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
AU - Guest, Rosalind S.
AU - Jacobs, Patrick L.
N1 - Funding Information:
FL. Submitted for publicationJ uly 11, 1996. Accepted in revised form April 1, 1997. Supported by State of Florida Specific Appropriation 224 and The Miami Project to Cure Paralysis. No commercial party having a direct financiali nterest in the results of the research supportingt his article has or will confer a benefit upon the authors or upon any organizationw ith which the authors are associated. Reprint requests to K. John Klose, The Miami Project to Cure Paralysis, 1600 NW 10th Avenue( R-48), Miami,F L 33136. © 1997b y the AmericanC ongresso f RehabilitationM edicinea nd the American Academy of Physical Medicinea nd Rehabilitation
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.
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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 -