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- Title
Epidural stimulation with locomotor training ameliorates unstable blood pressure after tetraplegia. A case report.
- Authors
Gorgey, Ashraf S.; Sutor, Tommy W.; Goldsmith, Jacob A.; Ennasr, Areej N.; Lavis, Timothy D.; Cifu, David X.; Trainer, Robert
- Abstract
A male with C7 complete tetraplegia participated in 14 weeks of body weight supported treadmill training (BWSTT) combined with spinal cord epidural stimulation (SCES), 4 weeks of no intervention, and two more weeks of BWSTT + SCES. The participant presented with unstable resting seated blood pressure (BP; 131/66 mmHg). After retrospective analysis, resting systolic BP decreased and diastolic BP increased, yielding a safe mean arterial BP. There was a fivefold increase in BWSTT bouts per session, and percentage of body weight support decreased to 69%. BWSTT + SCES safely and effectively regulated resting BP and mitigated symptoms of orthostatic intolerance. These effects were not maintained after 4 weeks without training.
- Subjects
BLOOD pressure; QUADRIPLEGIA; ORTHOSTATIC intolerance; BODY weight; SPINAL cord; TREADMILLS
- Publication
Annals of Clinical & Translational Neurology, 2022, Vol 9, Issue 2, p232
- ISSN
2328-9503
- Publication type
Article
- DOI
10.1002/acn3.51508