High-intensity interval training with functional electrical stimulation cycling for incomplete spinal cord injury patients: A pilot feasibility study

Document Type

Article

Publication Date

12-1-2024

Abstract

BackgroundConsequences of spinal cord injury (SCI) with a sedentary lifestyle will progress to muscle weakness and muscle atrophy, leading to muscle fatigue. This study aimed to determine the feasibility and preliminary effects of high-intensity interval training (HIIT) using functional electrical stimulation (FES) cycling on changes in thigh muscle volume and muscle strength, in patients with incomplete SCI.MethodsEight incomplete SCI patients (mean age 50 years; 6 women) with stable SCI paraplegia (mean 6.75 years since injury) participated in the HIIT FES cycling (85%-90% peak Watts; 4 x 4-min intervals) three times a week (over 6 weeks). The main outcomes were adherence, participant acceptability, and adverse events. Secondary outcomes were muscle strength (peak torque) and leg volume changes.ResultsOur findings revealed that the program was well-received by participants, with high levels of adherence, positive feedback, and satisfaction, suggesting that it could be a promising option for individuals seeking to enhance their lower body strength and muscle mass. Additionally, all participants successfully completed the training without any serious adverse events, indicating that the program is safe for use. Finally, we found that the 6-week HIIT FES leg cycling exercise program resulted in notable improvements in isometric peak torque of the quadriceps (range 13.9%-25.6%), hamstring muscle (18.2%-23.3%), and leg volume (1.7%-18.2%).ConclusionsThis study highlights HIIT FES leg cycling exercise program potential as an effective intervention for improving lower limb muscle function. High-intensity interval training with functional electrical stimulation cycling for incomplete spinal cord injury patients.image

Keywords

cycling, functional electrical stimulation, high-intensity interval training, spinal cord injury

Divisions

biomedengine,rehab

Funders

Universiti Teknologi MARA through the FRGS Grant (600-RMC/FRGS 5/3 (009/2022))

Publication Title

Artificial Organs

Volume

48

Issue

12

Publisher

Wiley

Publisher Location

111 RIVER ST, HOBOKEN 07030-5774, NJ USA

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