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Area of Science:

  • Biomedical Engineering
  • Rehabilitation Medicine
  • Neuroscience

Background:

  • Spinal cord injuries (SCI) often lead to significant motor impairments, limiting mobility and independence.
  • Functional Electrical Stimulation (FES) offers a potential avenue for restoring function in individuals with SCI.
  • Overground FES cycling presents a promising rehabilitative approach for improving physical capacity and quality of life.

Purpose of the Study:

  • To describe the training approach for individuals with complete SCI participating in an overground FES cycling race.
  • To evaluate the effectiveness of implanted pulse generators for muscle activation in FES cycling.
  • To explore the potential of FES overground cycling as a widespread rehabilitative tool for SCI.

Main Methods:

  • Training five individuals with complete SCI for an overground FES cycling competition.
  • Utilizing implanted pulse generators for selective muscle activation.
  • Detailed documentation of pilot training, stimulation strategies, and cycling equipment.

Main Results:

  • Significant improvements in muscle strength, endurance, and cycling power were observed in trained pilots.
  • A competing pilot won a gold medal at the 2016 Cybathlon competition.
  • Trained pilots gained the ability to cycle outdoors within their communities.

Conclusions:

  • Implanted pulse generators offer an advantage for selective muscle activation in FES cycling.
  • FES overground cycling training can lead to substantial functional gains for individuals with SCI.
  • Positive outcomes support the further exploration of FES overground cycling as a rehabilitative therapy.