles. Arch. Phys. Med. Rehabil. 71: 687–694, 1990.

    Google Scholar 

  • Petrofsky, J.S., and Phillips, C.A. Active physical therapy—A modern approach for rehabilitation of the disabled. J. Neurol. Orthop. Surg. 4: 165–173, 1983.

    Google Scholar 

  • Petrofsky, J.S., Phillips, C.A., Larson, P., and Douglas, R. 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 Larson, P. 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. The medical criteria for active physical therapy: Physician guidelines for patient participation in a program of functional electrical rehabilitation. Am. J. Phys. Med. 66: 269–286, 1987.

    PubMed  CAS  Google Scholar 

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

    PubMed  CAS  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. 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. Computer controlled movement of paralyzed muscle: The medical perspective. Proceedings of the First Vienna International Workshop on Functional Electrostimulation, paper 5. 2, 1983.

    Google Scholar 

  • Phillips, C.A., and Petrofsky, J.S. A review of fracture cases in spinal cord injured individuals participating in closed-loop functional electric stimulation experiments. J. Neurol. Orthop. Med. Surg. 6: 247–251, 1985.

    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 quadriplegic persons to an FES bicycle ergometer conditioning program. Int. J. Rehab. Res. 12: 147–157, 1989.

    Article  CAS  Google Scholar 

  • Pollack, S., Haas, E, and Ragnarsson, K.T. Endurance training by functional electrical stimulation of muscles paralyzed by spinal cord injury. Arch. Phys. Med. Rehabil. 67: 658, 1986.

    Google Scholar 

  • Ragnarsson, K.T., Pollack, S., O’Daniel, W., Edgar, R., Petrofsky, J., and Nash, M. . Arch. Phys. Med. Rehabil. 67: 628, 1986.

    Google Scholar 

  • Rowley, D.I., and Edwards, J. Editorial: Helping the paraplegic to walk. J. Bone Jt. Surg. 69-B: 173–174, 1987.

    CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

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© 1991 Springer-Verlag New York Inc.

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Phillips, C.A. (1991). Ambulatory Exercise Rehabilitation: Introduction and Overview. In: Functional Electrical Rehabilitation. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-3096-0_8

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  • DOI: https://doi.org/10.1007/978-1-4612-3096-0_8

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-7796-5

  • Online ISBN: 978-1-4612-3096-0

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