Effects of body weight supported treadmill training on cardiac and pulmonary functions in the patients with incomplete spinal cord injury

Soyupek, Feray; Savaş, Serpil; Öztürk, Önder; İlgün, Erdem; Bircan, Ahmet; Akkaya, Ahmet

doi:10.3233/bmr-2009-0237

Cited by 22 publications

(30 citation statements)

References 18 publications

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“…Most studies investigating robot-assisted gait training in iSCI focused on the effectiveness of improving neurologic and motor function and concluded that it is an appropriate therapy for improving walking ability [16][17]. Although there is some knowledge with regard to the cardiovascular effects of BWS treadmill training with manual assistance [13,[18][19][20][21], little is documented about the cardiorespiratory effects of robot-assisted gait training.…”

Section: Introductionmentioning

confidence: 99%

Effect of robotic gait training on cardiorespiratory system in incomplete spinal cord injury

et al. 2013

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Abstract-The objectives in this study were to investigate the effect of robot-assisted gait training on cardiorespiratory fitness in subjects with motor incomplete spinal cord injury and document the exercise intensity of robotic walking in comparison with the recommended guidelines. Ten patients followed a 24-session training program with a robotic gait orthosis in addition to physiotherapy sessions completed within 10 to 16 wk. Cardiorespiratory fitness was determined in a graded arm crank exercise test before and after the training program. To assess the intensity of robot-assisted walking, oxygen consumption (VO 2 ) and heart rate (HR) were measured during a training session early in and at the end of the training program, and exercise intensity measures (percentage of VO 2 reserve [%VO 2 R], percentage of HR reserve [%HRR], and metabolic equivalents [METs]) were calculated. Whereas no changes were found in peak VO 2 , the resting and submaximal HR at a constant work load were significantly lower after training. Most subjects exercised at low intensity (<30%VO 2 R, <30%HRR, <3.0 METs), and only two subjects exercised at moderate intensity (>3.0 METs). In spite of the low exercise intensity of the training program and no changes in peak VO 2 , robot-assisted gait training induced some improvement in cardiorespiratory fitness, as suggested by lower resting and submaximal HR values.Clinical Trial Registration: ISRCTN Register, ISRCTN67827069, "Recovery of Walking Ability Using a Robotic Device"; http://www. controlled-trials.com/ISRCTN67827069

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Section: Introductionmentioning

confidence: 99%

Effect of robotic gait training on cardiorespiratory system in incomplete spinal cord injury

et al. 2013

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“…The effects of LT on pulmonary function have been mentioned previously in the literature. [5][6][7] Soyupek et al 5 investigated the heart rate, blood pressure, resting pulmonary function parameters and psychological status (using the Beck Depression Inventory) of eight subjects (two females and six males) with incomplete SCI at baseline and after BWSTT. They found that undergoing BWSTT for 6 weeks had a positive effect on heart rate and limited effect on pulmonary function.…”

Section: Discussionmentioning

confidence: 99%

“…Although most studies have focused on the effects of LT on the functional walking ability of patients with SCI, it also has many positive effects as a whole-body exercise procedure, such as on cardiopulmonary function, body composition and quality of life. 4,5 Until recently, however, the effects of LT on the respiratory system have received little attention. Soyupek et al 5 investigated the heart rate, blood pressure and resting pulmonary function parameters at baseline and after BWSTT of eight subjects (two female, six male) with incomplete SCI.…”

Section: Introductionmentioning

confidence: 99%

“…4,5 Until recently, however, the effects of LT on the respiratory system have received little attention. Soyupek et al 5 investigated the heart rate, blood pressure and resting pulmonary function parameters at baseline and after BWSTT of eight subjects (two female, six male) with incomplete SCI. Terson de Paleville et al 6 compared eight patients with chronic SCI and 14 non-injured subjects.…”

Section: Introductionmentioning

confidence: 99%

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Does locomotor training improve pulmonary function in patients with spinal cord injury?

et al. 2015

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Objectives: The aim of this study was to compare the effects of a locomotor training (LT) combined rehabilitation program with a rehabilitation-only program on pulmonary function in spinal cord injury (SCI) patients by investigating spirometric analyses of the patients. Setting: Rehabilitation center in Ankara, Turkey. Methods: Fifty-two patients (40 male, 12 female) with SCI enrolled in the study. The subjects were divided into two groups: the first group (group A) received both LT and a rehabilitation program and the second group (group B) received only the rehabilitation program for 4 weeks. The LT program was prescribed as three 30-min sessions per week. Pulmonary function was evaluated spirometrically in both groups before and after the rehabilitation program. Results:The spirometric values of the SCI patients, including forced vital capacity, forced expiratory volume in 1 second, forced expiratory flow rate and vital capacity (VC) and VC%, increased significantly with LT in the first group (all Po0.05). Maximum voluntary ventilation values increased significantly in both groups (both Po0.05). Conclusion: These findings suggest that LT is effective for improving pulmonary function in SCI patients. We also highlight the useful effects of LT, which are likely the result of erect posture, gait and neuroplastic changes that prevent potential complications in SCI patients.

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“…Most studies of spinal cord injury patients have addressed functional improvements achieved through pulmonary rehabilitation, such as electrical stimulation and exercise [8][9][10] , but relatively few studies have examined the effect of position on pulmonary measurements of spinal cord injury patients. In the present study, we studied whether position affects measured lung capacity of spinal cord injury patients.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Position on Measured Lung Capacity of Patients with Spinal Cord Injury

Kim

Hwangbo

2012

J Phys Ther Sci

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Abstract. [Purpose] To determine whether position affects measured lung capacity of spinal cord injury patients.[Subjects] The study subjects were 45 patients with spinal cord injury (cervical level 15, thoracic level 15, lumbar level 15). Subjects were provided with a full explanation of the experimental procedures and all provided written consent signifying their voluntary participation.[Methods] We used a spirometer (Spirometer, Micromedical Ltd, UK) to measure pulmonary function in the supine and sitting positions (straightened upper body at an angle of 90°). Forced vital capacity (FVC), forced expiratory volume during the first second (FEV1), tidal volume (TV), and maximum insufflation capacity (MIC) were also measured.[Results] FVC, FEV1, TV, MIC (%) were greater in the supine than in the sitting position for those with injury at the cervical or thoracic injury level. On the other hand, FVC, FEV1, TV, MIC (%) were lower in the supine position for those with an injury at the lumbar level. [Conclusion] More attention should be paid to the effect of injury level on measured lung capacity.

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Effects of body weight supported treadmill training on cardiac and pulmonary functions in the patients with incomplete spinal cord injury

Cited by 22 publications

References 18 publications

Effect of robotic gait training on cardiorespiratory system in incomplete spinal cord injury

Effect of robotic gait training on cardiorespiratory system in incomplete spinal cord injury

Does locomotor training improve pulmonary function in patients with spinal cord injury?

The Effect of Position on Measured Lung Capacity of Patients with Spinal Cord Injury

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