Evaluation of a training program for persons with SCI paraplegia using the Parastepρ1 ambulation system: Part 3. Lack of effect on bone mineral density

Belinda M. Needham-Shropshire, James G. Broton, K. John Klose, Nathan H Lebwohl, Rosalind S. Guest, Patrick L. Jacobs

Research output: Contribution to journalArticle

78 Citations (Scopus)

Abstract

Objective: To determine if the bone mineral density loss seen after spinal cord injury (SCI) is reversed by a walking program using the Parestep® 1 system. Design: Before-after trial. Setting: Human SCI applied research laboratory. Participants: Thirteen men and 3 women with thoracic motor- and sensory-complete SCI, mean age 28.8yrs, mean duration postinjury 3.8yrs. Intervention: Thirty-two functional neuromuscular stimulation (FNS) ambulation training sessions using a commercially available system (Parastep® 1). This system consists of a micro-processor-controlled stimulator and a modified walking frame with finger-operated switches that permit the user to control the stimulation parameters and activate the stepping. Outcome Measure: Bone mineral density at the femoral head, neck, and Ward's triangle measured using a Lunar®DP3 dual-photon densitometer. Results: No significant change in bone mineral density was found using repeated measures analyses of variance. Conclusions: Axial loading combined with muscle stimulation and resistive exercise does not result in significant changes in bone mineral density in persons with complete paraplegia.

Original languageEnglish (US)
Pages (from-to)799-803
Number of pages5
JournalArchives of Physical Medicine and Rehabilitation
Volume78
Issue number8
DOIs
StatePublished - Aug 1997

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Paraplegia
Spinal Cord Injuries
Bone Density
Walking
Education
Femur Neck
Weight-Bearing
Photons
Fingers
Analysis of Variance
Thorax
Outcome Assessment (Health Care)
Exercise
Muscles
Research

ASJC Scopus subject areas

  • Rehabilitation

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Evaluation of a training program for persons with SCI paraplegia using the Parastepρ1 ambulation system : Part 3. Lack of effect on bone mineral density. / Needham-Shropshire, Belinda M.; Broton, James G.; Klose, K. John; Lebwohl, Nathan H; Guest, Rosalind S.; Jacobs, Patrick L.

In: Archives of Physical Medicine and Rehabilitation, Vol. 78, No. 8, 08.1997, p. 799-803.

Research output: Contribution to journalArticle

Needham-Shropshire, Belinda M. ; Broton, James G. ; Klose, K. John ; Lebwohl, Nathan H ; Guest, Rosalind S. ; Jacobs, Patrick L. / Evaluation of a training program for persons with SCI paraplegia using the Parastepρ1 ambulation system : Part 3. Lack of effect on bone mineral density. In: Archives of Physical Medicine and Rehabilitation. 1997 ; Vol. 78, No. 8. pp. 799-803.
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AU - Jacobs, Patrick L.

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