Training and detraining of a tetraplegic subject: high-volume FES cycle training.
OBJECTIVE
To test the effect of high-volume FES cycle training on cardiopulmonary fitness and bone parameters in a tetraplegic subject.


METHODS
Case study of 1 yr of functional electrical stimulated (FES) cycle training with the highest possible power output in a tetraplegic subject.


RESULTS
Depending on the training compliance (varying from 22.9 to 82.9%) maximal power output and peak oxygen uptake increased by 113 and 103%, respectively. After reduction in training intensity, these parameters reduced correspondingly. Bone mineral density of the distal femoral epiphysis showed an increase of 3.9% after 12 mos of cycle training.


CONCLUSIONS
It is possible to increase maximal power output, cardiopulmonary fitness, and bone parameters of the paralyzed limbs in tetraplegia by high-volume cycle training. However, if training is not maintained, these improvements are lost. In tetraplegic subjects, it may be difficult to maintain the high level of training required to achieve benefits.
Kakebeeke
Tanja H
TH
Swiss Paraplegic Research, Nottwil, Switzerland.
Hofer
Pius J
PJ
Frotzler
Angela
A
Lechner
Helga E
HE
Hunt
Kenneth J
KJ
Perret
Claudio
C
D000328:Adult; D001642:Bicycling; D015519:Bone Density / Q000502:physiology*; D002302:Cardiac Output / Q000502:physiology*; D004599:Electric Stimulation Therapy; D005080:Exercise Test; D005081:Exercise Therapy / Q000379:methods*; D005269:Femur / Q000502:physiology; D006801:Humans; D010349:Patient Compliance; D011782:Quadriplegia / Q000209:etiology / Q000534:rehabilitation*; D013119:Spinal Cord Injuries / Q000150:complications / Q000534:rehabilitation*; D013977:Tibia / Q000502:physiology