Therese E Johnston1, Ralph J Marino2, Christina V Oleson2, Mary Schmidt-Read3, Christopher M Modlesky4. 1. Department of Physical Therapy, Jefferson School of Health Professions, Thomas Jefferson University, Philadelphia, Pennsylvania. 2. Department of Rehabilitation Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania. 3. Magee Rehabilitation Hospital,Philadelphia, Pennsylvania. 4. Department of Kinesiology and Applied Physiology, University of Delaware, Newark, Delaware.
Abstract
CASE PRESENTATION: A man with chronic paraplegia sustained a distal femur fracture following an unrelated fall while enrolled in a study examining musculoskeletal changes after 6 months of cycling with functional electrical stimulation (FES). After healing, he restarted and completed the study. MANAGEMENT AND OUTCOME: Study measures included areal bone mineral density, trabecular bone microarchitecture, cortical bone macroarchitecture, serum bone formation/resorption markers, and muscle volume. The patient made small gains in bone- and muscle-related measures. Bone markers had not returned to baseline prior to restarting cycling, which may have impacted results. DISCUSSION: This case shows that cycling with FES may be safely resumed after distal femur fracture.
CASE PRESENTATION: A man with chronic paraplegia sustained a distal femur fracture following an unrelated fall while enrolled in a study examining musculoskeletal changes after 6 months of cycling with functional electrical stimulation (FES). After healing, he restarted and completed the study. MANAGEMENT AND OUTCOME: Study measures included areal bone mineral density, trabecular bone microarchitecture, cortical bone macroarchitecture, serum bone formation/resorption markers, and muscle volume. The patient made small gains in bone- and muscle-related measures. Bone markers had not returned to baseline prior to restarting cycling, which may have impacted results. DISCUSSION: This case shows that cycling with FES may be safely resumed after distal femur fracture.
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