Locomotor step training with body weight support improves respiratory motor function in individuals with chronic spinal cord injury
| Autor: | Rodney J. Folz, William B. McKay, Daniela Terson de Paleville, Alexander V. Ovechkin, Sevda C. Aslan, Dimitry G. Sayenko |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Vital capacity Physiology Vital Capacity Motor Activity Statistics Nonparametric Article Pulmonary function testing Young Adult FEV1/FVC ratio Physical medicine and rehabilitation Forced Expiratory Volume medicine Humans Respiratory function Respiratory system Treadmill Spinal cord injury Spinal Cord Injuries Electromyography business.industry General Neuroscience Middle Aged Respiration Disorders medicine.disease Respiratory Muscles Exercise Therapy Respiratory Function Tests Anesthesia Chronic Disease Motor unit recruitment Female business |
| Zdroj: | Respiratory Physiology & Neurobiology. 189:491-497 |
| ISSN: | 1569-9048 |
| Popis: | a b s t r a c t This prospective case-controlled clinical study was undertaken to investigate to what extent the manu- ally assisted treadmill stepping locomotor training with body weight support (LT) can change respiratory function in individuals with chronic spinal cord injury (SCI). Pulmonary function outcomes (forced vital capacity /FVC/, forced expiratory volume one second /FEV1/, maximum inspiratory pressure /PImax/, maximum expiratory pressure /PEmax/) and surface electromyographic (sEMG) measures of respiratory muscles activity during respiratory tasks were obtained from eight individuals with chronic C3-T12 SCI before and after 62 ± 10 (mean ± SD) sessions of the LT. FVC, FEV1, PImax, PEmax, amount of overall sEMG activity and rate of motor unit recruitment were significantly increased after LT (p < 0.05). These results suggest that these improvements induced by the LT are likely the result of neuroplastic changes in spinal neural circuitry responsible for the activation of respiratory muscles preserved after injury. © 2013 Elsevier B.V. All rights reserved. |
| Databáze: | OpenAIRE |
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