Evaluation of a Training Program for Persons with SCI Paraplegia Using the Parastep 1 Ambulation System: Part 3. Lack of Effect on Bone Mineral Density

Overview

Journal Arch Phys Med Rehabil

Specialty Rehabilitation Medicine

Date 1997 Aug 1

PMID 9344296

Citations 27

Authors

J G Broton

K J Klose

N Lebwohl

R S Guest

P L Jacobs

Affiliations

Soon will be listed here.

Abstract

Objective: To determine if the bone mineral density loss seen after spinal cord injury (SCI) is reversed by a walking program using the Parastep 1 system.

Design: Before-after trial.

Setting: Human SCI applied research laboratory.

Participants: Thirteen men and 3 women with thoracic motor- and sensory-complete SCI, mean age 28.8yrs, mean duration postinjury 3.8yrs.

Intervention: Thirty-two functional neuromuscular stimulation (FNS) ambulation training sessions using a commercially available system (Parastep 1). This system consists of a microprocessor-controlled stimulator and a modified walking frame with finger-operated switches that permit the user to control the stimulation parameters and activate the stepping.

Outcome Measure: Bone mineral density at the femoral head, neck, and Ward's triangle measured using a Lunar DP3 dual-photon densitometer.

Results: No significant change in bone mineral density was found using repeated measures analyses of variance.

Conclusions: Axial loading combined with muscle stimulation and resistive exercise does not result in significant changes in bone mineral density in persons with complete paraplegia.

Citing Articles

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A Scoping Review of the Characteristics of Activity-based Therapy Interventions Across the Continuum of Care for People Living With Spinal Cord Injury or Disease.

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