Research background and hypothesis. Following spinal cord injury part of sympathetic nervous system is disrupted from the brain stem control, which results in cardiovascular system regulation disorders. Impaired cardiovascular regulation may cause orthostatic hypotension or other negative impacts on persons’ health. However, there are adaptive mechanisms which may change cardiovascular regulation and compensate these cardiovascular disorders. One of the mechanisms that may affect the occurrence of orthostatic hypotension may be changes in muscle tone after spinal cord injury.The aim of research was to ascertain the effect of muscle tone changes on blood pressure in persons with spinal cord injury through ortho-clinostatic test.Research methods. During passive ortho-clinostatic test, non-invasive blood pressure was continuously measured using the vital signs tracking monitor and leg muscle tone measurement was performed using myotonometer.Research results. In control group muscle tone is characterized as constant wave – it decreases in orthostasis and increases in clinostasis. In paraplegic group muscle tone changes are as similar to those in controls, except that dynamics is not so constant and numeric values are lower. In tetraplegics we can see that muscle tone changes rapidly and tone in thigh muscles has a tendency to decrease through all the test. Discusion and conclusions: 1. Leg muscle tone changes are important for blood pressure compensating mechanisms when the body position changes: it increases during orthostasis and decreases during clinostasis.2. Blood pressure varies differently among able-bodied persons and persons with spinal cord injury. The degree of the breach has a significant impact on the occurrence of compensatory peripheral regulation mechanisms. Characteristics of blood pressure fluctuations during body position changes in paraplegics are similar to those of reactions as in the able-bodied controls, while in tetraplegia case, possibilities of homeostatic blood pressure compensation during body posture changes are significantly reduced.
Cardiovascular response to the head-up tilt table test in the period when the vasovagal reaction emerges can reveal important information useful for diagnostic and preventive purposes. The aim of this study was to evaluate the influence of fatigue on the dynamics of functional cardiovascular parameters during the head-up tilt table test in non-athlete women cohort.A group of healthy non-athlete women attending health promotion training took part in the study (n = 20). In order to investigate the effect of post-workload parametric dynamics the subjects performed a 30-minute running sessions at a moderate intensity (aerobic exercising). Electrocardiography (ECG), arterial blood pressure (ABP) measurements were employed for the assessment of cardiovascular changes during an orthostatic test (head-up tilt table test) before and after the training session.The study results revealed significant differences in cardiovascular parameters analysed in this study: heart rate (HR), ST-segment depression, systolic, diastolic and pulse ABP before and after the workload (p < 0.05). In response to orthostasis an increase of the arterial blood flow intensity was indicated, while in response to clinostasis the decrease of arterial blood flow was observed. After the training session a post-workload hypotension was observed, and in response to orthostasis an increase of peripheral vascular tone was lowered. The results of the study confirmed that baroreflex regulation and autoregulation are sensitive to orthostatic body changes and could reveal the peculiarities of the cardiovascular functioning.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2025 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.