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Bone mineral density after bicycle ergometry training.

E M Leeds1, K J Klose, W Ganz

  • 1University of Miami School of Medicine, FL.

Archives of Physical Medicine and Rehabilitation
|March 1, 1990
PubMed
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Functional electrical stimulation (FES) cycle ergometry did not significantly improve bone mineral density (BMD) in men with spinal cord injury (SCI). Six months of training showed no change in BMD, with participants remaining osteoporotic.

Area of Science:

  • Orthopedics
  • Rehabilitation Medicine
  • Sports Medicine

Background:

  • Spinal cord injury (SCI) frequently leads to osteoporosis and increased fracture risk.
  • Maintaining bone mineral density (BMD) is crucial for individuals with SCI.
  • Functional electrical stimulation (FES) cycle ergometry is a potential intervention for SCI rehabilitation.

Purpose of the Study:

  • To evaluate the effect of FES cycle ergometry on BMD in quadriplegic men with SCI.
  • To determine if a six-month FES training program can increase proximal femur BMD.

Main Methods:

  • Six men with SCI completed a six-month FES cycle ergometry program (3 days/week).
  • Dual photon absorptiometry measured BMD of the femoral neck, Ward triangle, and trochanter pre- and post-training.

Related Experiment Videos

  • BMD was also assessed in three men with SCI exercising for three years with FES.
  • Main Results:

    • No statistically significant differences in BMD were observed between pretraining and posttraining measurements.
    • Mean BMD values for the proximal femur remained significantly below age-matched controls, indicating osteoporosis.
    • BMD in long-term FES users was not significantly different from the short-term training group.

    Conclusions:

    • Six months of FES cycle ergometry does not appear to increase BMD in men with SCI.
    • FES cycle ergometry may not be sufficient to counteract the osteoporotic effects of SCI.
    • Further research is needed to explore effective interventions for bone health in SCI populations.