Communication Affichée: Blessé médullaire

Le 01/12/2022 de 09:00 à 10:30

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Effets de 3 mois d'entrainement sur rameur couplé à l'électrostimulation fonctionnelle des membres inférieurs chez le patient blessé médullaire incomplet

Mael Descollonges (DIJON, France), Paul Marmier (DIJON, France), Adrien Mater (DIJON, France), Julie DI MARCO (Saint Didier Au Mont D'or, France), Gaelle Deley (DIJON, France)

Objective : Brown-Séquard Syndrome is a rare neurological condition associated with Spinal Cord Injury (SCI). Hemisection of the spinal cord causes paralysis of the homolateral side, and thermoalgesic dysfunction on the oposite side. As SCI patients, cardiopulmonaty, metabolic, and alterations are reported. For these patients, regular physical activity is highly recommended, and over years functional electrical stimulation (FES) has become a great option, especially for paraplegics.
However, to our knowledge, the effects of this technique have mostly been studied in people with complete SCI and data regarding an application and its effects in patients with incomplete lesions is missing.
The present case study therefore evaluated the feasibility and effectiveness of a 3-months FES-rowing program in a patient incomplete SCI. 

Material / Patients and Methods : A 54 years old patient with incomplete tetrapegia AIS D at a chronic stage underwent 3 months of FES-rowing (Kurage, FR) during 30min, two sessions per week .FES was applied on  quadriceps at maximal tolerated intensity, in order to assist the rowing movement .
Knee extensor muscle’ strength and thickness, walking and rowing capacities as well as quality of life were evaluated before and after protocol.

Results : Results revealed an excellent tolerance and adhesion to the training protocol. All measured parameters were greatly improved after 3 months: + 30% of rowing capacity, + 26% of walking capacity, + 30% of isometric strength, + 30% of average quadriceps muscle thickness.

Discussion - Conclusion : FES-rowing appears to be well tolerated by a patient with incomplete SCI and could therefore be considered as an interesting exercise option for these patients.

Keywords : FES-Rowing, electrical stimulation, spinal cord injury, rehabilitation, exercise