Effect of load during electrical stimulation training in spinal cord injury

Electrical stimulation training is known to alter skeletal muscle characteristics after a spinal cord injury, but the effect of load on optimizing the training protocol has not been fully investigated. This study investigated two electrical‐stimulation training regimes with different loads on intram...

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Veröffentlicht in:Muscle & nerve 2004-01, Vol.29 (1), p.104-111
Hauptverfasser: Crameri, Regina M., Cooper, Philip, Sinclair, Peter J., Bryant, Grace, Weston, Adele
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container_title Muscle & nerve
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creator Crameri, Regina M.
Cooper, Philip
Sinclair, Peter J.
Bryant, Grace
Weston, Adele
description Electrical stimulation training is known to alter skeletal muscle characteristics after a spinal cord injury, but the effect of load on optimizing the training protocol has not been fully investigated. This study investigated two electrical‐stimulation training regimes with different loads on intramuscular parameters of the paralyzed lower limbs. Six paraplegic individuals with a spinal cord injury underwent electrical stimulation training (45 min daily for 3 days per week for 10 weeks). One leg was trained statically with load, and the contralateral leg was trained dynamically with minimal load. Isometric force assessed with 35‐HZ stimuli increased significantly in both legs from baseline, with the static‐trained leg also being significantly higher than the dynamic‐trained leg. The vastus lateralis muscle of the statically trained leg showed a significant increase in type I fibers, fiber cross‐sectional area, capillary‐to‐fiber ratio, and citrate synthase activity when compared to both baseline and the dynamically trained leg. Relative oxygenation of the vastus lateralis muscle as determined by near infrared spectroscopy was also significantly greater after static training. This study indicates that the load that is applied to paralyzed muscle during an electrical stimulation training program is an important factor in determining the amount of muscle adaptation that can be achieved. Muscle Nerve 29: 104–111, 2004
doi_str_mv 10.1002/mus.10522
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Neuromuscular diseases</topic><topic>Electric Stimulation Therapy - standards</topic><topic>electrical stimulation</topic><topic>Exercise Tolerance - physiology</topic><topic>fiber types</topic><topic>Humans</topic><topic>Isometric Contraction - physiology</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Muscle Contraction - physiology</topic><topic>Muscle Fibers, Skeletal - physiology</topic><topic>Muscle, Skeletal - blood supply</topic><topic>Muscle, Skeletal - cytology</topic><topic>Muscle, Skeletal - physiopathology</topic><topic>near infrared spectroscopy</topic><topic>Neovascularization, Physiologic - physiology</topic><topic>Neurology</topic><topic>Oxygen Consumption - physiology</topic><topic>Paraplegia - etiology</topic><topic>Paraplegia - physiopathology</topic><topic>Paraplegia - therapy</topic><topic>skeletal muscle</topic><topic>Spinal Cord Injuries - physiopathology</topic><topic>spinal cord injury</topic><topic>Treatment Outcome</topic><topic>Weight-Bearing - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Crameri, Regina M.</creatorcontrib><creatorcontrib>Cooper, Philip</creatorcontrib><creatorcontrib>Sinclair, Peter J.</creatorcontrib><creatorcontrib>Bryant, Grace</creatorcontrib><creatorcontrib>Weston, Adele</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Muscle &amp; nerve</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Crameri, Regina M.</au><au>Cooper, Philip</au><au>Sinclair, Peter J.</au><au>Bryant, Grace</au><au>Weston, Adele</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of load during electrical stimulation training in spinal cord injury</atitle><jtitle>Muscle &amp; nerve</jtitle><addtitle>Muscle Nerve</addtitle><date>2004-01</date><risdate>2004</risdate><volume>29</volume><issue>1</issue><spage>104</spage><epage>111</epage><pages>104-111</pages><issn>0148-639X</issn><eissn>1097-4598</eissn><coden>MUNEDE</coden><abstract>Electrical stimulation training is known to alter skeletal muscle characteristics after a spinal cord injury, but the effect of load on optimizing the training protocol has not been fully investigated. 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subjects Adult
Biological and medical sciences
Capillaries - cytology
Capillaries - physiology
Cell Size - physiology
Citrate (si)-Synthase - metabolism
Diseases of striated muscles. Neuromuscular diseases
Electric Stimulation Therapy - standards
electrical stimulation
Exercise Tolerance - physiology
fiber types
Humans
Isometric Contraction - physiology
Medical sciences
Middle Aged
Muscle Contraction - physiology
Muscle Fibers, Skeletal - physiology
Muscle, Skeletal - blood supply
Muscle, Skeletal - cytology
Muscle, Skeletal - physiopathology
near infrared spectroscopy
Neovascularization, Physiologic - physiology
Neurology
Oxygen Consumption - physiology
Paraplegia - etiology
Paraplegia - physiopathology
Paraplegia - therapy
skeletal muscle
Spinal Cord Injuries - physiopathology
spinal cord injury
Treatment Outcome
Weight-Bearing - physiology
title Effect of load during electrical stimulation training in spinal cord injury
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