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Updated: Aug 12, 2026

Paradigms of Lower Extremity Electrical Stimulation Training After Spinal Cord Injury
Published on: February 1, 2018
The effect of electrically induced lower extremity ergometry on an ischial pressure ulcer: a case study
Susan F Pollack1, Kristjan T Ragnarsson, Marcel Dijkers
1Department of Rehabilitation Medicine, Mount Sinai School of Medicine, Mount Sinai Medical Center, New York, New York 10029, USA. momeszf@hotmail.com
Background:
Individuals with spinal cord injury (SCI) are at an increased risk of pressure ulcer development. Electrical stimulation of adjacent muscles may be underutilized as a tool for pressure ulcer healing in individuals with SCI.
Method:
Single case study.
Summary:
A 27-year-old man with C4 tetraplegia developed a left ischial pressure ulcer that for 23 months responded slowly and inconsistently to conventional treatment. Electrically induced lower extremity ergometry (EILEE) was introduced to facilitate wound healing. The pressure ulcer healed completely in 6.5 months.
Conclusion:
This case illustrates the potential important contribution of EILEE in the healing of an ischial pressure ulcer in individuals with SCI.

