Does Lower Extremity Functional Electrical Stimulation Improve Endurance In Ambulatory Pediatric Population With Complete Spinal Cord Injury

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Does Lower Extremity Functional Electrical Stimulation Improve Endurance in Ambulatory, Pediatric Population with Complete Spinal Cord Injury?

Author : Michael DalMolin
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (768 download)

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Book Synopsis Does Lower Extremity Functional Electrical Stimulation Improve Endurance in Ambulatory, Pediatric Population with Complete Spinal Cord Injury? by : Michael DalMolin

Download or read book Does Lower Extremity Functional Electrical Stimulation Improve Endurance in Ambulatory, Pediatric Population with Complete Spinal Cord Injury? written by Michael DalMolin and published by . This book was released on 2011 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: Background: The purpose of this evidence in practice literature review is to determine if functional electrical stimulation (FES) of the lower extremities is an effective intervention to improve endurance in a 9 year-old with a partial C2-C6 spinal cord injury (SCI). Methods: A systematic review of the literature was performed through MEDLINE, Cochrane, Pubmed, and Academic Search Premiere. Inclusion criteria consisted of: Within 11 years of publication, spinal cord injured population, lower extremity FES, and cardiorespiratory outcome measures. Exclusion criteria consisted of: Outcome measures of muscle strength and bone. Limitations: Limitations of the included research included the lack of randomization of subjects, no control groups, and small sample sizes. This impairs the generalizability of this research to our patient case. Results: Keywords children, SCI, and FES. Our first search resulted in 16 citations. Of these articles, five were used in final clinical decision. Conclusion: Functional electrical stimulation evoked exercise increases the whole-body metabolism of individuals with (SCI) so that they may gain general and localized health and fitness benefits; we deem FES-cycling as an appropriate intervention for our patient. However, the reviewed studies did have several limitations to their methods and further research is needed on this topic.

Functional Electrical Stimulation

Author : Alojz R. Kralj
Publisher : CRC Press
ISBN 13 : 9780849345296
Total Pages : 212 pages
Book Rating : 4.3/5 (452 download)

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Book Synopsis Functional Electrical Stimulation by : Alojz R. Kralj

Download or read book Functional Electrical Stimulation written by Alojz R. Kralj and published by CRC Press. This book was released on 1989-01-31 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt: This reference text covers the fundamental knowledge and principles of functional electrical stimulation (FES) as applied to the spinal cord injured (SCI) patient. The principles of FES application and basic biomechanical issues related to FES in SCI are stressed. The fundamentals regarding patient selection criteria, indication, contraindications, and descriptions of procedures are clearly presented. Also included are the fundamentals and rationale of gait restoration with patient selection, control strategies, and the synthesis of gait sequences with trends in the field. Each chapter contains numerous references to the FES literature for the reader to easily evaluate and extend his knowledge in the area of interest. Biomedical and rehabilitation engineering professionals and researchers for medical doctors, physical therapists, and orthotists will find this publication invaluable.

Functional Electrical Stimulation

Author : Alojz Kralj
Publisher : Routledge
ISBN 13 : 1351446843
Total Pages : 208 pages
Book Rating : 4.3/5 (514 download)

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Book Synopsis Functional Electrical Stimulation by : Alojz Kralj

Download or read book Functional Electrical Stimulation written by Alojz Kralj and published by Routledge. This book was released on 2022-01-27 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: This reference text covers the fundamental knowledge and principles of functional electrical stimulation (FES) as applied to the spinal cord injured (SCI) patient. The principles of FES application and basic biomechanical issues related to FES in SCI are stressed. The fundamentals regarding patient selection criteria, indication, contraindications, and descriptions of procedures are clearly presented. Also included are the fundamentals and rationale of gait restoration with patient selection, control strategies, and the synthesis of gait sequences with trends in the field. Each chapter contains numerous references to the FES literature for the reader to easily evaluate and extend his knowledge in the area of interest. Biomedical and rehabilitation engineering professionals and researchers for medical doctors, physical therapists, and orthotists will find this publication invaluable.

Functional Electrical Rehabilitation

Author : Chandler A. Phillips
Publisher : Springer Science & Business Media
ISBN 13 : 1461230969
Total Pages : 215 pages
Book Rating : 4.4/5 (612 download)

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Book Synopsis Functional Electrical Rehabilitation by : Chandler A. Phillips

Download or read book Functional Electrical Rehabilitation written by Chandler A. Phillips and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 215 pages. Available in PDF, EPUB and Kindle. Book excerpt: On one of my returns to California, I attended the "Disabilities Expo 88" at the Los Angeles Convention Center. Among the various marvels oftech nology for the wheelchair disabled were stair-climbing wheelchairs, self raising and lowering kitchen cabinetry, and even a completely accessible "dude ranch" experience. At the same time, as a guest of the Southern California Chapter of the National Spinal Cord Injury Association, I was part of a small booth (among the more than two hundred exhibitors) in which we had spinal cord injured people up and walking with a lower extremity bracing system (the reciprocating gait orthosis) used at the PEERS Spinal Injury Program in Los Angeles. I had a young man, a C6/7 level quadriplegic, walking with electrical muscle stimulation and lower extremity bracing. The system is reviewed in Chapter 8 of this book. As these "disabled" persons walked erect and upright among their wheel chair bound colleagues and took long, confident strides past exhibits extol ling the latest technological virtues of yet another "new" wheelchair (Fig. 1), I reflected on the paradox of it all. What a majority of these paralyzed people W0re really looking for was an alteration oftheir disability so that they could more normally function (in an unaltered environment). What the great majority of the exhibitors were offering was an alteration of the environment so that they could more normally function (with an unaltered disability).

Functional Electrical Stimulation for Ambulation by Paraplegics

Author : Daniel Graupe
Publisher :
ISBN 13 :
Total Pages : 226 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Functional Electrical Stimulation for Ambulation by Paraplegics by : Daniel Graupe

Download or read book Functional Electrical Stimulation for Ambulation by Paraplegics written by Daniel Graupe and published by . This book was released on 1994 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: For physicians and therapists working with paraplegic patients, this work outlines a FES rehabilitation programme for limited unbraced walking with a walker. Based on 12 years of development and testing, it provides patient data, acceptance criteria, medical observations and training outcomes.

The Use of Lower Extremity Functional Electrical Stimulation in Spinal Cord Injured Patients

Author : Michelle McCrory
Publisher :
ISBN 13 :
Total Pages : 70 pages
Book Rating : 4.:/5 (392 download)

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Book Synopsis The Use of Lower Extremity Functional Electrical Stimulation in Spinal Cord Injured Patients by : Michelle McCrory

Download or read book The Use of Lower Extremity Functional Electrical Stimulation in Spinal Cord Injured Patients written by Michelle McCrory and published by . This book was released on 1994 with total page 70 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Use of Functional Electrical Stimulation in the Lower Extremities of Incomplete Spinal Cord Injured Patients

Author : Tadej Bajd
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (137 download)

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Book Synopsis Use of Functional Electrical Stimulation in the Lower Extremities of Incomplete Spinal Cord Injured Patients by : Tadej Bajd

Download or read book Use of Functional Electrical Stimulation in the Lower Extremities of Incomplete Spinal Cord Injured Patients written by Tadej Bajd and published by . This book was released on 1999 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: After a program of therapeutic electrical stimulation, 3 groups of incomplete spinal cord injuried (SCI) patients were identified, those in whom an improvement of both voluntary and stimulated muscle force was observed, those with an increase in stimulation response only, and patients in whom no effects of electrical stimulation training could be recorded. As it is difficult to predict the outcome of the electrical stimulation rehabilitation process, a diagnostic procedure was developed to predict soon after accidents which incomplete SCI patients are candidates for permanent use of a functional electrical stimulation (FES) orthotic aid. The candidates for chronic use of FES are patients with weak ankle dorsiflexors and sufficiently with a single channel peroneal stimulator augmenting dorsiflexion and knee and hip flexion in a total lower limb flexion response. By applying FES to the ankle plantar flexors, the swing phase of walking obtained.

Locomotor Training

Author : Susan J. Harkema
Publisher :
ISBN 13 : 0195342089
Total Pages : 200 pages
Book Rating : 4.1/5 (953 download)

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Book Synopsis Locomotor Training by : Susan J. Harkema

Download or read book Locomotor Training written by Susan J. Harkema and published by . This book was released on 2011 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: Physical rehabilitation for walking recovery after spinal cord injury is undergoing a paradigm shift. Therapy historically has focused on compensation for sensorimotor deficits after SCI using wheelchairs and bracing to achieve mobility. With locomotor training, the aim is to promote recovery via activation of the neuromuscular system below the level of the lesion. What basic scientists have shown us as the potential of the nervous system for plasticity, to learn, even after injury is being translated into a rehabilitation strategy by taking advantage of the intrinsic biology of the central nervous system. While spinal cord injury from basic and clinical perspectives was the gateway for developing locomotor training, its application has been extended to other populations with neurologic dysfunction resulting in loss of walking or walking disability.

The Use of Functional Electrical Stimulation to Improve Function in People with Spinal Cord Injury

Author : April R. Baker
Publisher :
ISBN 13 :
Total Pages : 178 pages
Book Rating : 4.:/5 (144 download)

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Book Synopsis The Use of Functional Electrical Stimulation to Improve Function in People with Spinal Cord Injury by : April R. Baker

Download or read book The Use of Functional Electrical Stimulation to Improve Function in People with Spinal Cord Injury written by April R. Baker and published by . This book was released on 2007 with total page 178 pages. Available in PDF, EPUB and Kindle. Book excerpt: 1. Clinical Bottom Line: Currently there is no evidence to support the notion that in people with spinal cord injury, the use of FES as a physical therapy intervention results in improved functional outcomes. All of the articles we critically analyzed had significant threats to internal validity preventing us from generalizing the results to our clinical scenarios. Higher quality research including randomized-controlled trials with larger sample sizes and long-term follow-up are needed. 2a. Clinical Scenario One - Functional Electrical Stimulation as a Treatment to Increase Muscle Strength and Function in Someone with an Incomplete Spinal Cord Injury: A 25 year old male, Kevin, who is two years post incomplete T11 spinal cord injury (SCI) is currently being seen at our outpatient neuro-rehabiliation facility and has approached us about an article he had read in Science Technology. This article explained the technology behind new functional electrical stimulation (FES) systems being used to help regain mobility for people with SCI. Our patient was interested in using the device to assist him with transfers, standing to face peers and give speeches, and walk. Kevin is currently using a manual wheelchair for all mobility and has expressed his dissatisfaction with his recent increase in weight. Kevin also becomes frustrated when he needs assistance to get objects that are out of his reach, both in the community and in his home. Kevin is not interested in using long-leg braces (LLB) due to reports from friends and others in the SCI community regarding the difficulty of their use, their inefficiency, and their bulkiness. Our patient is American Spinal Cord Injury Association (ASIA) classification C (Appendix A) and has bilateral lower extremity involvement, with his right side more involved than his left. Kevin is currently able to stand and walk in the parallel bars with assistance of one physical therapist; however, his gait is not functional. Kevin is wondering if including FES as a treatment for his lower extremities (LE) would improve his ability to stand, transfer, and ambulate independently and efficiently. 3a. Our clinically answerable question number one: Population: People with an incomplete SCI Intervention: Functional electrical stimulation in addition to standard physical therapy Comparison: Standard physical therapy (PT) or occupational therapy (OT) Outcome: Gait speed, gait endurance, ability to ascend/descend stairs, ability to transfer and Functional Independence Measure (FIM). 2b. Clinical Scenario Two - Long-term Use of Functional Electrical Stimulation in Someone with a Complete Spinal Cord Injury: Cassy is an 18 year-old female who was born with a T12 spinal cord defect and is looking forward to her transition to college. She wants to room with a high-school friend in the college dormitory, which has limited wheelchair access. Cassy has been using LLB on and off throughout childhood and heard about implanted FES through a family friend. Cassy and her mother may be interested in the implanted FES procedure if it will make Cassy0́9s ambulation more functional and allow her to complete transfers efficiently in order to increase her participation in peer activities. Cassy is a long-time patient at this facility and is relying on us to help her and her mother make an educated decision about implanted FES before approaching a neurological specialist. Cassy has a complete T12 spinal cord injury, resulting in no active movement of bilateral lower extremities. Cassy understands that implanted FES will be a permanent intervention that will not have any carry-over if she stops using it. 3b. Our clinically answerable question number two (long-term use of FES): Population: People with a complete SCI Intervention: The use of FES via surface or implanted electrodes in lower extremity muscles Comparison: The use of lower extremity orthotic devices Outcome: Independence with walking, gait speed, energy consumption, time to complete donning equipment, transfers, ascending/descending stairs, and patient compliance.

The Effect of Muscle Electrical Stimulation Patterns Computed Using a Forward Dynamic Simulation on Endurance and Metabolic Response in Spinal Cord Injured Subjects During Recumbent Pedaling

Download The Effect of Muscle Electrical Stimulation Patterns Computed Using a Forward Dynamic Simulation on Endurance and Metabolic Response in Spinal Cord Injured Subjects During Recumbent Pedaling PDF Online Free

Author : Nils Alexander Hakansson
Publisher :
ISBN 13 :
Total Pages : 258 pages
Book Rating : 4.:/5 (79 download)

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Book Synopsis The Effect of Muscle Electrical Stimulation Patterns Computed Using a Forward Dynamic Simulation on Endurance and Metabolic Response in Spinal Cord Injured Subjects During Recumbent Pedaling by : Nils Alexander Hakansson

Download or read book The Effect of Muscle Electrical Stimulation Patterns Computed Using a Forward Dynamic Simulation on Endurance and Metabolic Response in Spinal Cord Injured Subjects During Recumbent Pedaling written by Nils Alexander Hakansson and published by . This book was released on 2008 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Chronic Spinal Cord Injury Persons and the Effects of Functional Electrical Stimulation-lower Extremity Cycling Ergometric on Body Composition and Muscle Atrophy

Download Chronic Spinal Cord Injury Persons and the Effects of Functional Electrical Stimulation-lower Extremity Cycling Ergometric on Body Composition and Muscle Atrophy PDF Online Free

Author : Allison Low (Graduate student)
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (134 download)

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Book Synopsis Chronic Spinal Cord Injury Persons and the Effects of Functional Electrical Stimulation-lower Extremity Cycling Ergometric on Body Composition and Muscle Atrophy by : Allison Low (Graduate student)

Download or read book Chronic Spinal Cord Injury Persons and the Effects of Functional Electrical Stimulation-lower Extremity Cycling Ergometric on Body Composition and Muscle Atrophy written by Allison Low (Graduate student) and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Swaiman's Pediatric Neurology E-Book

Author : Kenneth F. Swaiman
Publisher : Elsevier Health Sciences
ISBN 13 : 0323374816
Total Pages : 2969 pages
Book Rating : 4.3/5 (233 download)

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Book Synopsis Swaiman's Pediatric Neurology E-Book by : Kenneth F. Swaiman

Download or read book Swaiman's Pediatric Neurology E-Book written by Kenneth F. Swaiman and published by Elsevier Health Sciences. This book was released on 2017-09-21 with total page 2969 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since 1975, Dr. Kenneth Swaiman’s classic text has been the reference of choice for authoritative guidance in pediatric neurology, and the 6th Edition continues this tradition of excellence with thorough revisions that bring you fully up to date with all that’s new in the field. Five new sections, 62 new chapters, 4 new editors, and a reconfigured format make this a comprehensive and clearly-written resource for the experienced clinician as well as the physician-in-training. Nearly 3,000 line drawings, photographs, tables, and boxes highlight the text, clarify key concepts, and make it easy to find information quickly. New content includes 12 new epilepsy chapters, 5 new cerebrovascular chapters, and 13 new neurooncology chapters, as well as new chapters on neuroimmunology and neuromuscular disorders, as well as chapters focused on clinical care (e.g., Counseling Families, Practice Guidelines, Transitional Care, Personalized Medicine, Special Educational Law, Outcome Measurements, Neurorehabilitation, Impact of Computer Resources, and Training Issues). Additional new chapters cover topics related to the developmental connectome, stem cell transplantation, and cellular and animal models of neurological disease. Greatly expanded sections to increase your knowledge of perinatal acquired and congenital disorders, neurodevelopmental disabilities, pediatric epilepsy, and nonepileptiform paroxysmal disorders and disorders of sleep. Coverage of new, emerging, or controversial topics includes developmental encephalopathies, non-verbal learning disorders, and the pharmacological and future genetic treatment of neurodevelopmental disabilities.

Functional Electrical Stimulation (FES) for Children with Spinal Cord Injuries

Author :
Publisher :
ISBN 13 :
Total Pages : 15 pages
Book Rating : 4.:/5 (755 download)

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Book Synopsis Functional Electrical Stimulation (FES) for Children with Spinal Cord Injuries by :

Download or read book Functional Electrical Stimulation (FES) for Children with Spinal Cord Injuries written by and published by . This book was released on 2011 with total page 15 pages. Available in PDF, EPUB and Kindle. Book excerpt:

In an Adult with an Incomplete Spinal Cord Injury, Will Body Weight Supported Treadmill Training with Functional Electrical Stimulation Improve Gait Speed?

Download In an Adult with an Incomplete Spinal Cord Injury, Will Body Weight Supported Treadmill Training with Functional Electrical Stimulation Improve Gait Speed? PDF Online Free

Author : Laureen Bray
Publisher :
ISBN 13 :
Total Pages : 45 pages
Book Rating : 4.:/5 (112 download)

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Book Synopsis In an Adult with an Incomplete Spinal Cord Injury, Will Body Weight Supported Treadmill Training with Functional Electrical Stimulation Improve Gait Speed? by : Laureen Bray

Download or read book In an Adult with an Incomplete Spinal Cord Injury, Will Body Weight Supported Treadmill Training with Functional Electrical Stimulation Improve Gait Speed? written by Laureen Bray and published by . This book was released on 2012 with total page 45 pages. Available in PDF, EPUB and Kindle. Book excerpt: ABSTRACT: Background: Based on a patient case the purpose of this paper was to address the question:in an adult with incomplete spinal cord injury, will body-weight supported treadmill training with functional electrical stimulation improve gait speed?Method: A comprehensive literature search was conducted using the databases CINAHL,Medline, and PubMed. The search terms used included incomplete spinal cord injury,chronic, functional electrical stimulation, electrical stimulation, treadmill training and bodyweight supported treadmill training. The search was conducted every 3 months from November 2010 through March 2012. Inclusion criteria included: adult subjects with SCI of greater than 1 year duration, gait speed as an outcome measure, and the combination of bodyweight supported treadmill training with functional electric stimulation. The exclusion criteria included: body-weight supported treadmill training or functional electric stimulation as an independent treatment, articles that were commentaries, as well as articles not printed in the English language.Results: The search yielded 66 articles total with 4 articles meeting the inclusion and exclusion criteria.Discussion/Limitations: The literature found statistically significant changes in gait speed both overground and on the treadmill. These changes, however, were not of great enough magnitude to yield a clinically significant change for our patient case.Discussion/Conclusion: Following the critical analysis of the 4 articles included in the study, it was determined that the combination of body weight supported treadmill training and functional electric stimulation should not be implemented with our patient case to improve gait speed. Further research is necessary with more stringent protocols to determine the possibility of a clinically significant change in gait speed for a patient with a spinal cord injury.

Functional electrical stimulation (FES) for children with spinal cord injuries

Author :
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (137 download)

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Book Synopsis Functional electrical stimulation (FES) for children with spinal cord injuries by :

Download or read book Functional electrical stimulation (FES) for children with spinal cord injuries written by and published by . This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The present report was conducted with the aim of informing decisions regarding the effectiveness and recommended use of FES and FESC in pediatric populations with SCI, and is an update of an earlier CADTH report on FES in pediatric spinal cord injuries,7 published in March of 2011. [...] A summary of the screening results is provided in Appendix 1. Of the six selected reports, three9-11 were based on a single randomized trial that reported different outcomes in each of the three publications, and three12-14 were non-randomized studies. [...] Summary of study characteristics A summary of the characteristics of the six included reports is provided in Appendix 2. All six reports originated from the same pediatric tertiary care center in the United States. [...] Summary of critical appraisal The details of the critical appraisal conducted using the Downs and Black8 instrument is given in the table in Appendix 3. Functional Electrical Stimulation (FES) for Children with Spinal Cord Injuries. [...] The extent to which the patient characteristics or treatment received was representative of the general pediatric SCI population was difficult to assess (external validity) in each of the six reports.

Effects of Functional Electrical Stimulation (FES)

Author : Lee Thing Tean
Publisher :
ISBN 13 :
Total Pages : 228 pages
Book Rating : 4.:/5 (958 download)

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Book Synopsis Effects of Functional Electrical Stimulation (FES) by : Lee Thing Tean

Download or read book Effects of Functional Electrical Stimulation (FES) written by Lee Thing Tean and published by . This book was released on 2013 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Effects of Functional Electrical Stimulation and Visual Feedback Balance Training on Standing Balance Performance in Individuals with Incomplete Spinal Cord Injury

Download The Effects of Functional Electrical Stimulation and Visual Feedback Balance Training on Standing Balance Performance in Individuals with Incomplete Spinal Cord Injury PDF Online Free

Author : David John Houston
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (133 download)

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Book Synopsis The Effects of Functional Electrical Stimulation and Visual Feedback Balance Training on Standing Balance Performance in Individuals with Incomplete Spinal Cord Injury by : David John Houston

Download or read book The Effects of Functional Electrical Stimulation and Visual Feedback Balance Training on Standing Balance Performance in Individuals with Incomplete Spinal Cord Injury written by David John Houston and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Damage to the spinal cord produces sensorimotor impairments below the level of injury leading to significant balance deficiencies. Individuals with an incomplete spinal cord injury (iSCI) are highly susceptible to falls during periods of walking or standing. Balance training interventions provide an opportunity to decrease the risk of falling and increase the level of independence and mobility for individuals with iSCI. Our objective was to evaluate the effectiveness and meaningfulness of a therapeutic tool for standing balance that combined functional electrical stimulation with visual feedback balance training (FES+VFBT). Five adults with iSCI completed a total of 12 FES+VFBT sessions. Balance abilities were assessed pre- and post- training using clinical and biomechanical assessments. Two semi-structured interviews were completed by each participant following the end of the training program. FES+VFBT showed potential as an intervention for standing balance as it effectively improved standing balance abilities post-training and proved meaningful to the participants.