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Updated: May 22, 2026

Quantifying Arms and Legs Contributions during Repetitive Electrically-Assisted Sit-To-Stand Exercise in Paraplegics: A Pilot Study

Quantifying Arms and Legs Contributions during Repetitive Electrically-Assisted Sit-To-Stand Exercise in Paraplegics: A Pilot Study

Published on: November 11, 2022

Spasticity changes in SCI following a dynamic standing program using the Segway.

G Boutilier¹, B J Sawatzky, C Grant

¹Department of Experimental Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

|May 16, 2012

Summary

This summary is machine-generated.

Dynamic standing with a Segway Personal Transporter offers short-term relief from spasticity and pain for individuals with spinal cord injury (SCI). Further research is needed to confirm lasting effects and understand underlying mechanisms.

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Last Updated: May 22, 2026

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Area of Science:

Neuroscience and Rehabilitation Medicine
Biomedical Engineering

Background:

Spinal cord injury (SCI) often leads to spasticity, pain, and fatigue, significantly impacting quality of life.
Current management strategies for SCI symptoms can be limited in efficacy and may have side effects.

Purpose of the Study:

To investigate the physiological effects of a dynamic standing program using the Segway Personal Transporter in individuals with SCI.
To assess changes in spasticity, pain, and fatigue using both quantitative and qualitative measures.

Main Methods:

A pilot prospective study involving eight individuals with SCI (ASIA A-D) who could stand.
Participants engaged in a 4-week dynamic standing program using a Segway (3 sessions/week, 30 minutes each).
Spasticity was measured using the Modified Ashworth Scale (MAS); secondary measures included the SCI-Spasticity Evaluation Tool, Pain Outcomes Questionnaire, and Fatigue Severity Scale.

Main Results:

Immediate improvements in spasticity (MAS, P<0.001) and self-reported pain (P<0.05) were observed following dynamic standing sessions.
A decrease in fatigue levels was noted, though it did not reach statistical significance.
Limited evidence suggests these benefits may not be long-lasting.

Conclusions:

Dynamic standing on a Segway may provide short-term benefits for spasticity reduction, pain relief, and fatigue management in individuals with SCI.
Future research should involve larger sample sizes and explore the mechanisms behind potential spasticity reductions.