Abstract：
OBJECTIVE:To compare isometric torque and cycling power, smoothness and symmetry using repetitive functional magnetic stimulation (FMS) and functional electrical stimulation (FES) in patients with paretic legs with preserved sensibility and in patients without sensibility. DESIGN:Repeated-measures design. SETTING:Laboratory setting. PARTICIPANTS:Eleven subjects with complete spinal cord injury (SCI) and 29 subjects with chronic hemiparesis (16.6+/-5.5mo poststroke) volunteered. INTERVENTIONS:Using a tricycle testbed, participants were exposed to isometric measurements and ergometric cycling experiments, performed during both 20Hz FMS and FES stimulation. Subjects with hemiparesis and with complete SCI were stimulated at maximally tolerable level and maximal intensity, respectively. MAIN OUTCOME MEASURES:Maximal isometric pedaling torque and mean ergometric power, smoothness, and symmetry were recorded for voluntary, FES, and FMS conditions. RESULTS:Two different patterns of the efficacy of FMS were identified. (1) Patients with complete SCI did not benefit (less torque and power was evoked with FMS than with FES, P<.003 and 10(-4) respectively). (2) Patients with hemiplegia and preserved sensibility could improve their torque output (P<.05), smoothness, and symmetry of pedaling (P<.05) with FMS more than with FES. CONCLUSIONS:FMS is a potential alternative to surface FES of the large thigh musculature in stimulation-supported cycling of patients with partially or completely preserved sensibility.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Szecsi J,Schiller M,Straube A,Gerling Ddoi
10.1016/j.apmr.2008.09.572subject
Has Abstractpub_date
2009-04-01 00:00:00pages
564-70issue
4eissn
0003-9993issn
1532-821Xpii
S0003-9993(08)01707-3journal_volume
90pub_type
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journal_title：Archives of physical medicine and rehabilitation
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abstract：OBJECTIVE:To test the psychometric properties of a newly developed measure of caregiver self-efficacy, the Caregiver Self-Efficacy Scale for Transfers (CSEST), a 14-item questionnaire that measures the perceived self-efficacy of adult caregivers of dependent children and focuses on their perceived abilities and the cha...
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abstract：OBJECTIVE:To present a new measure of community integration, the Community Integration Measure (CIM), and to offer preliminary information about its psychometric properties. DESIGN:Validation study. SETTING:Community. PARTICIPANTS:Ninety-two participants placed in 3 subgroups (brain injury survivors, n = 41; signifi...
journal_title：Archives of physical medicine and rehabilitation
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pub_type： 杂志文章,随机对照试验
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更新日期：2012-07-01 00:00:00
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journal_title：Archives of physical medicine and rehabilitation
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doi：10.1016/j.apmr.2005.03.031
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doi：10.1053/apmr.2002.36838
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doi：
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