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Spinal Cord Injury Essay

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Functional electrical stimulation (FES) is when electrical current is used to elicit a response from an excitable nerve in order to regain motion and function. It is used with those who have upper motor neuron damage such as spinal cord injuries (SCI), strokes, multiple sclerosis, cerebral palsy, and traumatic brain injuries. Consequently it cannot be used with lower motor neuron injuries as the peripheral nerves are not excitable. FES units are designed to improve tissue health and increase voluntary function which often produce results that can be carried over when the devices are not applied. FES units can be worn throughout the day or are used in conjunction with therapy in cases of FES bikes. Motor use and sensation in many …show more content…

A study titled Effects of FES-Ambulation Training on Locomotor Function and Health-Related Quality of Life in Individuals With Spinal Cord Injury, found that those with Asia D Spinal Cord injuries showed significant improvement in the 6 minute walk test, and body weight support training. ASIA is a spinal cord impairment scale and those who are ASIA D are classified with motor function preserved below neurological level and more than half of key muscles below the level have a grade of 3 or more.7 The study also showed a non-significant increase with 10 meter walk test for walking speed. Patients showed an increase with the Walking Index for Spinal Cord Injury II (WISCI II) and in the Short Term Form -36 pain score. The WISCI II is used to look at the amount of assistance needed with walking and assistive devices used with those who have an SCI. There were 6 participants in the study with an average of 9.3 years post injury. They excluded those that took part in FES training within 3 months, those with a history of heart disease, current pressure ulcers, unpredictable autonomic dysreflexia, fractures, and other musculoskeletal issues that would make it unsafe to exercise. They took measurements 24-48 hours before the first exercise program and then 48-72 hours after the last exercise

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