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Epidural stimulation with locomotor training ameliorates unstable blood pressure after tetraplegia. A case report.
Gorgey, Ashraf S; Sutor, Tommy W; Goldsmith, Jacob A; Ennasr, Areej N; Lavis, Timothy D; Cifu, David X; Trainer, Robert.
Afiliación
  • Gorgey AS; Spinal Cord Injury and Disorders Center, Hunter Holmes McGuire VAMC, 1201 Broad Rock Boulevard, Richmond, Virginia, 23249, USA.
  • Sutor TW; Department of Physical Medicine & Rehabilitation, Virginia Commonwealth University, Richmond, Virginia, 23298, USA.
  • Goldsmith JA; Spinal Cord Injury and Disorders Center, Hunter Holmes McGuire VAMC, 1201 Broad Rock Boulevard, Richmond, Virginia, 23249, USA.
  • Ennasr AN; Spinal Cord Injury and Disorders Center, Hunter Holmes McGuire VAMC, 1201 Broad Rock Boulevard, Richmond, Virginia, 23249, USA.
  • Lavis TD; Spinal Cord Injury and Disorders Center, Hunter Holmes McGuire VAMC, 1201 Broad Rock Boulevard, Richmond, Virginia, 23249, USA.
  • Cifu DX; Spinal Cord Injury and Disorders Center, Hunter Holmes McGuire VAMC, 1201 Broad Rock Boulevard, Richmond, Virginia, 23249, USA.
  • Trainer R; Department of Physical Medicine & Rehabilitation, Virginia Commonwealth University, Richmond, Virginia, 23298, USA.
Ann Clin Transl Neurol ; 9(2): 232-238, 2022 02.
Article en En | MEDLINE | ID: mdl-35068086
ABSTRACT
A male with C7 complete tetraplegia participated in 14 weeks of body weight supported treadmill training (BWSTT) combined with spinal cord epidural stimulation (SCES), 4 weeks of no intervention, and two more weeks of BWSTT + SCES. The participant presented with unstable resting seated blood pressure (BP; 131/66 mmHg). After retrospective analysis, resting systolic BP decreased and diastolic BP increased, yielding a safe mean arterial BP. There was a fivefold increase in BWSTT bouts per session, and percentage of body weight support decreased to 69%. BWSTT + SCES safely and effectively regulated resting BP and mitigated symptoms of orthostatic intolerance. These effects were not maintained after 4 weeks without training.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Cuadriplejía / Presión Sanguínea / Terapia por Ejercicio / Estimulación de la Médula Espinal / Rehabilitación Neurológica Límite: Adult / Humans / Male Idioma: En Revista: Ann Clin Transl Neurol Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos
Texto completo
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XML
PubMed Links
Buscar en Google

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Cuadriplejía / Presión Sanguínea / Terapia por Ejercicio / Estimulación de la Médula Espinal / Rehabilitación Neurológica Límite: Adult / Humans / Male Idioma: En Revista: Ann Clin Transl Neurol Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos