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 language | English (US) |
|---|---|
| Pages (from-to) | 799-803 |
| Number of pages | 5 |
| Journal | Archives of Physical Medicine and Rehabilitation |
| Volume | 78 |
| Issue number | 8 |
| DOIs | |
| State | Published - Aug 1997 |
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ASJC Scopus subject areas
- Rehabilitation
Cite this
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 journal › Article
}
TY - JOUR
T1 - Evaluation of a training program for persons with SCI paraplegia using the Parastepρ1 ambulation system
T2 - Part 3. Lack of effect on bone mineral density
AU - Needham-Shropshire, Belinda M.
AU - Broton, James G.
AU - Klose, K. John
AU - Lebwohl, Nathan H
AU - Guest, Rosalind S.
AU - Jacobs, Patrick L.
PY - 1997/8
Y1 - 1997/8
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=0030776293&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0030776293&partnerID=8YFLogxK
U2 - 10.1016/S0003-9993(97)90190-8
DO - 10.1016/S0003-9993(97)90190-8
M3 - Article
C2 - 9344296
AN - SCOPUS:0030776293
VL - 78
SP - 799
EP - 803
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
SN - 0003-9993
IS - 8
ER -