Maximizing muscle force via low-cadence functional electrical stimulation cycling.

OBJECTIVE This study investigated the effect of pedal cadence upon torque production, power output and muscle fatigue rates during functional electrical stimulation evoked cycling in spinal cord injured individuals. SUBJECTS All subjects had complete thoracic spinal cord injuries T4-T9 (ASIA A) and had been functional electrical stimulation training regularly for at least 6 months. METHODS One trial (n = 8) examined a low vs high pedal rate (20 and 50 rev x min(-1)) upon isolated muscle fatigue over 5 minutes. A second trial (n = 9) investigated the effect of cadence (15 vs 50 rev x min(-1)) upon performance during 35-minutes of functional electrical stimulation evoked cycling. RESULTS Peak torque produced by left quadriceps decayed significantly faster at the higher pedal cadence, indicating a higher rate of muscle fatigue. Functional electrical stimulation cycling over 35 minutes also revealed that peak and average torques were significantly greater at the lower cadence. From 15 minutes onwards, power output was significantly higher at 50 rev x min(-1) FES-cycling, compared with 15 rev x min(-1). CONCLUSION The higher muscle forces observed during low cadence functional electrical stimulation cycling should offer improvements over traditional pedalling velocities for training leg strength in individuals with spinal cord injury.