Changes in Skeletal Muscle Size and Glucose Tolerance With Electrically Stimulated Resistance Training in Subjects With Chronic Spinal Cord Injury

Mahoney ET, Bickel CS, Elder C, Black C, Slade JM, Apple Jr D, Dudley GA. Changes in skeletal muscle size and glucose tolerance with electrically stimulated resistance training in subjects with chronic spinal cord injury. To determine the effect of residence-based, resistance exercise training (RET)...

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Veröffentlicht in:Archives of physical medicine and rehabilitation 2005-07, Vol.86 (7), p.1502-1504
Hauptverfasser: Mahoney, Edward T., Bickel, C. Scott, Elder, Christopher, Black, Christopher, Slade, Jill M., Apple, David, Dudley, Gary A.
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container_end_page 1504
container_issue 7
container_start_page 1502
container_title Archives of physical medicine and rehabilitation
container_volume 86
creator Mahoney, Edward T.
Bickel, C. Scott
Elder, Christopher
Black, Christopher
Slade, Jill M.
Apple, David
Dudley, Gary A.
description Mahoney ET, Bickel CS, Elder C, Black C, Slade JM, Apple Jr D, Dudley GA. Changes in skeletal muscle size and glucose tolerance with electrically stimulated resistance training in subjects with chronic spinal cord injury. To determine the effect of residence-based, resistance exercise training (RET) on affected skeletal muscle size and glucose tolerance after long-standing, complete spinal cord injury (SCI). Before-after trial. University laboratory trial. Five men with chronic, complete SCI (C5-T9). Magnetic resonance images of the thighs and an oral glucose tolerance test were performed before and after RET. Subjects performed RET with both thighs, 2d/wk for 4 sets of 10 unilateral, dynamic knee extensions for 12 weeks. Neuromuscular electric stimulation induced RET by activating the knee extensors. Quadriceps femoris muscle cross-sectional area (CSA), plasma glucose, and insulin concentrations were measured before and after RET. Skeletal muscle CSA increased by 35% in the right quadriceps femoris (from 32.6cm 2 to 44.0cm 2) and by 39% in the left quadriceps femoris (from 34.6cm 2 to 47.9cm 2) as a result of training ( P
doi_str_mv 10.1016/j.apmr.2004.12.021
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Subjects performed RET with both thighs, 2d/wk for 4 sets of 10 unilateral, dynamic knee extensions for 12 weeks. Neuromuscular electric stimulation induced RET by activating the knee extensors. Quadriceps femoris muscle cross-sectional area (CSA), plasma glucose, and insulin concentrations were measured before and after RET. Skeletal muscle CSA increased by 35% in the right quadriceps femoris (from 32.6cm 2 to 44.0cm 2) and by 39% in the left quadriceps femoris (from 34.6cm 2 to 47.9cm 2) as a result of training ( P&lt;.05). There were no significant changes in blood glucose or insulin after training. However, a trend for a reduction in plasma glucose levels was observed ( P=.074). Affected skeletal muscle can achieve substantial hypertrophy years after SCI with resistance exercise. 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University laboratory trial. Five men with chronic, complete SCI (C5-T9). Magnetic resonance images of the thighs and an oral glucose tolerance test were performed before and after RET. Subjects performed RET with both thighs, 2d/wk for 4 sets of 10 unilateral, dynamic knee extensions for 12 weeks. Neuromuscular electric stimulation induced RET by activating the knee extensors. Quadriceps femoris muscle cross-sectional area (CSA), plasma glucose, and insulin concentrations were measured before and after RET. Skeletal muscle CSA increased by 35% in the right quadriceps femoris (from 32.6cm 2 to 44.0cm 2) and by 39% in the left quadriceps femoris (from 34.6cm 2 to 47.9cm 2) as a result of training ( P&lt;.05). There were no significant changes in blood glucose or insulin after training. However, a trend for a reduction in plasma glucose levels was observed ( P=.074). Affected skeletal muscle can achieve substantial hypertrophy years after SCI with resistance exercise. 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To determine the effect of residence-based, resistance exercise training (RET) on affected skeletal muscle size and glucose tolerance after long-standing, complete spinal cord injury (SCI). Before-after trial. University laboratory trial. Five men with chronic, complete SCI (C5-T9). Magnetic resonance images of the thighs and an oral glucose tolerance test were performed before and after RET. Subjects performed RET with both thighs, 2d/wk for 4 sets of 10 unilateral, dynamic knee extensions for 12 weeks. Neuromuscular electric stimulation induced RET by activating the knee extensors. Quadriceps femoris muscle cross-sectional area (CSA), plasma glucose, and insulin concentrations were measured before and after RET. Skeletal muscle CSA increased by 35% in the right quadriceps femoris (from 32.6cm 2 to 44.0cm 2) and by 39% in the left quadriceps femoris (from 34.6cm 2 to 47.9cm 2) as a result of training ( P&lt;.05). There were no significant changes in blood glucose or insulin after training. However, a trend for a reduction in plasma glucose levels was observed ( P=.074). Affected skeletal muscle can achieve substantial hypertrophy years after SCI with resistance exercise. Furthermore, our results suggest that this type of training may enhance glucose disposal.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16003691</pmid><doi>10.1016/j.apmr.2004.12.021</doi><tpages>3</tpages></addata></record>
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subjects Adult
Biological and medical sciences
Blood Glucose - analysis
Cerebrospinal fluid. Meninges. Spinal cord
Electric stimulation
Electric Stimulation Therapy
Exercise Therapy
Glucose Tolerance Test
Humans
Hypertrophy
Insulin - blood
Magnetic Resonance Imaging
Male
Medical sciences
Miscellaneous
Muscle, Skeletal - pathology
Nervous system (semeiology, syndromes)
Neurology
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Rehabilitation
Spinal cord injuries
Spinal Cord Injuries - therapy
title Changes in Skeletal Muscle Size and Glucose Tolerance With Electrically Stimulated Resistance Training in Subjects With Chronic Spinal Cord Injury
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