Case Report: PDF OnlyBenefits of 1-year home training with FES cycling in paraplegia during Covid-19 crisis case reportFattal, Charles MD, PhD1,2,3; Schmoll, Martin PhD2; Le Guillou, Ronan Eng2; Raoult, Berengère PT3; Frey, Alain MD4; Carlier, Robert MD, PhD5; Azevedo-Coste, Christine PhD2Author Information 1Rehabilitation Center Bouffard-Vercelli, PM&R, Perpignan, France 2INRIA, University of Montpellier, CNRS, Montpellier, France 3Rehabilitation Center La Châtaigneraie, PM&R, Menucourt, France 4Hospital Center, Department of Sports Medicine, Saint Germain-en-Laye, France 5University Hospital Center Raymond Poincaré, Department of Medical Imagery, Garches, France Corresponding author: Charles Fattal, Rehabilitation center Bouffard-Vercelli, FRANCE, Phone number: +33(0)430441000, Fax number: +33(0)430441089 Email: [email protected] Author contributions statement: Concept/idea/research design: CF, CAC; Data collection: CF, MS, RLG, BR; Data analysis: CF, MS, CAC; Interpretation of data and Writing: CF, MS, CAC, RLG, AF and RC; Providing participants: BR; Consultation (including review of manuscript before submitting): CF, MS, CAC, RLG Competing Interests: The authors certify that there is no conflict of interest with any financial organization regarding the material discussed in the manuscript Ethics statement: The study was approved by the Ethics Committee (CPP SUD-EST IV) on the 9th of July 2019 (n° ID RCB: 2019-A00808-49). The participant provided written informed consent prior to enrolment. Funding statement: The study was founded by the Foundation “Electricité de France”. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. Data access statement: Supporting data is available on request: please contact [email protected] Clinical Trials Registration: The protocol has been declared in the ClinicalTrials registry (ref: NCT04412447) This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections. American Journal of Physical Medicine & Rehabilitation: September 29, 2021 - Volume - Issue - doi: 10.1097/PHM.0000000000001898 Free PAP Metrics Abstract The purpose of this observational study was to report the experience of a one-year home training with Functional Electrical Stimulation (FES) cycling of a person with T4 AIS A paraplegia for 9 years, homebound due to the Covid 19 health crisis. The 40-year-old participant had a 3-phase training: V1: isometric stimulation, V2: FES-cycling for 3 sessions/week, and V3: FES-cycling for 2 to 4 sessions/week. Data on general and physical tolerance, health impact and performance were collected. Borg score relating to fatigue was 10.1 before training and 11.8 after training. The average score for satisfaction at the end of sessions was 8.7. Lean leg mass increased more than 29%, although total bone mineral density dropped by 1.6%. The ventilatory thresholds increased from 19.5 to 29% and VEmax increased by 9.5%. Rosenberg's self-esteem score returned to its highest level by the end of training. For the only track event on a competition bike, the pilot covered a distance of 1607.8 m in 17’49”. When FES cycling training is based on a clear and structured protocol, it offers the person with paraplegia the opportunity to practice this activity recreationally and athletically. In times of crisis, this training has proven to be very relevant. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.