Exoskeleton Training and Trans-Spinal Stimulation for Physical Activity Enhancement After Spinal Cord Injury (EXTra-SCI): An Exploratory Study.
Exoskeleton Training and Trans-Spinal Stimulation for Physical Activity Enhancement After Spinal Cord Injury (EXTra-SCI): An Exploratory Study.
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脊髓损伤后增强身体活动的外骨骼训练和经脊柱刺激 (EXTra-SCI)：一项探索性研究。
DOI：
10.3389/fresc.2021.789422
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发表时间：
2022-01
期刊：
影响因子：
--
通讯作者：
Gorgey AS
中科院分区：
文献类型：
--
作者：
Sutor TW;Ghatas MP;Goetz LL;Lavis TD;Gorgey AS
脊髓损伤（SCI）后体力活动水平急剧下降，导致许多继发性健康并发症。外骨骼辅助步行 (EAW) 可能是改善 SCI 成人身体活动并可能减轻继发性健康并发症的一种方法。然而，EAW 的效果可能有限，因为外骨骼会为无法自主行走的用户带来被动运动。经脊柱刺激 (TSS) 已显示出潜力，即使是最严重的 SCI 患者也能在 EAW 期间积极参与运动。为了探讨 EAW 训练对改善 SCI 患者继发健康并发症的效果，慢性参与者 (n = 8) 参加了 EAW 计划，每周 2-3 次，持续 12 周。在 EAW 训练 12 周之前和之后评估人体测量学（坐位和仰卧位腰围和腹围（WC 和 AC）、身体成分评估（双曝光 X 射线吸收测定法得出的身体脂肪百分比、瘦体重和全身、腿部和躯干的总质量）和峰值耗氧量（6 分钟步行测试 [6MWT] 期间的摄氧量）。一部分参与者 (n = 3) 在同时进行 TSS 的情况下完成了 EAW 训练，并且在 12 周的 EAW 训练后，在有或没有 TSS 的 10 米步行测试 (10MWT) 中评估运动肌的神经肌肉活动。 完成 12 周的训练后，发现坐姿 WC (-2.2%，P = 0.036)、坐姿 AC (-2.9%，P = 0.05) 和仰卧 AC (-3.9%，P = 0.05) 较基线 (BL) 有所减少。全身 (-1.4%，P = 0.018)、腿部 (-1.3%，P = 0.018) 和躯干 (-2%，P = 0.036) 区域的脂肪百分比也有所减少。在 EAW 期间，三名参与者中的三名参与者中，添加 TSS 产生了个体化反应，但普遍增加了膝关节伸肌活动。在 10MWT 期间，我们还能够在没有外骨骼额外帮助的情况下启动更多步骤。 总之，12 周的 EAW 训练显着减弱了 8 名患有慢性 SCI 的男性与心脏代谢健康相关的肥胖标志物。相比没有 TSS，摄氧量和神经肌肉活动的变化是高度个体化的，并且没有产生整体群体效应。
After spinal cord injury (SCI) physical activity levels decrease drastically, leading to numerous secondary health complications. Exoskeleton-assisted walking (EAW) may be one way to improve physical activity for adults with SCI and potentially alleviate secondary health complications. The effects of EAW may be limited, however, since exoskeletons induce passive movement for users who cannot volitionally contribute to walking. Trans-spinal stimulation (TSS) has shown the potential to enable those with even the most severe SCI to actively contribute to movements during EAW. To explore the effects of EAW training on improving secondary health complications in persons with SCI, participants with chronic (n = 8) were enrolled in an EAW program 2–3 times per week for 12 weeks. Anthropometrics (seated and supine waist and abdominal circumferences (WC and AC), body composition assessment (dual exposure x-ray absorptiometry-derived body fat percent, lean mass and total mass for the total body, legs, and trunk), and peak oxygen consumption (VO2 during a 6-minute walk test [6MWT]) were assessed before and after 12 weeks of EAW training. A subset of participants (n = 3) completed EAW training with concurrent TSS, and neuromuscular activity of locomotor muscles was assessed during a 10-m walk test (10MWT) with and without TSS following 12 weeks of EAW training. Upon completion of 12 weeks of training, reductions from baseline (BL) were found in seated WC (−2.2%, P = 0.036), seated AC (−2.9%, P = 0.05), and supine AC (−3.9%, P = 0.017). Percent fat was also reduced from BL for the total body (−1.4%, P = 0.018), leg (−1.3%, P = 0.018), and trunk (−2%, P = 0.036) regions. No effects were found for peak VO2. The addition of TSS for three individuals yielded individualized responses but generally increased knee extensor activity during EAW. Two of three participants who received TSS were also able to initiate more steps without additional assistance from the exoskeleton during a 10MWT. In summary, 12 weeks of EAW training significantly attenuated markers of obesity relevant to cardiometabolic health in eight men with chronic SCI. Changes in VO2 and neuromuscular activity with vs. without TSS were highly individualized and yielded no overall group effects.
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DOI：
10.1682/jrrd.2014.02.0060
发表时间：
2015-01-01
影响因子：
--
作者：
Asselin, Pierre;Knezevic, Steven;Spungen, Ann M.
通讯作者：
Spungen, Ann M.
影响因子：
3.2
作者：
Hornby, TG;Zemon, DH;Campbell, D
通讯作者：
Campbell, D
影响因子：
2.2
作者：
Ginis, Kathleen A. Martin;van der Scheer, Jan W.;Goosey-Tolfrey, Victoria L.
通讯作者：
Goosey-Tolfrey, Victoria L.
通过双能 X 射线吸收测定法对慢性脊髓损伤患者的局部和全身成分的精确度进行估计。
影响因子：
2.2
作者：
Gorgey AS;Cirnigliaro CM;Bauman WA;Adler RA
通讯作者：
Adler RA
影响因子：
5.3
作者：
Benavides, Francisco D.;Jo, Hang Jin;Perez, Monica A.
通讯作者：
Perez, Monica A.