Background: With advances in medicine and increased survival rates, the focus of health care after spinal cord injury (SCI) has evolved from extending life to increasing independence and quality of life (QOL). Because enhancing QOL is an ultimate goal of the rehabilitation process, research involving the improvement of QOL is of great importance. Objective: The purpose of this study was to determine the effects of a home-based functional electrical stimulation lower extremity cycling (FES-LEC) program on the QOL of persons with SCI. Design: Eleven veterans with posttraumatic C4-T11 AIS A-C SCI participated in 8 weeks of 3 times weekly home-based FES-LEC. QOL was assessed using the World Health Organization Quality of Life (WHOQOL-BREF) questionnaire. Tests were completed by all participants prior to and after the 8-week FES-LEC program. Results: There were significant increases in the physical and environmental domain QOL scores. There were nominal nonsignificant increases in the psychological and social domain QOL scores. Conclusions: The results of this study provide evidence that home-based FESLEC 3 times per week for 8 weeks has the potential to result in QOL improvements.

cycling, electrical stimulation quality of life, spinal cord injury
Menter RR. Aging with spinal cord injury. Spinal Cord Inj. 1998;9(1). http://www.thecni.org/reviews/09-1-p16-menter.htm. Accessed June 25, 2010. http://www.thecni.org/reviews/09-1-p16-menter.htm.
Hicks AL, Martin KA, Ditor DS, Latimer AE, Craven C, Bugaresti J, McCartney N. Long-term exercise training in persons with spinal cord injury: Effects on strength, arm ergometry performance and psychological well-being. Spinal Cord. 2003;41:34–43.
,
Long-term exercise training in persons with spinal cord injury: Effects on strength, arm ergometry performance and psychological well-being
,
Spinal Cord.
, vol.
41
(pg.
34
-
43
)
Chappell P, Wirz S. Quality of life following spinal cord injury for 20-40 year old males living in Sri Lanka. Asia Pacific Disabil Rehabil J. 2003;14(2):162–178.
,
Quality of life following spinal cord injury for 20-40 year old males living in Sri Lanka
,
Asia Pacific Disabil Rehabil J.
, vol.
14
(pg.
162
-
178
)
Boswell B, Dawson M, Heininger E. Quality of life as defined by adults with spinal cord injuries. J Rehabil. 1998;64:27–32.
,
Quality of life as defined by adults with spinal cord injuries
,
J Rehabil.
, vol.
64
(pg.
27
-
32
)
Budh, CN. Life satisfaction in individuals with spinal cord injury and pain. Clin Rehabil. 2007;21(1):89–96.
,
Life satisfaction in individuals with spinal cord injury and pain
,
Clin Rehabil.
, vol.
21
(pg.
89
-
96
)
Stevens SL, Caputo JL, Fuller DK, Morgan DW. Physical activity and quality of life in adults with spinal cord injury. J Spinal Cord Med. 2008;31(4):373–378.
,
Physical activity and quality of life in adults with spinal cord injury
,
J Spinal Cord Med.
, vol.
31
(pg.
373
-
378
)
World Health Organization. Measuring quality of life: The World Health Organization quality of life instruments. http://www.who.int/mental_health/ media/68.pdf. Accessed November 2, 2011. http://www.who.int/mental_health/
Paralysis Resource Center, Christopher and Dana Reeves Foundation. http://www.christopherreeve.org/sie/c.mtKZKgMWKxG/b.5016279/k.1FD9/Depression.htm. Accessed April 13, 2011. http://www.christopherreeve.org/sie/c.mtKZKgMWKxG/b.5016279/k.1FD9/Depression.htm.
White SM, Wojcicki TR, McAuley, E. Physical activity and quality of life in community dwelling older adults. Health Qual Life Outcomes. 2009;7:10.
,
Physical activity and quality of life in community dwelling older adults
,
Health Qual Life Outcomes.
, vol.
7
pg.
10
Fitzwater R. A personal user’s view of functional stimulation cycling. Artif Organs. 2002;26(3):284–286.
,
A personal user’s view of functional stimulation cycling
,
Artif Organs.
, vol.
26
(pg.
284
-
286
)
Dolbow DR, Gorgey AS, Cifu DX, Moore JR, Gater DR. Feasibility of home-based functional electrical stimulation cycling: Case report. Spinal Cord. 2012;50(2):170–171.
,
Feasibility of home-based functional electrical stimulation cycling: Case report
,
Spinal Cord.
, vol.
50
(pg.
170
-
171
)
Dolbow DR, Gorgey AS, Moore JR, Gater DR. A report of practicability of a six month home based functional electrical stimulation cycling program for an individual with tetraplegia. J Spinal Cord Med. 2012;35(3):182–186.
,
A report of practicability of a six month home based functional electrical stimulation cycling program for an individual with tetraplegia
,
J Spinal Cord Med.
, vol.
35
(pg.
182
-
186
)
Petrofsky JS, Stacy R, Laymon M. The relationship between exercise work intervals and duration of exercise on lower extremity training induced by electrical stimulation in humans with spinal cord injuries. Eur J Applied Physiol. 2000;82(5):504–509.
,
The relationship between exercise work intervals and duration of exercise on lower extremity training induced by electrical stimulation in humans with spinal cord injuries
,
Eur J Applied Physiol.
, vol.
82
(pg.
504
-
509
)
Griffin L, Decker MJ, Hwang JY, et al. Functional electrical stimulation cycling improves body composition, metabolic and neural factors in persons with spinal cord injury. J Electromyogr Kinesiol. 2009;19(4):614–622.
,
Functional electrical stimulation cycling improves body composition, metabolic and neural factors in persons with spinal cord injury
,
J Electromyogr Kinesiol.
, vol.
19
(pg.
614
-
622
)
Hill MR, Noonan VK, Sakakibara BM, Miller WC. A review of instruments assessing participation in person with spinal cord injury. Spinal Cord. 2009;47:435–446.
,
A review of instruments assessing participation in person with spinal cord injury
,
Spinal Cord.
, vol.
47
(pg.
435
-
446
)
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