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DPT 608 > FES For Cycling > Flashcards

FES For Cycling Flashcards

(53 cards)

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1
Q

T/f: When doing FES cycling, we are going for high dose, high reps

A

True

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2
Q

What is FES?

A

TM that applies low level electrical pulses to paralyzed or paretic muscles

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3
Q

What is the aim of FES?

A

to restore/improve functional capacity

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4
Q

How does FES work?

A

By reactivating the peripheral NS

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5
Q

T/f: FES is used in pts w/o significant LMN damage

A

True

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6
Q

If FES contraindicated for pts with LMN injury?

A

No, but it’s not an appropriate intervention for these people

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7
Q

What are the basic principles of FES cycling?

A

It stimulates leg muscles in coordinated patterns
It creates pedaling motion similar to voluntary cycling
It is usually performed on stationary indoor systems
It allows cycling for those with little to no voluntary leg movt

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8
Q

T/f: FES cycling is usually performed on stationary indoor systems

A

True

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9
Q

What are the primary objectives of progression?

A

Progress off of motor support and generate power by increasing resistance

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10
Q

Why do we increase resistance in FES cycling?

A

To increase power generation

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11
Q

What are the unique contraindications to FES cycling?

A

Acute trauma phase without medical clearance
Unstable vital signs
Severe spinal shock
Uncontrolled autonomic dysreflexia
Active heterotopic ossification (jt infection)
Severe osteoporosis
Open wounds in electrode placement areas

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12
Q

T/f: all normal TM contraindications still apply to FES cycling

A

True

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13
Q

T/f: most reactions to FES cycling were minor

A

True

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14
Q

What are the common minor reactions to FES cycling?

A

Temporary hypotension
Increased spasticity
Skin redness

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15
Q

What is the typical pulse width for FES cycling? What is the range?

A

Typical-300 usec
Range-50-500usec

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16
Q

What is the range of amplitude for FES cycling?

A

22-140 mA

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17
Q

What is the typical frequency for FES cycling? What is the range?

A

Typical-35 Hz
Range-35-60 Hz

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18
Q

What is the benefit of FES cycling frequency between 35-60 Hz?

A

It allows good contraction without too much fatigue

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19
Q

When would we want to fatigue a muscle?

A

When they have high tone to fatigue the spastic muscle

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20
Q

What is the cycling speed with FES cycling?

A

35-50 revolutions/min

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21
Q

What is the typical training session during for FES cycling?

A

30 min

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22
Q

What is the typical timeline for how many sessions of FES cycling we do?

Study These Flashcards
A

3x/weeks for 16 weeks

23
Q

The progression of resistance in FES cycling is based on what factors?

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A

Cycling frequency
Individual fatigue levels
Personal tolerance

24
Q

What two factors in FES cycling determine total intensity?

Study These Flashcards
A

Pulse width and amplitude

25
T/f: adjusting the pulse width and amplitude may change the nature of a contraction while maintaining relative intensity
True
26
If a pt has weak contractions with FES cycling, should we increase or decrease the PW?
Increase PW
27
If a pt has co-contraction of muscles with FES cycling, should we increase or decrease the PW?
Decrease PW
28
If a pt has is uncomfortable during FES cycling, should we increase or decrease the PW?
Decrease PW
29
If we are targeting a large muscle belly with FES cycling, should we increase or decrease the PW?
Increase PW
30
If a pt has spasticity or hypertonicity with FES cycling, should we increase or decrease the PW?
Decrease PW
31
For tone management in FES cycling, what should we do with the amplitude?
Set below motor response
32
Do we want high or low PW with complete SCI?
High
33
Do we want high or low PW with incomplete SCI?
High
34
Do we want high or low PW with spasticity?
Low
35
Do we want high or low PW with possible LMN damage?
High
36
Do we want high or low PW with tone management?
Low
37
What frequency in FES cycling do we want with complete SCI?
40 Hz
38
What frequency in FES cycling do we want with incomplete SCI?
40-60Hz
39
What frequency in FES cycling do we want with spasticity?
40-60 Hz
40
What frequency in FES cycling do we want with tone management?
80 Hz to fatigue the spastic muscle
41
What is the avg time since injury in FES cycling?
9 yrs
42
What is the most common injury levels of pts in FES cycling?
C6-T8
43
What level injury severity on the ASIA scale do we treat with FES cycling?
All ASIA grades
44
There is high certainty evidence that FES cycling has what benefits to muscle health?
Ms mass Ms volume Fiber type composition Shift toward fatigue resistant fibers
45
What are the proposed physiological effects on the muscular system of FES cycling?
Prevention of Ms atrophy Maintainance ms mass Enhancement of Ms strength Improved Ms endurance Changes in Ms CSA
46
There is low certainty evidence that there is improvements in what power output outcomes in FES cycling?
Peak power during incremental tests Avg power during training
47
There is low certainty evidence that FES cycling has what improvements for aerobic fitness?
Peak oxygen uptake Respiratory capacity Tidal volume
48
There is very low certainty evidence that FES cycling has what improvements in CV and metabolic health?
Cardiac adaptations Vascular fxn Metabolic regulation
49
What are the proposed physiological CV effects of FES cycling?
Improved cardiorespiratory status Enhanced blood circulation Better BP regulation Increased oxygen consumption Improved CV endurance Enhanced metabolic fxn
50
There is very low certainty that FES cycling has what benefits to bone health?
Changes in bone mineral density Changes in bone turnover markers
51
T/f: to see bone health effects from FES cycling, it may require longer intervention (>1 year)
True
52
What are the research gaps in FES cycling?
Limited high quality studies Need for longer intervention periods Lack of standardized outcomes Limited data on fxnal recovery Insufficient research on optimal dosing
53
What should we monitor during FES cycling sessions?
HR, BP, O2, skin integrity, pain levels, Ms contraction quality, power output, duration tolerance

DPT 608 (20 decks)

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