{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:48:07Z","timestamp":1787168887803,"version":"build-2736575974"},"reference-count":102,"publisher":"American Spinal Injury Association","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"\n Objectives:<\/jats:title>\n To evaluate the effects of functional electrical stimulation (FES) cycling on muscle spasticity in individuals with spinal cord injury (SCI) and provide recommendations for optimal FES cycling parameters to treat muscle spasticity.<\/jats:p>\n <\/jats:sec>\n \n Method:<\/jats:title>\n In this systematic review, database searches of CINAHL, MEDLINE (Ovid), PEDro, PubMed, and Scopus were conducted to identify relevant studies published up to June 2023. Studies were screened for eligibility. Those that included an FES cycling intervention, an outcome measure of spasticity, and were available in full-text English were included. Two independent reviewers extracted the data and appraised the literature via the Crowe Critical Appraisal Tool (CCAT).<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Of the 1782 studies identified, 16 satisfied the criteria for this review. Two-hundred and three participants were included, aged 7 to 80 years old. Ten studies identified a reduction in spasticity following FES cycling via objective or subjective outcome measures. Methodological quality was variable, with CCAT scores ranging from 19\/40 (48%) to 35\/40 (88%). National Health and Medical Research Council hierarchy levels ranged from II to IV.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Evidence for the effectiveness of FES cycling to reduce muscle spasticity remains inconclusive. Long-term effects on spasticity were evident in moderate- to high-quality studies where FES cycling was conducted for 60 minutes, three times per week for 16 weeks. Additional research with larger sample sizes is warranted to confirm these findings. Further clarification of the optimal parameters of FES frequency, amplitude, and pulse width to reduce spasticity is required.<\/jats:p>\n <\/jats:sec>","DOI":"10.46292\/sci23-00048","type":"journal-article","created":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T03:13:43Z","timestamp":1727752423000},"page":"77-99","source":"Crossref","is-referenced-by-count":5,"title":["The Effects of Functional Electrical Stimulation Cycling on Muscle Spasticity in Individuals With Spinal Cord Injury: A Systematic Review"],"prefix":"10.46292","volume":"31","author":[{"given":"Stephanie K.","family":"Couper","sequence":"first","affiliation":[{"name":"College of Healthcare Sciences, James Cook University, Townsville, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moira","family":"Smith","sequence":"additional","affiliation":[{"name":"College of Healthcare Sciences, James Cook University, Townsville, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"25425","reference":[{"issue":"10","key":"b1","series-title":"Spinal Cord","first-page":"577","article-title":"Spasticity after spinal cord injury","volume":"43","author":"Adams\n MM","year":"2005","unstructured":"Adams\n MM\n , HicksAL. Spasticity after spinal cord injury. Spinal Cord. 2005;43(10):577-586. doi:10.1038\/sj.sc.3101757"},{"issue":"12","key":"b2","series-title":"Neurology","first-page":"1303","article-title":"The control of muscle tone, reflexes, and movement: Robert Wartenbeg lecture","volume":"43","author":"Lance\n JW","year":"1980","unstructured":"Lance\n JW\n \n . The control of muscle tone, reflexes, and movement: Robert Wartenbeg lecture. Neurology. 1980;43(12):1303-1313. doi:10.1212\/wnl.30.12.1303"},{"issue":"3","key":"b3","series-title":"Arch Phys Med Rehabil","first-page":"287","article-title":"Spasticity experience domains in persons with spinal cord injury","volume":"88","author":"Mahoney\n JS","year":"2007","unstructured":"Mahoney\n JS\n , EngebretsonJC, CookKF, HartKA, Robinson-WhelenS, SherwoodAM. Spasticity experience domains in persons with spinal cord injury. Arch Phys Med Rehabil. 2007;88(3):287-294. doi:10.1016\/j.apmr.2006.12.029"},{"issue":"1","key":"b4","series-title":"Neurol Clin","first-page":"269","article-title":"Management of spasticity from spinal cord dysfunction","volume":"31","author":"Strommen\n JA","year":"2013","unstructured":"Strommen\n JA\n \n . Management of spasticity from spinal cord dysfunction. Neurol Clin. 2013;31(1):269-286. doi:10.1016\/j.ncl.2012.09.013"},{"issue":"6","key":"b5","series-title":"Arch Phys Med Rehabil","first-page":"1132","article-title":"Prevalence and effect of problematic spasticity after traumatic spinal cord injury","volume":"98","author":"Holtz\n KA","year":"2017","unstructured":"Holtz\n KA\n , LipsonR, NoonanVK, KwonBK, MillsPB. Prevalence and effect of problematic spasticity after traumatic spinal cord injury. Arch Phys Med Rehabil. 2017;98(6):1132-1138. doi:10.1016\/j.apmr.2016.09.124"},{"issue":"9","key":"b6","series-title":"Spinal Cord","first-page":"990","article-title":"Association of spasticity and life satisfaction after spinal cord injury","volume":"49","author":"Westerkam\n D","year":"2011","unstructured":"Westerkam\n D\n , SaundersLL, KrauseJS. Association of spasticity and life satisfaction after spinal cord injury. Spinal Cord. 2011;49(9):990-994. doi:10.1038\/sc.2011.49"},{"issue":"1","key":"b7","series-title":"Arch Phys Med Rehabil","first-page":"95","article-title":"Behavioral risk factors of mortality after spinal cord injury","volume":"90","author":"Krause\n JS","year":"2009","unstructured":"Krause\n JS\n , CarterRE, PickelsimerE. Behavioral risk factors of mortality after spinal cord injury. Arch Phys Med Rehabil. 2009;90(1):95-101. doi:10.1016\/j.apmr.2008.07.012"},{"issue":"2","key":"b8","series-title":"J Am Paraplegia Soc","first-page":"35","article-title":"Spasms in spinal cord injury: A study of 72 subjects","volume":"10","author":"Barolat\n G","year":"1987","unstructured":"Barolat\n G\n , MaimanDJ. Spasms in spinal cord injury: A study of 72 subjects. J Am Paraplegia Soc. 1987;10(2): 35-39. doi:10.1080\/01952307.1987.11719634"},{"issue":"12","key":"b9","series-title":"Arch Phys Med Rehabil","first-page":"1548","article-title":"Spasticity after traumatic spinal cord injury: Nature, severity, and location","volume":"80","author":"Sk\u00f6ld\n C","year":"1999","unstructured":"Sk\u00f6ld\n C\n , LeviR, SeigerA. Spasticity after traumatic spinal cord injury: Nature, severity, and location. Arch Phys Med Rehabil. 1999;80(12):1548-1557. doi:10.1016\/s0003-9993(99)90329-5"},{"issue":"3","key":"b10","series-title":"J Neurophysiol","first-page":"470","article-title":"Prevalence of spasticity in humans with spinal cord injury with different injury severity","volume":"128","author":"Sangari\n S","year":"2022","unstructured":"Sangari\n S\n , PerezMA. Prevalence of spasticity in humans with spinal cord injury with different injury severity. J Neurophysiol. 2022;128(3):470-479. doi:10.1152\/jn.00126.2022"},{"issue":"1","key":"b11","series-title":"Arch Phys Med Rehabil","first-page":"119","article-title":"Intrathecal and oral baclofen use in adults with spinal cord injury: A systematic review of efficacy in spasticity reduction, functional changes, dosing, and adverse events","volume":"104","author":"Dietz\n N","year":"2023","unstructured":"Dietz\n N\n , WagersS, HarkemaSJ, D'AmicoJM. Intrathecal and oral baclofen use in adults with spinal cord injury: A systematic review of efficacy in spasticity reduction, functional changes, dosing, and adverse events. Arch Phys Med Rehabil. 2023;104(1):119-131. doi:10.1016\/j.apmr.2022.05.011"},{"issue":"5","key":"b12","series-title":"J Pers Med","first-page":"808","article-title":"Spasticity management after spinal cord injury: The here and now","volume":"12","author":"Billington\n ZJ","year":"2022","unstructured":"Billington\n ZJ\n , HenkeAM, GaterDRJr.\n Spasticity management after spinal cord injury: The here and now. J Pers Med. 2022;12(5):808. doi:10.3390\/jpm12050808"},{"issue":"3","key":"b13","series-title":"J Biomed Eng","first-page":"266","article-title":"Treatment of spinal spasticity by electrical stimulation","volume":"10","author":"Franek\n A","year":"1988","unstructured":"Franek\n A\n , TurczynskiB, OparaJ. Treatment of spinal spasticity by electrical stimulation. J Biomed Eng. 1988;10(3):266-270. doi:10.1016\/0141-5425(88)90009-x"},{"issue":"4","key":"b14","series-title":"Spinal Cord","first-page":"255","article-title":"Functional electrical stimulation after spinal cord injury: Current use, therapeutic effects and future directions","volume":"46","author":"Ragnarsson\n KT","year":"2008","unstructured":"Ragnarsson\n KT\n \n . Functional electrical stimulation after spinal cord injury: Current use, therapeutic effects and future directions. Spinal Cord. 2008;46(4):255-274. doi:10.1038\/sj.sc.3102091"},{"issue":"4","key":"b15","series-title":"J Spinal Cord Med","first-page":"397","article-title":"Comparison of transcutaneous electrical nerve stimulation (TENS) and functional electrical stimulation (FES) for spasticity in spinal cord injury - A pilot randomized cross-over trial","volume":"41","author":"Sivaramakrishnan\n A","year":"2018","unstructured":"Sivaramakrishnan\n A\n , SolomonJM, ManikandanN. Comparison of transcutaneous electrical nerve stimulation (TENS) and functional electrical stimulation (FES) for spasticity in spinal cord injury - A pilot randomized cross-over trial. J Spinal Cord Med. 2018;41(4):397-406. doi:10.1080\/10790268.2017.1390930"},{"issue":"6","key":"b16","series-title":"Am J Phys Med Rehabil","first-page":"484","article-title":"The effects of electrical stimulation parameters in managing spasticity after spinal cord injury: A systematic review","volume":"98","author":"Bekhet\n AH","year":"2019","unstructured":"Bekhet\n AH\n , BochkezanianV, SaabIM, GorgeyAS. The effects of electrical stimulation parameters in managing spasticity after spinal cord injury: A systematic review. 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Neurophysiological and clinical outcome measures of the impact of electrical stimulation on spasticity in spinal cord injury: Systematic review and meta-analysis. Systematic review. Front Rehabil Sci. 2022Dec16;3:1058663. doi:10.3389\/fresc.2022.1058663"},{"issue":"4","key":"b19","series-title":"IEEE Trans Rehabil Eng","first-page":"281","article-title":"Therapeutic neural effects of electrical stimulation","volume":"4","author":"Daly\n JJ","year":"1996","unstructured":"Daly\n JJ\n , MarsolaisEB, MendellLM, RymerWZ, StefanovskaA, WolpawJR, KantorC. Therapeutic neural effects of electrical stimulation. IEEE Trans Rehabil Eng. 1996;4(4):281-230. doi:10.1109\/86.547922"},{"issue":"1","key":"b20","series-title":"Top Spinal Cord Inj Rehabil","first-page":"28","article-title":"Functional electrical stimulation in spinal cord injury: From theory to practice","volume":"18","author":"Martin\n R","year":"2012","unstructured":"Martin\n R\n , SadowskyC, ObstK, MeyerB, McDonaldJ. 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J NeuroEngineer Rehabil. 2021;18(1):99. doi:10.1186\/s12984-021-00882-8"},{"key":"b22","series-title":"Curr Opin Pharmacol","first-page":"226","article-title":"Effects of functional electrical stimulation on muscle health after spinal cord injury","volume":"60","author":"Atkins\n KD","year":"2021","unstructured":"Atkins\n KD\n , BickelCS. Effects of functional electrical stimulation on muscle health after spinal cord injury. Curr Opin Pharmacol. 2021;60:226-231. doi:10.1016\/j.coph.2021.07.025"},{"issue":"3","key":"b23","series-title":"NeuroRehabilitation","first-page":"231","article-title":"Functional electrical stimulation therapies after spinal cord injury","volume":"28","author":"Gater\n DR\n Jr","year":"2011","unstructured":"Gater\n DR\n Jr\n , DolbowD, TsuiB, GorgeyAS. Functional electrical stimulation therapies after spinal cord injury. NeuroRehabilitation. 2011;28(3):231-248. doi:10.3233\/NRE-2011-0652"},{"issue":"7","key":"b24","series-title":"Clin Rehabil","first-page":"627","article-title":"Changes in spastic muscle tone increase in patients with spinal cord injury using functional electrical stimulation and passive leg movements","volume":"22","author":"Krause\n P","year":"2008","unstructured":"Krause\n P\n , SzecsiJ, StraubeA. Changes in spastic muscle tone increase in patients with spinal cord injury using functional electrical stimulation and passive leg movements. Clin Rehabil. 2008;22(7):627-634. doi:10.1177\/0269215507084648"},{"key":"b25","series-title":"BMJ","first-page":"n71","article-title":"The PRISMA 2020 statement: An updated guideline for reporting systematic reviews","volume":"372","author":"Page\n MJ","year":"2021","unstructured":"Page\n MJ\n , McKenzieJE, BossuytPM, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. doi:10.1136\/bmj.n71"},{"issue":"2","key":"b26","series-title":"J Spinal Cord Med","first-page":"107","article-title":"A report of anticipated benefits of functional electrical stimulation after spinal cord injury","volume":"35","author":"Gorgey\n AS","year":"2012","unstructured":"Gorgey\n AS\n , HarnishCR, DanielsJA, et al. A report of anticipated benefits of functional electrical stimulation after spinal cord injury. J Spinal Cord Med. 2012;35(2):107-112. doi:10.1179\/204577212X13309481546619"},{"issue":"4","key":"b27","series-title":"Int J Evid Based Healthc","first-page":"444","article-title":"Comparison of the effects of using the Crowe Critical Appraisal Tool versus informal appraisal in assessing health research: A randomised trial","volume":"9","author":"Crowe\n M","year":"2011","unstructured":"Crowe\n M\n , SheppardL, CampbellA. Comparison of the effects of using the Crowe Critical Appraisal Tool versus informal appraisal in assessing health research: A randomised trial. Int J Evid Based Healthc. 2011;9(4):444-449. doi:10.1111\/j.1744-1609.2011.00237.x"},{"key":"b28","series-title":"Crowe Critical Appraisal Tool (CCAT) user guide: Version 1.4. Creative Commons Attribution-ShareAlike 3.0","author":"Crowe\n M","unstructured":"Crowe\n M\n \n . Crowe Critical Appraisal Tool (CCAT) user guide: Version 1.4. Creative Commons Attribution-ShareAlike 3.0. https:\/\/conchra.com.au\/wp-content\/uploads\/2015\/12\/CCAT-user-guide-v1.4.pdf"},{"key":"b29","series-title":"NHMRC additional levels of evidence and grades for recommendations for developers of guidelines","author":"Australian Government: National Health and Medical Research Council","year":"2009","unstructured":"Australian Government: National Health and Medical Research Council\n . NHMRC additional levels of evidence and grades for recommendations for developers of guidelines. 2009. www.nhmrc.gov.au\/sites\/default\/files\/images\/appendix-f-levels-of-evidence.pdf"},{"issue":"4","key":"b30","series-title":"J Physiother","first-page":"237","article-title":"Functional electrical stimulation cycling has no clear effect on urine output, lower limb swelling, and spasticity in people with spinal cord injury: a randomised cross-over trial","volume":"59","author":"Ralston\n KE","year":"2013","unstructured":"Ralston\n KE\n , HarveyL, BattyJ, et al. Functional electrical stimulation cycling has no clear effect on urine output, lower limb swelling, and spasticity in people with spinal cord injury: a randomised cross-over trial. J Physiother. 2013;59(4):237-243. doi:10.1016\/S1836-9553(13)70200-5"},{"issue":"6","key":"b31","series-title":"J Spinal Cord Med","first-page":"623","article-title":"Lower extremity functional electrical stimulation cycling promotes physical and functional recovery in chronic spinal cord injury","volume":"36","author":"Sadowsky\n CL","year":"2013","unstructured":"Sadowsky\n CL\n , HammondER, StrohlAB, et al. Lower extremity functional electrical stimulation cycling promotes physical and functional recovery in chronic spinal cord injury. J Spinal Cord Med. 2013;36(6):623-631. doi:10.1179\/2045772313Y.0000000101"},{"issue":"3","key":"b32","series-title":"J Neurotrauma","first-page":"411","article-title":"Body system effects of a multi-modal training program targeting chronic, motor complete thoracic spinal cord injury","volume":"35","author":"Gant\n KL","year":"2018","unstructured":"Gant\n KL\n , NagleKG, CowanRE, et al. Body system effects of a multi-modal training program targeting chronic, motor complete thoracic spinal cord injury. J Neurotrauma. 2018;35(3):411-423. doi:10.1089\/neu.2017.5105"},{"issue":"3","key":"b33","series-title":"NeuroRehabilitation","first-page":"243","article-title":"FES-propelled cycling of SCI subjects with highly spastic leg musculature","volume":"24","author":"Szecsi\n J","year":"2009","unstructured":"Szecsi\n J\n , SchillerM. FES-propelled cycling of SCI subjects with highly spastic leg musculature. NeuroRehabilitation. 2009;24(3):243-253. doi:10.3233\/NRE-2009-0475"},{"issue":"12","key":"b34","series-title":"Spinal Cord","first-page":"900","article-title":"The effect of functional electrical stimulation cycling on late functional improvement in patients with chronic incomplete spinal cord injury","volume":"53","author":"Ya ar\n E","year":"2015","unstructured":"Ya ar\n E\n , Y\u0131lmazB, G\u00f6ktepeS, KesikburunS. The effect of functional electrical stimulation cycling on late functional improvement in patients with chronic incomplete spinal cord injury. Spinal Cord. 2015;53(12):900-900. doi:10.1038\/sc.2015.47"},{"issue":"2","key":"b35","series-title":"Arch Phys Med Rehabil","first-page":"222","article-title":"Comparison of electric stimulation methods for reduction of triceps surae spasticity in spinal cord injury","volume":"87","author":"van der Salm\n A","year":"2006","unstructured":"van der Salm\n A\n , VeltinkPH, IjzermanMJ, Groothuis-OudshoornKC, NeneAV, HermensHJ. Comparison of electric stimulation methods for reduction of triceps surae spasticity in spinal cord injury. Arch Phys Med Rehabil. 2006;87(2):222-228. doi:10.1016\/j.apmr.2005.09.024"},{"issue":"1","key":"b36","series-title":"J Neuroeng Rehabil","first-page":"149","article-title":"The effects of FES cycling combined with virtual reality racing biofeedback on voluntary function after incomplete SCI: A pilot study","volume":"16","author":"Duffell\n LD","year":"2019","unstructured":"Duffell\n LD\n , PaddisonS, AlahmaryAF, DonaldsonN, BurridgeJ. The effects of FES cycling combined with virtual reality racing biofeedback on voluntary function after incomplete SCI: A pilot study. J Neuroeng Rehabil. 2019;16(1):149. doi:10.1186\/s12984-019-0619-4"},{"key":"b37","series-title":"IEEE Int Conf Rehabil Robot","first-page":"289","article-title":"An integrated gait rehabilitation training based on Functional Electrical Stimulation cycling and overground robotic exoskeleton in complete spinal cord injury patients: Preliminary results","author":"Mazzoleni\n S","year":"2017","unstructured":"Mazzoleni\n S\n , BattiniE, RusticiA, StampacchiaG. An integrated gait rehabilitation training based on Functional Electrical Stimulation cycling and overground robotic exoskeleton in complete spinal cord injury patients: Preliminary results. IEEE Int Conf Rehabil Robot. 2017;289-293. doi:10.1109\/ICORR.2017.8009261"},{"key":"b38","series-title":"Ann Int Conf IEEE Eng Med Biol Soc","first-page":"5339","article-title":"FES-cycling training in spinal cord injured patients","author":"Mazzoleni\n S","year":"2013","unstructured":"Mazzoleni\n S\n , StampacchiaG, GeriniA, TombiniT, CarrozzaMC. FES-cycling training in spinal cord injured patients. Ann Int Conf IEEE Eng Med Biol Soc. 2013;5339-5341. doi:10.1109\/EMBC.2013.6610755"},{"issue":"3","key":"b39","series-title":"Int J Rehabil Res","first-page":"243","article-title":"Four weeks of functional electrical stimulated cycling after spinal cord injury: A clinical cohort study","volume":"37","author":"Kuhn\n D","year":"2014","unstructured":"Kuhn\n D\n , LeichtfriedV, SchobersbergerW. Four weeks of functional electrical stimulated cycling after spinal cord injury: A clinical cohort study. Int J Rehabil Res. 2014;37(3):243-250. doi:10.1097\/MRR.0000000000000062"},{"issue":"5","key":"b40","series-title":"J Rehabil Med","first-page":"444","article-title":"Monitoring of spasticity and functional ability in individuals with incomplete spinal cord injury with a functional electrical stimulation cycling system","volume":"44","author":"Reichenfelser\n W","year":"2012","unstructured":"Reichenfelser\n W\n , HacklH, HufgardJ, KastnerJ, GstaltnerK, Gf\u00f6hlerM. Monitoring of spasticity and functional ability in individuals with incomplete spinal cord injury with a functional electrical stimulation cycling system. J Rehabil Med. 2012;44(5):444-449. doi:10.2340\/16501977-0979"},{"issue":"1","key":"b41","series-title":"J Rehabil Med","first-page":"25","article-title":"Effects of functional electrical stimulation training for six months on body composition and spasticity in motor complete tetraplegic spinal cord-injured individuals","volume":"34","author":"Sk\u00f6ld\n C","year":"2002","unstructured":"Sk\u00f6ld\n C\n , L\u00f6nnL, Harms-RingdahlK, et al. Effects of functional electrical stimulation training for six months on body composition and spasticity in motor complete tetraplegic spinal cord-injured individuals. J Rehabil Med. 2002;34(1):25-32. doi:10.1080\/165019702317242677"},{"issue":"3","key":"b42","series-title":"J Spinal Cord Med","first-page":"402","article-title":"Training with FES-assisted cycling in a subject with spinal cord injury: Psychological, physical and physiological considerations","volume":"43","author":"Fattal\n C","year":"2020","unstructured":"Fattal\n C\n , SijobertB, DaubigneyA, et al. Training with FES-assisted cycling in a subject with spinal cord injury: Psychological, physical and physiological considerations. J Spinal Cord Med. 2020;43(3):402-413. doi:10.1080\/10790268.2018.1490098"},{"issue":"2","key":"b43","series-title":"J Spinal Cord Med","first-page":"215","article-title":"Outcomes of a home cycling program using functional electrical stimulation or passive motion for children with spinal cord injury: A case series","volume":"31","author":"Johnston\n TE","year":"2008","unstructured":"Johnston\n TE\n , SmithBT, OladejiO, BetzRR, LauerRT. Outcomes of a home cycling program using functional electrical stimulation or passive motion for children with spinal cord injury: A case series. J Spinal Cord Med. 2008;31(2):215-221. doi:10.1080\/10790268.2008.11760715"},{"issue":"2","key":"b44","series-title":"J Autom Control","first-page":"73","article-title":"FES cycling","volume":"18","author":"Berkelmans, R.","year":"2008","unstructured":"Berkelmans, R.\n \n FES cycling. J Autom Control. 2008;18(2):73-76. doi:10.2298\/JAC0802073B."},{"issue":"10","key":"b45","series-title":"Med Eng Phys","first-page":"873","article-title":"An investigation of the effect of electrode size and electrode location on comfort during stimulation of the gastrocnemius muscle","volume":"26","author":"Lyons\n GM","year":"2004","unstructured":"Lyons\n GM\n , LeaneGE, Clarke-MoloneyM, O'BrienJV, GracePA. An investigation of the effect of electrode size and electrode location on comfort during stimulation of the gastrocnemius muscle. Med Eng Phys. 2004;26(10):873-878. doi:10.1016\/j.medengphy.2004.08.003"},{"issue":"1","key":"b46","series-title":"IEEE Trans Neural Syst Rehabil Eng","first-page":"59","article-title":"The influence of electrode size and type on surface stimulation of the quadriceps","volume":"1","author":"Patterson\n RP","year":"1993","unstructured":"Patterson\n RP\n , LockwoodJS. The influence of electrode size and type on surface stimulation of the quadriceps. IEEE Trans Neural Syst Rehabil Eng. 1993;1(1):59-62. doi:10.1109\/86.242409"},{"issue":"2","key":"b47","series-title":"Spinal Cord","first-page":"86","article-title":"Spasticity outcome measures in spinal cord injury: Psychometric properties and clinical utility","volume":"46","author":"Hsieh\n JTC","year":"2008","unstructured":"Hsieh\n JTC\n , WolfeDL, MillerWC, CurtA. Spasticity outcome measures in spinal cord injury: Psychometric properties and clinical utility. 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