title: Use of the Case Western Reserve/Veterans Administration neuroprosthesis for exercise, standing and transfers by a paraplegic subject.
abstract: Functional electric stimulation (FES) is a technology that may allow patients with spinal cord injury (SCI) to transfer stand and walk. This paper reports upon the use of the Case Western Reserve Neuroprosthesis by a T6 ASIA B paraplegic subject. The subject was able to stand for two minutes and 50 seconds. He could walk 35 feet with a swing to gait. Measurement of energy consumption showed that metabolic demand was only 2.1 metabolic equivalent units. The factors that limited the use of the device that need to be improved to make the technology practical for household or community ambulation are speed (5.8 m/min) of ambulation and fatigue of the stimulated muscles.
authors: Department of Physical Medicine and Rehabilitation, MetroHealth Medical Center, Cleveland, OH, USA. forresg@mail.amc.edu
authors: George P
authors: GP
authors: Forrest
authors: Thomas C
authors: TC
authors: Smith
authors: Ronald J
authors: RJ
authors: Triolo
authors: Jason
authors: J
authors: Gagnon
authors: Darryl
authors: D
authors: DiRisio
authors: Michael E
authors: ME
authors: Miller
authors: Lori
authors: L
authors: Rhodi
mesh_terms: D000203:Activities of Daily Living; D004599:Electric Stimulation Therapy / Q000295:instrumentation*; D004567:Electrodes, Implanted; D015444:Exercise / Q000502:physiology*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation*; D011187:Posture / Q000502:physiology; D019736:Prostheses and Implants; D013119:Spinal Cord Injuries / Q000150:complications / Q000503:physiopathology / Q000534:rehabilitation*; D013813:Therapy, Computer-Assisted / Q000379:methods*; D014481:United States; D014493:United States Department of Veterans Affairs; D016138:Walking / Q000502:physiology