Re: Is the Routine Use of a Functional Electrical Stimulation Cycle for Lower Limb Movement Standard of Care for Acute Spinal Cord Injury Rehabilitation?

I would like to thank Drs. Stampas and York for their very interesting Point/Counterpoint debate on the use of functional electrical stimulation (FES) cycles as part of the standard of care for patients with spinal cord injury (SCI) [1]. Although some of the authors' points may apply only to their hypothetical patient, other comments appear intended to be generalizable. One example of the latter is Dr. York's statement that "Although there is literature describing the use of FES cycling in chronic SCI to improve the bulk of stimulated muscles, leg bone density, cardiovascular health, and metabolic parameters, such as body fat reduction and glucose tolerance improvement, these effects last only as long as the FES cycling is continued." The same can be said of exercise and physical activity in able-bodied individuals.

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