The effect of FES-rowing training on cardiac structure and function: pilot studies in people with spinal cord injury
The effect of FES-rowing training on cardiac structure and function: pilot studies in people with spinal cord injury
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DOI：
10.1038/sc.2015.228
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发表时间：
2016-10-01
期刊：
影响因子：
2.2
通讯作者：
Shave, R. E.
中科院分区：
文献类型：
--
作者：
Gibbons, R. S.;Stock, C. G.;Shave, R. E.
研究设计：进行了两项研究：研究-1是横断面的;研究-2是纵向重复测量设计。目的：研究功能性电刺激（FES）划船训练对脊髓损伤（SCI）患者心脏结构和功能的影响。设置：一所大学体育科学系和家庭FES训练。方法：研究招募了14名C4-T10 SCI（美国脊髓损伤协会损伤量表A或B）参与者。心脏结构和功能，以及峰值：摄氧量（。(V)在研究1中，比较了两个FES未训练组（男性n=3，女性n=3）和FES训练组（男性n =3）之间的功率输出（POpeak）和心率（HRpeak），并在研究2中，在FES初治组（男性n=1，女性n=4）中进行了纵向评估。主要观察指标左心室大小、容积、质量、舒张和收缩功能。(V)过点O-2峰、PO峰和HR峰。在研究-2中，除了峰值，VO 2持续超过30分钟，相关的PO和HR也assessed.Results：久坐的参与者与慢性SCI的心脏结构和功能的非SCI正常范围的下限。习惯性FES行的慢性SCI患者的心脏结构和功能更接近于非SCI人群。一个程序的FES划船训练改善心脏结构和功能，在以前的FES天真people.Conclusion：FES划船训练似乎是一个有效的刺激，积极的心脏重塑的人与SCI。进一步的工作，更多的参与者人数，应该调查FES划船训练对SCI心脏健康的影响。
Study design: Two studies were conducted: Study-1 was cross-sectional; and Study-2 a longitudinal repeated measures design.Objectives: To examine the influence of functional electrical stimulation (FES) rowing training on cardiac structure and function in people with spinal cord injury (SCI).Setting: A university sports science department and home-based FES-training.Methods: Fourteen participants with C4-T10 SCI (American Spinal Injury Association Impairment Scale A or B) were recruited for the studies. Cardiac structure and function, and peak: oxygen uptake (. (V) over dot O-2peak), power output (POpeak) and heart rate (HRpeak), were compared between two FES-untrained groups (male n=3, female n=3) and an FES-trained group (male n=3) in Study-1 and longitudinally assessed in an FES-naive group (male n=1, female n=4) in Study-2. Main outcome measures left ventricular-dimensions, volumes, mass, diastolic and systolic function, and. (V) over dot O-2peak, POpeak and HRpeak. In Study-2, in addition to peak values, the. VO2 sustainable over 30 min and the related PO and HR were also assessed.Results: Sedentary participants with chronic SCI had cardiac structure and function at the lower limits of non-SCI normal ranges. Individuals with chronic SCI who habitually FES-row have cardiac structure and function that more closely resemble non-SCI populations. A programme of FES-rowing training improved cardiac structure and function in previously FES-naive people.Conclusion: FES-rowing training appears to be an effective stimulus for positive cardiac remodelling in people with SCI. Further work, with greater participant numbers, should investigate the impact of FES-rowing training on cardiac health in SCI.