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Effects of graduated compression stockings on cardiovascular and metabolic responses to exercise and exercise recovery in persons with spinal cord injury.

Abstract：

OBJECTIVE:To investigate whether reporting blood redistribution by means of graduated elastic stockings affects exercise and postexercise responses in people with spinal cord injury (SCI). DESIGN:Crossover trial. SETTING:Physical medicine and rehabilitation department in France. PARTICIPANTS:Fourteen men with traumatic SCI, grouped according to their level of injury. INTERVENTIONS:Subjects performed 2 maximal wheelchair exercise tests 1 week apart, in random order and under a counter-balanced design. One test was done with and the other without graduated elastic stockings (21 mmHg). MAIN OUTCOME MEASURES:Blood lactate, blood pressure, heart rate, maximal power output, and oxygen consumption (Vo2). RESULTS:Postexercise venous lactate concentration was reduced in SCI subjects with lesion levels below T6 while wearing graduated elastic stockings during both exercise and recovery (10.9+/-3.9 mmol/L vs 12.5+/-4.6 mmol/L, P<.05). There were no significant differences in submaximal and maximal values (heart rate, Vo2, power output) between subjects tested with and without graduated elastic stockings. CONCLUSIONS:Wearing elastic stockings affects postexercise responses by decreasing lactate concentration in well-trained, low-level paraplegic patients after a maximal exercise. The relatively low pressure generated by the stockings may not, however, influence the venous system enough to produce improved performance and cardiovascular responses.

journal_name

Arch Phys Med Rehabil

journal_title

Archives of physical medicine and rehabilitation

authors

Rimaud D,Calmels P,Roche F,Mongold JJ,Trudeau F,Devillard X

doi

10.1016/j.apmr.2007.03.023

subject

Has Abstract

pub_date

2007-06-01 00:00:00

pages

703-9

issue

6

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(07)00232-8

journal_volume

88

pub_type

临床试验,杂志文章

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