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Home > Healthy People > April 2004 

                                                                                       Spring 2004

Special bike allows paralyzed people to exercise through electronic stimulation

Jeanetta Bowman is about as active as a person can get. Slim, tanned and attractive, the 30-year-old single mom works full time as a medical secretary for St. John’s Therapy Services in Lebanon and stays busy after work caring for her 7-year-old son, Steven.

Once a jogger, Jeanetta now stays fit by riding a stationary bike at her workplace several times a week.
But this is no ordinary stationary bike, and Jeanetta Bowman is no ordinary athlete.

The bike she exercises on is an approximately $15,000 functional electronic stimulation bike called the Ergys 2. Functional electronic stimulation technology allows paralyzed people to exercise by attaching computer-programmed electrodes from the equipment to their bodies to stimulate their muscles to contract in a coordinated manner, thus the pedaling motion on the bike.

Before Jeanetta used the bike for the first time in January 2003 at the Rehabilitation Institute of St. Louis, which is affiliated with Washington University Medical Center and Barnes-Jewish Hospital, she hadn’t seen her legs move on their own since a 1995 car crash on Interstate-44 left her paralyzed from the torso down.

“My little boy was with me when I rode the bike in St. Louis just over a year ago. He was so excited to see my legs moving for the first time. It was pretty unbelievable and such a wonderful feeling, after nine years, to be able to exercise again. Then I was able to stand up using another piece of equipment, the standing glider, and he said, ‘Oh my gosh, Mom, you’re tall!’ It was very moving for both of us.”

Jeanetta’s spinal cord injury, a complete one, occurred at the seventh thoracic vertebrae, which is about midway down the spine. She learned of the St. Louis program after writing a letter to actor Christopher Reeve, who had participated in the program and regained some functioning.

“In the summer of 2002, I had read an article about Christopher Reeve, a sort of day-in-the-life article, and it told about how he has to watch his carbohydrate and fluid intake very carefully, which is very different from my lifestyle. I’m fortunate that I don’t have to monitor those things. Something told me to write him a letter. About a week and half after I mailed the letter, I got a call from his head nurse and she told me about the program in St. Louis and basically arranged for me to be able to participate in it,” Jeanetta says.

After traveling to St. Louis once a week for three months to participate in the rehab program, Jeanetta reported her experiences there to her director, Terri Foster, who was beginning the process of starting a neurological rehabilitation program at St. John’s Therapy Services in Lebanon.

An anonymous donation from a member of the community allowed Foster to purchase the Ergys bike last August. St. John’s Therapy Services in Lebanon is the only provider of the Ergys equipment within a 250-mile radius. The clinic also offers the standing glider that Jeanetta used in St. Louis that allows paralyzed people to stand. A third piece of neurological rehab equipment, a supported treadmill-like device, will arrive soon.
“When I rode the bike for the first time, I could ride for only a few seconds without hand assistance. I’m now up to about an hour a day, with no assistance, and I’m increasing my resistance level as well. I try to ride at least three times a week. I also have a hand-held electrode unit that allows me to stimulate my muscles at home when I’m not able to ride the bike to keep my muscle mass built up,” Jeanetta says.

The benefits of using the Ergys bike are numerous, says Physical Therapist Sara Johnson, who works with Jeanetta at St. John’s Therapy Services in Lebanon.

“The electrical stimulation we apply to the muscles with the bike – while research is sketchy about whether it actually regenerates nerve growth – it does build up muscle bulk. Patients who use the bike regularly gain muscle mass in the stimulated areas which can really help to decrease skin break down and pressure sores. It also increases circulation and promotes healthy tissue. Of course, there are also cardiovascular benefits, which are good for everyone,” Johnson says. “We use the bike for not only our spinal cord injury patients, but also as a recumbent bike for our other physical therapy patients as well,” she added.

St. John’s Therapy Services offers a prescription-only maintenance program for independent spinal cord injury patients who wish to use the Ergys bike for $25 per month.
“The $25 per month maintenance program is set up for patients who feel they don’t need any more physical therapy, such as transfer training. They can ride the bike as often as they want and can sign up for two-hour blocks of time. We just need a physician’s referral, just like for any other physical therapy service,” Johnson says.

NextSteps Fundraiser

Pat Rummerfield, the world’s first fully recovered spinal cord injury quadriplegic, will speak.

• Lebanon’s Kenneth E. Cowan
Civic Center, 500 E. Elm
6:30 p.m., April 13

This is a fundraiser for his foundation, NextSteps, whose mission is to help in the fight for the prevention of, treatment and cure of paralysis.
The event is free and open to the public.

 

A member of the
Sisters of Mercy Health System