Effects of resistance-guided high intensity interval functional electrical stimulation cycling on an individual with paraplegia: A case report
Effects of resistance-guided high intensity interval functional electrical stimulation cycling on an individual with paraplegia: A case report
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DOI：
10.1080/10790268.2017.1367358
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发表时间：
2018-01-01
影响因子：
1.7
通讯作者：
Credeur, Daniel P.
中科院分区：
文献类型：
--
作者：
Dolbow, David R.;Credeur, Daniel P.
背景和目的：脊髓损伤（SCI）患者发生和死于心脏代谢性疾病的可能性是健全人的两倍多。这种增加的风险被认为部分是由于加速肌肉萎缩和通过局部动脉的血流量减少。因此，修复瘫痪骨骼肌的策略可能有助于降低心脏代谢疾病的风险。本病例报告的目的是研究一种新型的、阻力引导的、高强度间歇训练功能性电刺激（RG-HIIT-FES）循环计划对慢性脊髓损伤患者心脏代谢健康的影响。病例描述：一例慢性T10型脊髓损伤的成年女性。干预：一种新颖的RG-HIIT-FES循环计划，每周三次，持续10周。在基线和RG-HIIT-FES项目完成后，测量身体组成和心脏代谢健康（通过血流介导扩张的肱动脉血管内皮功能）和HbA1c血值。结果：全身瘦质量和腿部瘦质量分别增加2.8%和5.3%，股外侧肌厚度增加59.5%。反应性充血和血流介导的肱动脉直径扩张变化分别增加了11.1%和147.7%。HbA1c水平变化最小（5%至4.9%）。讨论：本病例报告表明RG-HIIT-FES循环是改善慢性脊髓损伤患者瘦体重和全身血管内皮健康的有效策略。
Background and Purpose: Individuals with spinal cord injury (SCI) are more than twice as likely to develop and die from cardio-metabolic diseases as compared to able-bodied. This increased risk is thought to be in part due to accelerated muscle atrophy and reduced blood flow through sublesional arteries. Thus, strategies to recondition paralyzed skeletal muscles may help reduce cardio-metabolic disease risk. The purpose of this case report was to examine the impact of a novel, resistance-guided, high intensity interval training functional electrical stimulation (RG-HIIT-FES) cycling program on cardio-metabolic health in people with chronic SCI.Case Description: One adult female with chronic T10 SCI.Intervention: A novel RG-HIIT-FES cycling program three times per week for 10 weeks. Measures of body composition and cardio-metabolic health (vascular endothelial function of the brachial artery via flow-mediated dilation) and HbA1c blood values were performed at baseline and following completion of the RG-HIIT-FES program.Outcomes: Total body lean mass and legs lean mass increased 2.8% and 5.3% respectively while vastus lateralis thickness increased by 59.5%. Reactive hyperemia and flow mediated dilation change in brachial artery diameter increased by 11.1% and 147.7% following the program, respectively. HbA1c level changed minimally (5 to 4.9%).Discussion: This case report suggests that RG-HIIT-FES cycling was an effective strategy to improve lean mass, and systemic vascular endothelial health in an individual with chronic SCI.