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Updated: Apr 19, 2026

Paradigms of Lower Extremity Electrical Stimulation Training After Spinal Cord Injury
Published on: February 1, 2018
Use of functional electrical stimulation cycle ergometers by individuals with spinal cord injury
Jochen Kressler1, Hila Ghersin1, Mark S Nash2
1The Miami Project to Cure Paralysis, Miller School of Medicine, University of Miami , Miami, Florida.
Purpose:
To assess the use of network-connected home-based functional electrical stimulation (FES) cycle ergometers.
Method:
De-identified data on >20,000 FES sessions for 314 users with spinal cord injury were analyzed for usage patterns and energy expenditure. These were compared with authoritative exercise guidelines of 150 minutes of moderate-intensity aerobic activity per week over at least 2 days per week for a total of 1,000 kcals.
Results:
Seven percent of participants were classified as high- (≥5 days/week), 11% as medium- (2-5 days/week), and 82% as low-frequency users (<2 days/week).
Conclusion:
None of the users satisfied authoritative energy expenditure recommendations for disease prevention with FES cycling alone.
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