博士后竞赛(知识创造) ID 1985177

IF 2.4 Q1 REHABILITATION Topics in Spinal Cord Injury Rehabilitation Pub Date : 2023-09-01 DOI:10.46292/sci23-1985177s
Philemon Tsang, Wagner H. Souza, Thomas P. Walden, M. Miyatani, Cathy Craven
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引用次数: 0

摘要

心脏病是脊髓损伤(SCI)后死亡的主要原因。截瘫患者比同龄人更早出现高血压和动脉僵化。地面外骨骼训练正成为一种日益普遍的锻炼方式。在普通人群中,运动训练已被证明可以降低动脉僵化。最近进行的研究调查显示,臂力测定法或体重支持跑步机训练未能改变动脉僵化。 本项目旨在确定外骨骼运动对改变动脉僵化的效果。 研究将在一家康复机构进行。研究将涉及 34 个疗程,时间跨度约为 18-20 周。调查中使用的主要干预措施是地面 EksoNR 步态和平衡训练计划。主要测量指标是颈动脉-股动脉脉搏波速度(cfPWV),次要测量指标包括心率(HR)、血压(BP)、腰围(WC)和血氧饱和度(SpO2)。统计分析将包括基线、中途和研究结束时的平均变化。 为期 34 次(每周 2 次,每次 18 周)的康复方案将侧重于使用 EksoNR 进行地面步态和平衡活动。为测量 cfPWV,将在颈总动脉和股动脉处使用两个经皮多普勒血流测量仪。要计算 cfPWV,需要将脉搏走过的距离除以平均脉搏传输时间(PTT)。 为期 18 周的外骨骼计划将改善慢性不完全 SCI/D 患者的动脉僵硬度(cfPWV)。
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Post-Doc Competition (Knowledge Generation) ID 1985177
Heart Disease is the leading cause of death after spinal cord injury (SCI). Individuals with paraplegia develop hypertension and elevated arterial stiffness prior to their age matched peers. Overground exoskeleton training is becoming an increasingly prevalent form of exercise. In the general population, exercise training has been shown to reduce arterial stiffness. Recent RCT failed to show changes in arterial stiffness with arm ergometry or body weight supported treadmill training. The aim of this project is to determine the effect of Exoskeleton Exercise on changing arterial stiffness. The study setting will take place at a rehabilitation facility. The study will involve 34 sessions over the span of approximately 18-20 weeks. The key intervention utilized in the investigation will be an Overground EksoNR gait and balance training program. The primary outcome measure will be carotid-femoral pulse wave velocity (cfPWV) and secondary measures will include heart rate (HR), blood pressure (BP), waist circumference (WC), and oxygen saturation (SpO2). Statistical Analysis will involve mean changes at baseline, midway, and end of study. The 34-session (2x/week for ∼18 weeks) rehabilitation protocol will focus on using the EksoNR for overground gait and balance activities. For measurement of cfPWV, two transcutaneous Doppler flowmeters will be used at the common carotid and femoral artery. To calculate cfPWV, the distance travelled by the pulse is divided by the average pulse transit time (PTT). The 18-week Exoskeleton Program would improve arterial stiffness (cfPWV) in individuals with chronic incomplete SCI/D.
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来源期刊
CiteScore
3.20
自引率
3.40%
发文量
33
期刊介绍: Now in our 22nd year as the leading interdisciplinary journal of SCI rehabilitation techniques and care. TSCIR is peer-reviewed, practical, and features one key topic per issue. Published topics include: mobility, sexuality, genitourinary, functional assessment, skin care, psychosocial, high tetraplegia, physical activity, pediatric, FES, sci/tbi, electronic medicine, orthotics, secondary conditions, research, aging, legal issues, women & sci, pain, environmental effects, life care planning
期刊最新文献
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