Development of A New Assessment of Effort and Assistance in Standing Pivot Transfers With Functional Electrical Stimulation

Bieri, Carol; Rohde, Lori; Danford, G. Scott; Steinfeld, Edward; Snyder, Scott A.; Triolo, Ronald J.

doi:10.1080/10790268.2004.11753753

Cited by 5 publications

(3 citation statements)

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“…Our neuroprosthetic research program focuses almost exclusively on providing options for individuals with paralysis following spinal cord injury (SCI), stroke or multiple sclerosis (MS) to independently perform functional activities of daily living, such as standing to retrieve objects from overhead [ 3 ], transferring between seating surfaces of different heights [ 4 ], stabilizing the trunk and pelvis to improve wheelchair propulsion efficiency [ 5 ] and facilitate bimanual reaching [ 6 ] and stepping short distances in the vicinity of the wheelchair to negotiate obstacles such as curbs and steps [ 7 ]. To achieve these functional goals we developed multichannel implantable pulse generators (IPGs) and muscle- and nerve-based electrodes to efficiently and effectively excite the peripheral nerves to generate repeatable, strong and isolated contractions of the major muscles of the lower extremities, pelvis and trunk.…”

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confidence: 99%

Setting the pace: insights and advancements gained while preparing for an FES bike race

McDaniel

Lombardo

Foglyano

et al. 2017

J NeuroEngineering Rehabil

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The reduction in physical activity following a spinal cord injury often leads to a decline in mental and physical health. Developing an exercise program that is effective and enjoyable is paramount for this population. Although functional electrical stimulation (FES) stationary cycling has been utilized in rehabilitation settings, implementing an overground cycling program for those with spinal cord injuries has greater technical challenges. Recently our laboratory team focused on training five individuals with compete spinal cord injuries utilizing an implanted pulse generator for an overground FES bike race in CYBATHLON 2016 held in Zurich, Switzerland. The advancements in muscle strength and endurance and ultimately cycling power our pilots made during this training period not only helped propel our competing pilot to win gold at the CYBATHLON 2016, but allowed our pilots to ride their bikes outside within their communities. Such a positive outcome has encouraged us to put effort into developing more widespread use of FES overground cycling as a rehabilitative tool for those with spinal cord injuries. This commentary will describe our approach to the CYBATHLON 2016 including technological advancements, bike design and the training program.

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Section: Main Textmentioning

confidence: 99%

Setting the pace: insights and advancements gained while preparing for an FES bike race

McDaniel

Lombardo

Foglyano

et al. 2017

J NeuroEngineering Rehabil

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“…L aboratories from around the world have put considerable effort into determining the efficacy of FES for those with spinal cord injuries. 1 , 2 Historically our neuroprosthetic research program has focused almost exclusively on providing options for individuals with paralysis following spinal cord injury (SCI), stroke or multiple sclerosis (MS) to independently perform functional activities of daily living, such as standing to retrieve objects from overhead, 3 transferring between seating surfaces of different heights, 4 stabilizing the trunk and pelvis to improve wheelchair propulsion efficiency, 5 and facilitate bimanual reaching, 6 and stepping short distances in the vicinity of the wheelchair to negotiate obstacles such as curbs and steps. 7 .…”

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confidence: 99%

Cycle Training Using Implanted Neural Prostheses: Team Cleveland

et al. 2017

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Recently our laboratory team focused on training five individuals with complete spinal cord injuries for an overground FES bike race in the 2016 Cybathlon held in Zurich Switzerland. A unique advantage team Cleveland had over other teams was the use of implanted pulse generators that provide more selective activation of muscles compared to standard surface stimulation. The advancements in muscle strength and endurance and ultimately cycling power our pilots made during this training period helped propel our competing pilot to win gold at the Cybathlon and allowed our pilots to ride their bikes outside within their communities. Such positive outcomes has encouraged us to further explore more widespread use of FES overground cycling as a rehabilitative tool for those with spinal cord injuries. This review will describes our approach to this race including information on the pilots, stimulation strategy, bike details and training program.

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“…An external coil powers and controls the implanted stimulator and connects to an external control unit. Triolo and colleagues [9,28] performed a clinical trial of the IRS-8 for lower limb exercise and standing function. Seventeen participants participated in the rehabilitation phase consisting of electrical stimulation mediated exercises.…”

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confidence: 99%

Implantable neuroprosthetic technology

Bhadra

Chae

2009

NRE

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Neuroprostheses electrically stimulate paralyzed muscles to provide functional enhancement for individuals with neurological disorders, especially among persons with spinal cord injuries. Fully implanted neuroprostheses are reliable, require minimal maintenance and are user-friendly. These systems provide a variety of functions, including reaching, hand grasp and release, standing and stepping, bladder and bowel function and respiratory assist. Based on a representative review of the literature, this article presents and evaluates the development, clinical implementation and clinical efficacy and effectiveness of the various implanted neuroprostheses. Directions for future development are also presented. Press and the authors. All rights reserved N. Bhadra and J. Chae / Implantable neuroprosthetic technology Table 1 Key publications in implanted neuroprostheses Topic Author/year Article summary Review Ragnarsson [88], 2008 An overview of the progress made in FES applications, current challenges and suggested future improvements. DiMarco [32], 2005 A review of Functional Electrical Stimulation (FES) technology for restoration of respiratory function. Upper Limb Peckham [82], 2001 A multicenter cohort trial of an implanted hand neuroprosthesis for persons with tetraplegia with at least 3 years of follow-up. Hand function of 51 adults with C5 or C6 spinal cord injury (SCI) was compared before and after implantation, and with and without the neuroprosthesis. The neuroprosthesis was safe and well accepted, and increased independence. Lower Limb Kottink [70], 2007 A randomized controlled trial of an implantable 2-channel peroneal nerve stimulator among 29 stroke chronic stroke survivors. The intervention group received the implantable stimulator for correction of drop foot. The control group used conventional walking devices (ankle-foot orthosis, orthopedic shoes, or no device). FES resulted in a 23% improvement in walking speed, whereas the improvement in the control group was 3%. The study showed a clinically relevant effect of the implantable stimulator on walking speed. Bladder Brindley [16], 1994 A review of the first 500 patients implanted with a sacral anterior root stimulators for bladder control. Of 479 survivors, 424 were using their stimulators when last followed up between 3 months and 16.1 years (mean 4 years) after implantation. Creasey [27], 2001A prospective study comparing bladder and bowel control before and at 3, 6, and 12 months after implantation of a neuroprosthesis for stimulating the sacral nerves with posterior sacral rhizotomy among 23 individuals with suprasacral SCI. At 1-year follow-up, 18 of 21 patients could urinate more than 200 mL with the neuroprosthesis; fifteen of 21 had post void volumes of less than 50 mL. The incidence of urinary tract infections, catheter use, reflex incontinence, anticholinergic drug use, and autonomic dysreflexia were substantially reduced at follow-up relative to pre-implantation. At 1-year follow-up, 15 of 17 patients reduced the time spent with bowel managem...

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Development of A New Assessment of Effort and Assistance in Standing Pivot Transfers With Functional Electrical Stimulation

Cited by 5 publications

References 0 publications

Setting the pace: insights and advancements gained while preparing for an FES bike race

Setting the pace: insights and advancements gained while preparing for an FES bike race

Cycle Training Using Implanted Neural Prostheses: Team Cleveland

Implantable neuroprosthetic technology

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