Is the use of computerized electrical stimulation associated with cycloergometrics in individuals with medullary lesion beneficial for the muscular parameters?
DOI:
https://doi.org/10.5935/0104-7795.20110009Keywords:
Electric Stimulation, Exercise, Paraplegia, Quadriplegia, Spinal Cord InjuriesAbstract
The aim of this study was to determine whether the use of FES produces muscular benefits for individuals with spinal cord injuries. Method: A review of the literature was done in the electronic database MEDLINE, PubMed, LILACS and SciELO, without limitation of time or language. The PICO strategy has been used for this research. Results: 554 articles were found. From these, 432 were excluded by title, resulting in 122 articles left. Out of these articles the duplicates were excluded resulting in 73 articles; 36 were then excluded after reading the abstract and 33 more after reading the full text. Four studies were selected. Two articles included males and females in their studies and two only included males. Three studies included quadriplegics and paraplegics in the same study; one included only quadriplegics. One of the studies used a more frequent training routine, seven times a week; three trained only three times a week. The duration of the studies was varied considerably, from six weeks to one year. The resulting measurements for strength and resistance evaluation were performed in different manners, by muscle transverse section area measurement, limb circumference, and muscle biopsy; however, all studies presented at least one of the measurements provided by the equipment, power output or work output. Improvement of the power output and work output has been shown in all studies. Despite the heterogeneity encountered in these studies, the outcomes evaluated by them indicate a significant increase in the power output and work output after training periods, with gains starting from six weeks of training at least three times a week. Conclusion: Future studies are needed to assess different responses in different groups of subjects, paraplegics or quadriplegics, under different frequencies and periods of training, and thereby provide the elaboration of more directed training protocols.
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