Epidural stimulation with locomotor training ameliorates unstable blood pressure after tetraplegia. A case report

Autor:	Ashraf S. Gorgey, Tommy W. Sutor, Jacob A. Goldsmith, Areej N. Ennasr, Timothy D. Lavis, David X. Cifu, Robert Trainer
Jazyk:	angličtina
Rok vydání:	2022
Předmět:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Zdroj:	Annals of Clinical and Translational Neurology, Vol 9, Iss 2, Pp 232-238 (2022)
Druh dokumentu:	article
ISSN:	2328-9503
DOI:	10.1002/acn3.51508
Popis:	Abstract A male with C7 complete tetraplegia participated in 14 weeks of body weight supported treadmill training (BWSTT) combined with spinal cord epidural stimulation (SCES), 4 weeks of no intervention, and two more weeks of BWSTT + SCES. The participant presented with unstable resting seated blood pressure (BP; 131/66 mmHg). After retrospective analysis, resting systolic BP decreased and diastolic BP increased, yielding a safe mean arterial BP. There was a fivefold increase in BWSTT bouts per session, and percentage of body weight support decreased to 69%. BWSTT + SCES safely and effectively regulated resting BP and mitigated symptoms of orthostatic intolerance. These effects were not maintained after 4 weeks without training.
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/0d25d0af6105436f95602f8da92ec26d Zobrazit plný text záznamu View record in DOAJ Plný text ve formátu PDF Plný text ve formátu HTML
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