Swiss Paraplegic Centre, Institute of Sports Medicine, Nottwil, Switzerland.
J Rehabil Med. 2010 Oct;42(9):873-5. doi: 10.2340/16501977-0611.
To determine the functional electrical stimulated (FES) cycling volume necessary to reach the recommended weekly exercise caloric expenditure of 1000-2200 kcal in FES-trained subjects with paraplegia.
Eight (7 males, 1 female) FES-trained subjects with traumatic motor and sensory complete paraplegia (AIS A, lesion level between Th3 and Th9) of at least 3 years duration were included.
Subjects performed an FES-training session at the highest workload they were able to sustain for 60 min. During the training session respiratory gas exchange was measured, which allowed the calculation of mean fat and carbohydrate oxidation rates, and of total energy expenditure by means of indirect calorimetry.
Subjects revealed a mean energy expenditure of 288 (standard deviation 104) kcal/h. This corresponded to a mean oxidation rate of 49.5 (standard deviation 35.2) g/h for carbohydrate and 8.5 (standard deviation 8.4) g/hour for fat. Thus, 4-8 hours of FES-cycling are necessary to reach the recommended weekly exercise caloric expenditure of 1000-2200 kcal.
FES-cycling appears to be a feasible and promising training alternative to upper body exercise for subjects with spinal cord injury. Four to 8 h of FES-cycling are necessary to reach the recommended weekly exercise caloric expenditure that seems to be essential to induce persistent health benefits.
确定功能性电刺激（FES）骑行量，以达到截瘫 FES 训练受试者每周推荐的 1000-2200 卡路里运动能量消耗。
8 名（7 名男性，1 名女性）接受 FES 训练的外伤性运动和感觉完全截瘫受试者（AIS A，损伤水平在 Th3 和 Th9 之间），至少 3 年。
受试者以最高能维持 60 分钟的工作负荷进行 FES 训练。在训练过程中测量呼吸气体交换，这允许通过间接测热法计算平均脂肪和碳水化合物氧化率以及总能量消耗。
受试者的能量消耗平均值为 288（标准偏差 104）千卡/小时。这对应于碳水化合物的平均氧化率为 49.5（标准偏差 35.2）克/小时和脂肪的 8.5（标准偏差 8.4）克/小时。因此，FES 骑行需要 4-8 小时才能达到每周 1000-2200 卡路里的推荐运动能量消耗。
FES 骑行似乎是脊髓损伤受试者进行上半身运动的一种可行且有前途的训练替代方法。需要 4 到 8 小时的 FES 骑行才能达到每周推荐的运动能量消耗，这似乎是诱导持续健康益处所必需的。
