Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 9 , Pages 1724-1732 , September 2008

The Effect of Surface Electric Stimulation of the Gluteal Muscles on the Interface Pressure in Seated People With Spinal Cord Injury

  • Andrea van Londen, MSc

      Affiliations

    • Research Institute MOVE, Faculty of Human Movement Sciences, VU University, Amsterdam, The Netherlands
  • ,
  • Mariska Herwegh, MSc

      Affiliations

    • Research Institute MOVE, Faculty of Human Movement Sciences, VU University, Amsterdam, The Netherlands
  • ,
  • Carlijn H. van der Zee, MSc

      Affiliations

    • Research Institute MOVE, Faculty of Human Movement Sciences, VU University, Amsterdam, The Netherlands
  • ,
  • Andreas Daffertshofer, PhD

      Affiliations

    • Research Institute MOVE, Faculty of Human Movement Sciences, VU University, Amsterdam, The Netherlands
  • ,
  • Christof A. Smit, MD

      Affiliations

    • Duyvensz-Nagel Research Laboratory, Rehabilitation Center, Amsterdam, The Netherlands
  • ,
  • Annelieke Niezen, PT, MSc

      Affiliations

    • Duyvensz-Nagel Research Laboratory, Rehabilitation Center, Amsterdam, The Netherlands
  • ,
  • Thomas W. Janssen, PhD

      Affiliations

    • Research Institute MOVE, Faculty of Human Movement Sciences, VU University, Amsterdam, The Netherlands
    • Duyvensz-Nagel Research Laboratory, Rehabilitation Center, Amsterdam, The Netherlands
    • Corresponding Author InformationCorrespondence to Thomas W. Janssen, PhD, Research Institute MOVE, Faculty of Human Movement Sciences, VU University, Van der Boechorstraat 9, Amsterdam 1081 BT, The Netherlands

  • Image Result

    FSA profiles for 1 participant. The left panels show a 2-dimensional map of interface pressure (ie, a top view); the right panels show a 3-dimensional pressure profile. Images are oriented with the th

    FSA profiles for 1 participant. The left panels show a 2-dimensional map of interface pressure (ie, a top view); the right panels show a 3-dimensional pressure profile. Images are oriented with the thighs pointing downward. (A) Pressure profile during a rest period of the simultaneous stimulation protocol. The blue and green square indicate the left and right tuber area. The red square denotes the sensors used in computing the pressure gradient. (B) Pressure profile during a stimulation period of the simultaneous stimulation protocol.

  • Image Result
    (A) Interface pressure profiles and (B) the corresponding fit for 1 participant. Images are oriented with the thighs pointing upward to the left.

    (A) Interface pressure profiles and (B) the corresponding fit for 1 participant. Images are oriented with the thighs pointing upward to the left.

  • Image Result
    Gauss curve with (A) a small and (B) a large SD. A narrow Gauss curve corresponds to a low value for the pressure spread (left). The tissue in this area might be at risk for developing pressure ulcers

    Gauss curve with (A) a small and (B) a large SD. A narrow Gauss curve corresponds to a low value for the pressure spread (left). The tissue in this area might be at risk for developing pressure ulcers, because the greater part of the interface pressure is supported by a relatively small area and because a rapid decline in pressure over a small distance is associated with a large shear force within the buttocks.

  • Image Result
    Time series of the interface pressure during the (A) alternating and (B) simultaneous stimulation protocol for 1 participant.

    Time series of the interface pressure during the (A) alternating and (B) simultaneous stimulation protocol for 1 participant.

 Supported by the Revalidatiefonds, The Netherlands.

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

PII: S0003-9993(08)00430-9

doi: 10.1016/j.apmr.2008.02.028

Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 9 , Pages 1724-1732 , September 2008