Muscle changes following cycling and/or electrical stimulation in pediatric spinal cord injury.

Abstract:

OBJECTIVE:To determine the effect of cycling, electrical stimulation, or both, on thigh muscle volume and stimulated muscle strength in children with spinal cord injury (SCI). DESIGN:Randomized controlled trial. SETTING:Children's hospital specializing in pediatric SCI. PARTICIPANTS:Children (N=30; ages, 5-13y) with chronic SCI. INTERVENTIONS:Children were randomly assigned to 1 of 3 interventions: functional electrical stimulation cycling (FESC), passive cycling (PC), and noncycling, electrically stimulated exercise (ES). Each group exercised for 1 hour, 3 times per week for 6 months at home. MAIN OUTCOME MEASURES:Preintervention and postintervention, children underwent magnetic resonance imaging to assess muscle volume, and electrically stimulated isometric muscle strength testing with the use of a computerized dynamometer. Data were analyzed via analyses of covariance (ANCOVA) with baseline measures as covariates. Within-group changes were assessed via paired t tests. RESULTS:All 30 children completed the training. Muscle volume data were complete for 24 children (8 FESC, 8 PC, 8 ES) and stimulated strength data for 27 children (9 per group). Per ANCOVA, there were differences between groups (P<.05) for quadriceps muscle volume and stimulated strength, with the ES group having greater changes in volume and the FESC group having greater changes in strength. Within-group analyses showed increased quadriceps volume and strength for the FESC group and increased quadriceps volume for the ES group. CONCLUSIONS:Children receiving either electrically stimulated exercise experienced changes in muscle size, stimulated strength, or both. These changes may decrease their risk of cardiovascular disease, insulin resistance, glucose intolerance, and type 2 diabetes. CLINICAL TRIALS REGISTRATION NUMBER:NCT00245726.

journal_name

Arch Phys Med Rehabil

authors

Johnston TE,Modlesky CM,Betz RR,Lauer RT

doi

10.1016/j.apmr.2011.06.031

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

1937-43

issue

12

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(11)00425-4

journal_volume

92

pub_type

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