Strategies and performances of Functional Electrical Stimulation Cycling using the BerkelBike with Spinal Cord Injury in a competition context (CYBATHLON)

Berkelmans, Rik; Woods, Billy

doi:10.4081/ejtm.2017.7189

Cited by 14 publications

(11 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1 ), and only 27.5% of the Cybathlon studies were included in the study quality assessment. 6 , 8 , 22 , 23 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 The low number of the Cybathlon studies included in the assessment of study quality was because duplicate titles were removed from the search of the 5 databases. Based on D&B criteria checklist 31 ( Supplementary Table 1 ), only open access, full-length articles and conference proceedings were appropriate for the quality assessment.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Contributions of the Cybathlon championship to the literature on functional electrical stimulation cycling among individuals with spinal cord injury: A bibliometric review

Hamdan

Hamzaid

Razak

et al. 2022

Journal of Sport and Health Science

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

“…The participant who completed 5 laps around the 750 m track in the fastest time, or who covered the most distance within the shortest time, was declared the winner. 23 …”

Section: Introductionmentioning

confidence: 99%

Contributions of the Cybathlon championship to the literature on functional electrical stimulation cycling among individuals with spinal cord injury: A bibliometric review

Hamdan

Hamzaid

Razak

et al. 2022

Journal of Sport and Health Science

View full text Add to dashboard Cite

“…One potential way to acutely improve electricallyinduced exercise is to reduce the overlap of activated fibers among stimulating electrodes. Current systems stimulate through multiple surface electrode pads [19][20][21][22] or implanted neural electrode contacts [23] at once and at high pulse amplitudes (PA) and/or pulse widths (PW) to engage as many muscle fibers as possible, particularly during knee extension phases of cycling. Though this can result in high initial power production, the large voltage fields produced by each electrode can overlap and limit performance as the exercise goes on.…”

mentioning

confidence: 99%

Selective neural stimulation methods improve cycling exercise performance after spinal cord injury: a case series

Gelenitis

Foglyano

Lombardo

et al. 2021

J NeuroEngineering Rehabil

View full text Add to dashboard Cite

Background Exercise after paralysis can help prevent secondary health complications, but achieving adequate exercise volumes and intensities is difficult with loss of motor control. Existing electrical stimulation-driven cycling systems involve the paralyzed musculature but result in rapid force decline and muscle fatigue, limiting their effectiveness. This study explores the effects of selective stimulation patterns delivered through multi-contact nerve cuff electrodes on functional exercise output, with the goal of increasing work performed and power maintained within each bout of exercise. Methods Three people with spinal cord injury and implanted stimulation systems performed cycling trials using conventional (S-Max), low overlap (S-Low), low duty cycle (C-Max), and/or combined low overlap and low duty cycle (C-Low) stimulation patterns. Outcome measures include total work (W), end power (Pend), power fluctuation indices (PFI), charge accumulation (Q), and efficiency (η). Mann–Whitney tests were used for statistical comparisons of W and Pend between a selective pattern and S-Max. Welch’s ANOVAs were used to evaluate differences in PFIs among all patterns tested within a participant (n ≥ 90 per stimulation condition). Results At least one selective pattern significantly (p < 0.05) increased W and Pend over S-Max in each participant. All selective patterns also reduced Q and increased η compared with S-Max for all participants. C-Max significantly (p < 0.01) increased PFI, indicating a decrease in ride smoothness with low duty cycle patterns. Conclusions Selective stimulation patterns can increase work performed and power sustained by paralyzed muscles prior to fatigue with increased stimulation efficiency. While still effective, low duty cycle patterns can cause inconsistent power outputs each pedal stroke, but this can be managed by utilizing optimized stimulation levels. Increasing work and sustained power each exercise session has the potential to ultimately improve the physiological benefits of stimulation-driven exercise.

show abstract

“…A recent study reported that the series of FES trainings on a tricycle resulted in increased speed of cycling of paraplegics with denervated muscles [49], which is normally not observed in similar ergometer-based protocols. FES-driven tricycling is gaining relevance, as testified by several competitions organized during the last couple of years [50][51][52][53]. However, these competitions are only targeting people with SCI.…”

Section: Fes Driven Cyclingmentioning

confidence: 99%

Noninvasive Modalities Used in Spinal Cord Injury Rehabilitation

Barroso¹,

Pascual-Valdunciel²,

Torricelli³

et al. 2019

Spinal Cord Injury Therapy [Working Title]

View full text Add to dashboard Cite

In the past three decades, research on plasticity after spinal cord injury (SCI) has led to a gradual shift in SCI rehabilitation: the former focus on learning compensatory strategies changed to functional neurorecovery, that is, promoting restoration of function through the use of affected limbs. This paradigm shift contributed to the development of technology-based interventions aiming to promote neurorecovery through repetitive training. This chapter presents an overview of a range of noninvasive modalities that have been used in rehabilitation after SCI. Among others, we present repetitive transcranial magnetic stimulation (rTMS), transcranial direct current stimulation (tDCS), surface electrical stimulation tools such as transcutaneous electrical spinal cord stimulation (tcSCS), transcutaneous electrical nerve stimulation (TENS), and functional electrical stimulation (FES), as well as its integration with cycling training and assistive robotic devices. The most recent results attained and the potential relevance of these new techniques to strengthen the efficacy of the residual neuronal pathways and improve spasticity are also presented. Future efforts toward the widespread clinical application of these modalities include more advances in the technology, together with the knowledge obtained from basic research and clinical trials. This can ultimately lead to novel customized interventions that meet specific needs of SCI patients.

show abstract

Strategies and performances of Functional Electrical Stimulation Cycling using the BerkelBike with Spinal Cord Injury in a competition context (CYBATHLON)

Cited by 14 publications

References 18 publications

Contributions of the Cybathlon championship to the literature on functional electrical stimulation cycling among individuals with spinal cord injury: A bibliometric review

Contributions of the Cybathlon championship to the literature on functional electrical stimulation cycling among individuals with spinal cord injury: A bibliometric review

Selective neural stimulation methods improve cycling exercise performance after spinal cord injury: a case series

Noninvasive Modalities Used in Spinal Cord Injury Rehabilitation

Contact Info

Product

Resources

About