The effect of surface electric stimulation of the gluteal muscles on the interface pressure in seated people with spinal cord injury.

van Londen, Andrea; Herwegh, Mariska; van der Zee, Carlijn H; Daffertshofer, Andreas; Smit, Christof A; Niezen, Annelieke; Janssen, Thomas W · Arch Phys Med Rehabil · 2008

cross_sectional · Level IV

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Abstract

To study effects of surface electric stimulation of the gluteal muscles on the interface pressure in seated persons with spinal cord injury (SCI). One session in which alternating and simultaneous surface electric stimulation protocols were applied in random order. Research laboratory of a rehabilitation center. Thirteen subjects with SCI. Surface electric stimulation of the gluteal muscles. Interface pressure, maximum pressure, pressure spread, and pressure gradient for the stimulation measurement. Variables were compared using 2-tailed paired t tests. Alternating and simultaneous stimulation protocol caused a significant (P<.01) decrease in interface pressure (-17+/-12 mmHg, -19+/-14 mmHg) and pressure gradient (-12+/-11 mmHg, -14+/-12 mmHg) during stimulation periods compared with rest periods. There was no significant difference in effects between the 2 protocols. Surface electric stimulation of the gluteal muscles in persons with SCI causes a decrease in interface pressure. This might restore blood flow in compressed tissue and help prevent pressure ulcers.

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