title: Cycling with Functional Electrical Stimulation Before and After a Distal Femur Fracture in a Man with Paraplegia.
abstract: METHODS
  A man with chronic paraplegia sustained a distal femur fracture following an unrelated fall while enrolled in a study examining musculoskeletal changes after 6 months of cycling with functional electrical stimulation (FES). After healing, he restarted and completed the study.
  
  
  METHODS
  Study measures included areal bone mineral density, trabecular bone microarchitecture, cortical bone macroarchitecture, serum bone formation/resorption markers, and muscle volume. The patient made small gains in bone- and muscle-related measures. Bone markers had not returned to baseline prior to restarting cycling, which may have impacted results.
  
  
  CONCLUSIONS
  This case shows that cycling with FES may be safely resumed after distal femur fracture.
authors.affiliation: Department of Physical Therapy, Jefferson School of Health Professions, Thomas Jefferson University, Philadelphia, Pennsylvania.
authors.forename: Therese E
authors.initials: TE
authors.lastname: Johnston
authors.affiliation: Department of Rehabilitation Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania.
authors.forename: Ralph J
authors.initials: RJ
authors.lastname: Marino
authors.affiliation: Department of Rehabilitation Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania.
authors.forename: Christina V
authors.initials: CV
authors.lastname: Oleson
authors.affiliation: Magee Rehabilitation Hospital,Philadelphia, Pennsylvania.
authors.forename: Mary
authors.initials: M
authors.lastname: Schmidt-Read
authors.affiliation: Department of Kinesiology and Applied Physiology, University of Delaware, Newark, Delaware.
authors.forename: Christopher M
authors.initials: CM
authors.lastname: Modlesky
mesh_terms: D001642:Bicycling; D015519:Bone Density; D001842:Bone and Bones / Q000378:metabolism; D000075202:Contraindications; D004558:Electric Stimulation; D004599:Electric Stimulation Therapy; D005269:Femur / Q000378:metabolism; D050723:Fractures, Bone; D006801:Humans; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000209:etiology / Q000628:therapy*; D013119:Spinal Cord Injuries / Q000150:complications / Q000628:therapy*
keywords: bone; cycling; fracture; functional electrical stimulation; spinal cord injury