Paraplegics standing up using multichannel FES and arm support

Abstract

The suitability of multichannel functional electrical stimulation (FES) during the standing-up manoeuvre for therapeutic home use was investigated. Two spinal cord-injured subjects (SCI) participated in the study. Ankle plantar flexors, knee extensors and hip extensors were stimulated. The amplitude of the stimulation pulses depended on the current phase of raising. The sit-to-stand process was divided into three phases by detecting characteristic events in the vertical handle reaction force. It was found that the multichannel FES did not contribute to the decrease of the arm support force when compared with stimulation of knee extensors only. However, stimulation of the hip extensors could speed up the raising process. Increased repeatability and faster standing up were observed when the stimulation began before the start of raising.