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

Arch Phys Med Rehabil. 2008 Sep;89(9):1724-32. doi: 10.1016/j.apmr.2008.02.028.

Abstract

Objective: To study effects of surface electric stimulation of the gluteal muscles on the interface pressure in seated persons with spinal cord injury (SCI).

Design: One session in which alternating and simultaneous surface electric stimulation protocols were applied in random order.

Setting: Research laboratory of a rehabilitation center.

Participants: Thirteen subjects with SCI.

Intervention: Surface electric stimulation of the gluteal muscles.

Main outcome measures: Interface pressure, maximum pressure, pressure spread, and pressure gradient for the stimulation measurement. Variables were compared using 2-tailed paired t tests.

Results: 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.

Conclusions: 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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Buttocks / blood supply*
  • Electric Stimulation*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Muscle, Skeletal / physiopathology*
  • Pressure Ulcer / physiopathology
  • Pressure Ulcer / prevention & control*
  • Risk Factors
  • Spinal Cord Injuries / complications*
  • Spinal Cord Injuries / rehabilitation