Effect of Adapted Ergometer Setup and Rowing Speed on Lower Extremity Loading in People with and Without Spinal Cord Injury

Background: Functional electrical stimulation-assisted rowing (FES rowing) is a rehabilitation exercise used to prevent disuse osteoporosis, which is common in people with spinal cord injury (SCI). However, its effect on bone loss prevention varied in SCI patients, potentially due to inconsistent lo...

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Main Authors: Ying Fang, Karen L. Troy
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Bioengineering
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Online Access:https://www.mdpi.com/2306-5354/12/1/75
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author Ying Fang
Karen L. Troy
author_facet Ying Fang
Karen L. Troy
author_sort Ying Fang
collection DOAJ
description Background: Functional electrical stimulation-assisted rowing (FES rowing) is a rehabilitation exercise used to prevent disuse osteoporosis, which is common in people with spinal cord injury (SCI). However, its effect on bone loss prevention varied in SCI patients, potentially due to inconsistent loading. This study investigates the effect of ergometer setup and rowing speed on lower extremity loading during rowing. Methods: Twenty able-bodied participants and one participant with SCI rowed on an adapted ergometer with different speeds and setups. We calculated foot reaction force and knee moment for all participants, and tibiofemoral force for the rower with SCI. Results: Able-bodied rowers generated 0.22–0.45 body weight (BW) foot reaction forces, and a higher force was associated with a fast speed, forward seat position, and large knee range of motion (RoM). The rower with SCI had the greatest foot reaction force (0.39 BW) when rowing with a small knee RoM at a rear seat position, and the highest tibiofemoral force (2.23 BW) with a large knee RoM or at a rear seat position. Conclusions: Ergometer setup and speed both affect lower limb loading and should be further studied in more rowers with SCI. This can inform rehabilitation protocols to standardize ergometer configuration to improve bone health.
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spelling doaj-art-5a3263da7da2410d824f9f6415a86de12025-01-24T13:23:10ZengMDPI AGBioengineering2306-53542025-01-011217510.3390/bioengineering12010075Effect of Adapted Ergometer Setup and Rowing Speed on Lower Extremity Loading in People with and Without Spinal Cord InjuryYing Fang0Karen L. Troy1Department of Physical Therapy, Rosalind Franklin University of Medicine and Science, North Chicago, IL 60064, USADepartment of Biomedical Engineering, Worcester Polytechnic Institute, Worcester, MA 01609, USABackground: Functional electrical stimulation-assisted rowing (FES rowing) is a rehabilitation exercise used to prevent disuse osteoporosis, which is common in people with spinal cord injury (SCI). However, its effect on bone loss prevention varied in SCI patients, potentially due to inconsistent loading. This study investigates the effect of ergometer setup and rowing speed on lower extremity loading during rowing. Methods: Twenty able-bodied participants and one participant with SCI rowed on an adapted ergometer with different speeds and setups. We calculated foot reaction force and knee moment for all participants, and tibiofemoral force for the rower with SCI. Results: Able-bodied rowers generated 0.22–0.45 body weight (BW) foot reaction forces, and a higher force was associated with a fast speed, forward seat position, and large knee range of motion (RoM). The rower with SCI had the greatest foot reaction force (0.39 BW) when rowing with a small knee RoM at a rear seat position, and the highest tibiofemoral force (2.23 BW) with a large knee RoM or at a rear seat position. Conclusions: Ergometer setup and speed both affect lower limb loading and should be further studied in more rowers with SCI. This can inform rehabilitation protocols to standardize ergometer configuration to improve bone health.https://www.mdpi.com/2306-5354/12/1/75FES rowingspinal cord injuryknee loadingknee biomechanics
spellingShingle Ying Fang
Karen L. Troy
Effect of Adapted Ergometer Setup and Rowing Speed on Lower Extremity Loading in People with and Without Spinal Cord Injury
Bioengineering
FES rowing
spinal cord injury
knee loading
knee biomechanics
title Effect of Adapted Ergometer Setup and Rowing Speed on Lower Extremity Loading in People with and Without Spinal Cord Injury
title_full Effect of Adapted Ergometer Setup and Rowing Speed on Lower Extremity Loading in People with and Without Spinal Cord Injury
title_fullStr Effect of Adapted Ergometer Setup and Rowing Speed on Lower Extremity Loading in People with and Without Spinal Cord Injury
title_full_unstemmed Effect of Adapted Ergometer Setup and Rowing Speed on Lower Extremity Loading in People with and Without Spinal Cord Injury
title_short Effect of Adapted Ergometer Setup and Rowing Speed on Lower Extremity Loading in People with and Without Spinal Cord Injury
title_sort effect of adapted ergometer setup and rowing speed on lower extremity loading in people with and without spinal cord injury
topic FES rowing
spinal cord injury
knee loading
knee biomechanics
url https://www.mdpi.com/2306-5354/12/1/75
work_keys_str_mv AT yingfang effectofadaptedergometersetupandrowingspeedonlowerextremityloadinginpeoplewithandwithoutspinalcordinjury
AT karenltroy effectofadaptedergometersetupandrowingspeedonlowerextremityloadinginpeoplewithandwithoutspinalcordinjury