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Updated: Mar 8, 2026

Paradigms of Lower Extremity Electrical Stimulation Training After Spinal Cord Injury
Published on: February 1, 2018
Assessing kinematics and kinetics of functional electrical stimulation rowing
Adina E Draghici1, Glen Picard2, J Andrew Taylor3
1Department of Bioengineering, Northeastern University, Boston, Massachusetts, USA.
Hybrid functional electrical stimulation (FES) rowing enhances cardiovascular fitness in spinal cord injury (SCI) populations. However, FES-rowing shows lower mechanical efficiency and leg force compared to able-bodied rowing.
Area of Science:
- Biomechanics
- Exercise Physiology
- Rehabilitation Science
Background:
- Hybrid functional electrical stimulation (FES) rowing improves cardiovascular fitness in spinal cord injury (SCI) individuals.
- Limited data exists on the biomechanics and mechanical efficiency of FES-rowing in SCI populations.
Purpose of the Study:
- To investigate the biomechanics of FES-rowing in individuals with SCI.
- To compare kinematics, kinetics, and mechanical efficiency between able-bodied rowing and FES-rowing in SCI subjects at varying intensities.
Main Methods:
- Six individuals with SCI and six able-bodied subjects underwent a progressive aerobic capacity rowing test.
- Kinematics, kinetics, external mechanical work, and mechanical efficiency were compared at comparable subpeak workloads.
Main Results:
- FES-rowing maintained a constant stroke rate, unlike able-bodied rowing which increased stroke rate by decreasing recovery time.
- Able-bodied rowers increased both leg and arm forces with intensity; FES-rowers relied solely on arm force.
- Able-bodied rowers exhibited twice the mechanical efficiency of FES-rowers, with greater oxygen consumption increase.
Conclusions:
- FES-rowing allows whole-body exercise but results in modest leg loading, potentially limiting overall performance and bone-applied forces.
- Differences in force production and efficiency highlight distinct biomechanical strategies between able-bodied and FES-rowing in SCI.
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