Acute energy cost of multi-modal activity-based therapy in persons with spinal cord injury.
J Spinal Cord Med
; 34(5): 495-500, 2011.
Article
en En
| MEDLINE
| ID: mdl-22118257
ABSTRACT
OBJECTIVE:
To examine acute energy costs of multi-modal activity-based therapy (ABT) in men and women with spinal cord injury (SCI). STUDYDESIGN:
Descriptive case series.SETTING:
An outpatient center in California.PARTICIPANTS:
Seven men and women (age = 28.3 ± 11.6 years; duration of injury = 4.3 ± 2.5 years) with injury levels ranging from C5 to T8. INTERVENTION Activity-based therapy. OUTCOMEMEASURES:
Oxygen uptake (VO(2)), energy expenditure (kcal/minute), SCI Metabolic Equivalent of Task (MET) (1 MET = 2.7 ml/kg/minute).RESULTS:
Oxygen uptake (VO(2)) during ABT ranged from 5.10 to 8.62 ml/kg/minute, with VO(2) consistently higher during modalities involving load bearing versus non-load bearing (P = 0.08). SCI MET values ranged from 1.89 to 3.24 and were significantly higher in subjects with mid-thoracic injury versus low-cervical injury (P = 0.01).CONCLUSION:
Data reveal that multi-modal ABT increases VO(2) in persons with SCI, but energy expenditure is relatively low. Strategies must be identified to optimize energy expenditure in the SCI to reduce health risks. Modalities involving load bearing seem to be superior to non-load-bearing activities. VO(2) was greater in response to load-bearing modalities than non-load-bearing modalities. It remains to be determined whether chronic ABT enhances cardiovascular fitness and reduces disease risks in this population.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Consumo de Oxígeno
/
Traumatismos de la Médula Espinal
/
Metabolismo Energético
/
Terapia Recreativa
Tipo de estudio:
Health_economic_evaluation
Límite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Spinal Cord Med
Asunto de la revista:
NEUROLOGIA
/
REABILITACAO
Año:
2011
Tipo del documento:
Article
País de afiliación:
Estados Unidos