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Permanent link (DOI): https://doi.org/10.7939/R3NH66

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A pilot study investigating arm and leg FES-assisted cycling as an intervention for improving ambulation after Incomplete Spinal Cord Injury Open Access

Descriptions

Other title
Subject/Keyword
spinal cord injury
locomotion
rehabilitation
walking
functional electrical stimulation
Type of item
Thesis
Degree grantor
University of Alberta
Author or creator
Alvarado, Laura
Supervisor and department
Mushahwar, Vivian K ( Division of Physical Medicine & Rehabilitation and Centre for Neuroscience)
Examining committee member and department
Chan, Ming K ( Division of Physical Medicine & Rehabilitation and Centre for Neuroscience)
Yang, Jaynie (Physical Therapy and Centre for Neuroscience)
Stein, Richard ( Division of Physical Medicine & Rehabilitation and Centre for Neuroscience)
Department
Centre for Neuroscience
Specialization

Date accepted
2013-01-30T14:10:04Z
Graduation date
2013-06
Degree
Master of Science
Degree level
Master's
Abstract
People with incomplete spinal cord injury (iSCI) have the potential for recovering walking through plasticity-induced changes in the remaining neural circuitry. Current rehabilitation for walking attempts to induce such changes by providing relevant sensory inputs and motor commands through repetitive practice. Current rehabilitation fails to actively incorporate arm movements despite being naturally involved in human walking. The overall goal of my thesis was to demonstrate that active arm involvement through arm and leg FES-assisted cycling improves overground walking after iSCI. Specifically, my pilot study evaluated the changes in walking after 12 weeks of the intervention in individuals with chronic iSCI. Arm and leg FES-assisted cycling was effective in improving walking speed and endurance. Balance, motor and sensory scores, and gait kinematics improved in most cases. The reflex modulation improved in every case suggesting that neuronal reorganization (plasticity) was involved. Hence, arm and leg FES-assisted cycling is worthy of further investigation.
Language
English
DOI
doi:10.7939/R3NH66
Rights
Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. Where the thesis is converted to, or otherwise made available in digital form, the University of Alberta will advise potential users of the thesis of these terms. The author reserves all other publication and other rights in association with the copyright in the thesis and, except as herein before provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.
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