Page 12 of 19 FirstFirst ... 2345678910111213141516171819 LastLast
Results 111 to 120 of 183

Thread: Ask a PT

  1. #111
    Thank you scitotal. I will give those a try. I like to stretch while standing now, so those will work great. Kind of work balance in at the same time. Thanks again.

  2. #112
    Flying - that is a really good question...
    First, I want to say great work on problem solving how to cycle!! That is a great exercise
    Okay, AFOs definitely protect your joints and ligaments. And you are obviously at risk for injury when you're muscles aren't working as they should be and your sensation is impaired. However, more injuries are caused by the foot rolling inwards, or there is more lateral force. It sounds like this cannot happen with your set up and you also are not bearing your body weight so the forces are lower. It seems like the risk of injury is low, but not zero. Do with that what you wish.
    I would not walk without your AFOs - that would risk significant injury.
    Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

  3. #113
    Senior Member flying's Avatar
    Join Date
    Apr 2011
    Location
    Southern Oregon coast
    Posts
    1,397
    Scitotalfitness If you don't mind, I would like to get your opinion on E-stim, for my calf's and gluts. From the knees down, is becoming completely atrophied, and my golf ball size gluts leave me without much to sit on. Could a person E-stim those muscles so that one would have more to sit on, and better calf's to strap on the AFOs? Do you know anybody how has tried, and do you think it would be worth the effort? Looks like you can buy a stim unit for about a 100 dollars. PS the bike is working great without the AFOs thanks.
    T12L1 Incomplete Still here This is the place to be 58 years old

  4. #114
    There is actually a study going on right now about the effectiveness of estim being used as way to bulk up gluts for protection from pressure sores!! Sounds like a great idea, doesn't it? I don't know how they are going to quantify effectiveness, but we'll see. That being said, I think it's a great idea - for those who estim works on...

    As I've explained in previous posts, estim to promote neurorecovery is only effective on "upper motor neuron" injuries, and at T12/L1 you could fall into either category. However, you are not trying to promote neurorecovery, you are trying to bulk muscle. I will ask an estim expert out here her opinion. She's actually been a consultant for the study that is being done.
    Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

  5. #115
    Here is the response for Dr. Lucinda Baker:
    IF you can elicit a contraction with a standard NMES unit then the muscle IS INNERVATED. Muscle bulking is a form of muscle strengthening. So you will want to go for a vigoras contraction. There actually was a series of papers out last year about using stimulation to increase blood flow and bulk the muscles of the gluteus last year. I don't remember the journal (and I was an author!), but the anchor author was GE Loeb. I am on two of the three papers (LL Baker). The lead author is H? Kaplan (I don't remember if he uses a middle initial or not, or what that initial is). The third paper in the sequence is probably of most interest, as it provides data on a small sample clinical trial.

    Hope that helps! I will definitely be looking for those articles
    Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

  6. #116
    Quote Originally Posted by scitotalfitness View Post
    Here is the response for Dr. Lucinda Baker:
    IF you can elicit a contraction with a standard NMES unit then the muscle IS INNERVATED. Muscle bulking is a form of muscle strengthening. So you will want to go for a vigoras contraction. There actually was a series of papers out last year about using stimulation to increase blood flow and bulk the muscles of the gluteus last year. I don't remember the journal (and I was an author!), but the anchor author was GE Loeb. I am on two of the three papers (LL Baker). The lead author is H? Kaplan (I don't remember if he uses a middle initial or not, or what that initial is). The third paper in the sequence is probably of most interest, as it provides data on a small sample clinical trial.

    Hope that helps! I will definitely be looking for those articles
    So NMES should work on abdominal muscles as long as you elicit a strong contraction? When I use NMES my abs clench and it's pretty intense not a small movement. I've had drs and therapists give me varying answers though on how effective it would be on toning.

    How are NMES currents any different than an FES bike or is it? A FES bike does add muscle bulk.
    Aerodynamically, the bumble bee shouldn't be able to fly, but the bumble bee doesn't know that, so it goes on flying anyways--Mary Kay Ash

  7. #117
    NMES and FES should be the same currents to elicit the contraction but times on/off are likely different - Functional Electrical Stimulation for the function of pedaling a bike (or walking if you use it for that) versus Neuromuscular Electrical Stimulation which I use for strengthening with say 8 seconds on, 24-32 seconds off, and I focus on one muscle group at a time.

    Could you use the same principle of muscle bulking on ab muscles? I don't see why not... however, toned abdominal muscles are generally a smaller problem to the layer of belly fat most people carry over their muscles Interesting idea though to see if it tightens your muscles to do a better job at supporting your organs - share with us if you see benefits! But do not expect to have a 6 pack simply from using the NMES - or everyone would be chillin' on the couch with their units working.
    Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

  8. #118
    SCITOTAL- Hope you can give me some info on PT strategy. I currently walk with the help of forearm crutches. Using the crutches my gait is pretty normal, but not quite. I can walk for very long distances over various terrain. I regularly hike our defunct landfill which has the biggest hill around. Where I live is very flat. I work on my strenngth through cycling and resistance training also, but my legs are still very weak.
    I don't try to walk unassisted very much. I plan to wait until I am stronger when I feel more capable. My balance reflex makes it very hard to lift my good leg off the floor and rather than move in a natural way I tend to hobble. I figure that this would lead to a funky gait and I think that continuing to use the assistance will help keep my gait more natural. Does this make sense to you?
    I have always thought from the beginning that the only way I would get better and stronger at something was do it more. I am not seeing a therapist anymore and am trying to continue keeping my progress rolling. Am I on the right track in waiting until I am stronger or should I work more unassisted walking into my exercises to try to retrain that balance reflex?
    With the crutches that reflex is held at bay. But when my brain knows I am on my own it locks down. That's the best way to describe it. Any help would be appreciated. Thanks.

  9. #119
    I would say I'm "pro-crutches" because of the increase safety of using them more than the normal gait. I wouldn't worry about testing your balance while you're out working on your strength. If you fall, that would certainly be a step back in progress. A better gait pattern is another benefit of the crutches, so you hopefully aren't stressing structures.
    Definitely keep up your resistance training and cycling outside of your walking!! That is very important.
    Now for weakness... you can certainly work on your strength until the cows come home and hit a threshold. Don't give up the hard work, but also do not get frustrated if your body is hitting a plateau. Your body is going through a lot, keep pushing yourself while respecting your body's response. It sounds like you are doing great!
    Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

  10. #120
    Thank you so much for your reply. It is so hard to keep up with all the muscles are nuerons involved in regaining the ability to walk. I just try to bite it off in bunches and switch up every so often. There is only so much time in the day. I may get back into working on my balance again. I just have to figure out a safe way to do it.
    As always thank you so much for the help.

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •