Exercise adherence Duringhome-based functional electrical stimulation cycling by individuals with spinal cord injury

David R. Dolbow, Ashraf S. Gorgey, Jessica M. Ketchum, Jewel R. Moore, Laurel A. Hackett, David R. Gater

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

Dolbow DR, Gorgey AS, Ketchum JM, Moore JR, Hackett LA, Gater DR: Exercise adherence during home-based functional electrical stimulation cycling by individuals with spinal cord injury. Am J Phys Med Rehabil 2012;91:922Y930. Objective: The typically sedentary spinal cord injured population has limited physical activity options because of muscle paralysis, difficulties in transportation, and barriers to access rehabilitation/wellness facilities. It is important to investigate physical activity alternatives to increase physical activity levels and decrease the risk of inactivity-derived diseases. The goal of this study was to determine the effects of a home-based functional electrical stimulation cycling program on exercise adherence of those with spinal cord injury. Design: Seventeen Veterans with posttraumatic C4YT11 American Spinal Injury Association Impairment Scale AYC spinal cord injury participated in two 8-wk exercise periods of home-based functional electrical stimulation lower extremity cycling. Exercise adherence and the effects of six factors thought to influence exercise adherence were studied during both exercise periods. Results: Exercise adherence rates for exercise periods 1 and 2 were 71.7% and 62.9%, respectively. Age, history of exercise, and pain not associated with the exercise activity were determined to have significant impact on exercise adherence rates. Conclusions: Exercise adherence rates were well above the reported 35% in the able-bodied population, which provides evidence for the feasibility of a home-based functional electrical stimulation lower extremity cycling program. Younger adults with a history of being physically active have the highest potential for exercise adherence.

Original languageEnglish (US)
Pages (from-to)922-930
Number of pages9
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume91
Issue number11
DOIs
Publication statusPublished - Nov 1 2012

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Keywords

  • Exercise Adherence
  • Home-Based Functional Electric Stimulation Lower Extremity Cycling
  • Spinal Cord Injury

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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