Effects of electrical stimulation leg training during the acute phase of spinal cord injury: a pilot study

Four individuals with a spinal cord injury underwent 16 weeks of isometric electrical stimulation training to both legs for 60 min, five times per week during the first 5 months after injury, while two SCI individuals remained untrained. A baseline biopsy sample of the vastus lateralis muscle was ob...

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Veröffentlicht in:European journal of applied physiology 2000-11, Vol.83 (4 -5), p.409-415
Hauptverfasser: Crameri, R M, Weston, A R, Rutkowski, S, Middleton, J W, Davis, G M, Sutton, J R
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container_end_page 415
container_issue 4 -5
container_start_page 409
container_title European journal of applied physiology
container_volume 83
creator Crameri, R M
Weston, A R
Rutkowski, S
Middleton, J W
Davis, G M
Sutton, J R
description Four individuals with a spinal cord injury underwent 16 weeks of isometric electrical stimulation training to both legs for 60 min, five times per week during the first 5 months after injury, while two SCI individuals remained untrained. A baseline biopsy sample of the vastus lateralis muscle was obtained within 1 month of injury, and another biopsy sample was taken after a further 16 weeks. The untrained, paralyzed skeletal muscle displayed a reduction in (1) type I fibers (from 50% to 9%), (2) myosin heavy chain (MHC) I (from 27% to 6%), and (3) fiber cross-sectional area of type I, type IIA and type IIX fibers (-62%, -68%, and -55%, respectively) when compared to the baseline sample of muscle taken within 1 month of injury. In contrast, the trained group showed smaller alterations in type I fibers (from 49% to 40%) and MHC I composition (from 39% to 25%), while fiber cross-sectional area was similar to baseline levels for type I, type IIA and type IIX fibers (-3%, -8%, and -4%, respectively). In conclusion, electrical stimulation training can largely prevent the adverse effects of a spinal cord injury upon paralyzed human skeletal muscle if applied soon after the injury.
doi_str_mv 10.1007/s004210000263
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subjects Adolescent
Adult
Biopsy
Electric Stimulation Therapy
Female
Health sciences
Humans
Leg
Male
Middle Aged
Morphology
Muscle Fibers, Skeletal - chemistry
Muscle, Skeletal - metabolism
Muscle, Skeletal - pathology
Muscular Atrophy - pathology
Musculoskeletal system
Myosin Heavy Chains - chemistry
Nitrogen
Paralysis
Paraplegia - metabolism
Paraplegia - pathology
Paraplegia - therapy
Pilot Projects
Rehabilitation
Spinal cord injuries
Spinal Cord Injuries - metabolism
Spinal Cord Injuries - pathology
Spinal Cord Injuries - therapy
title Effects of electrical stimulation leg training during the acute phase of spinal cord injury: a pilot study
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