Energy cost of the case Western reserve standing neuroprosthesis.
OBJECTIVE
To determine the oxygen consumption of a person with C7 American Spinal Injury Association (ASIA) grade B tetraplegia using the Case Western Reserve/Veterans Administration (CWRU/VA) standing neuroprosthesis.


METHODS
Measure the oxygen consumption and carbon dioxide production of a person with C7 ASIA grade B tetraplegia at rest, standing in the parallel bars with the CWRU/VA system on, ambulating in the parallel bars, and transferring from a wheelchair to a mat with the system on.


METHODS
University medical center.


METHODS
A 26-year-old man with C7 ASIA grade B tetraplegia. The subject was a recipient of the CWRU/VA standing neuroprosthesis.


METHODS
Not applicable.


METHODS
Measurement of oxygen consumption and carbon dioxide production using a metabolic cart.


RESULTS
Oxygen consumption of the subject was 1.22mL.kg(-1).min(-1) at rest. It was 4.7mL.kg(-1).min(-1) while standing in the parallel bars, 7.2mL.kg(-1).min(-1) while ambulating in the parallel bars, and 7.9mL.kg(-1).min(-1) when transferring from a wheelchair to a mat.


CONCLUSIONS
Oxygen consumption of the subject when using the system is about 2 metabolic equivalent units, which is compatible with sustained use of the system for standing.
Forrest
George P
GP
Department of Physical Medicine and Rehabilitation, Albany Medical College, Albany, NY 12208, USA. forresg@mail.amc.edu
Smith
Thomas C
TC
Triolo
Ronald J
RJ
Gagnon
Jason P
JP
DiRisio
Darryl
D
Miller
Michael E
ME
Murray
Lori
L
Davis
John A
JA
Iqbal
Atif
A
D000203:Activities of Daily Living; D000328:Adult; D002245:Carbon Dioxide / Q000378:metabolism; D004599:Electric Stimulation Therapy; D004567:Electrodes, Implanted; D004734:Energy Metabolism / Q000502:physiology*; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000378:metabolism; D010101:Oxygen Consumption / Q000502:physiology; D011782:Quadriplegia / Q000209:etiology / Q000378:metabolism / Q000534:rehabilitation*; D013119:Spinal Cord Injuries / Q000150:complications / Q000378:metabolism / Q000534:rehabilitation; D013813:Therapy, Computer-Assisted
D002245:Carbon Dioxide