A feasibility pilot using telehealth videoconference monitoring of home-based NMES resistance training in persons with spinal cord injury

Gorgey, Ashraf S.; Lester, Robert M.; Wade, Rodney C.; Khalil, Refka E.; Khan, Rehan; Anderson, Melodie; Castillo, Teodoro

doi:10.1038/scsandc.2017.39

Cited by 22 publications

(40 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The quadriceps and hamstring ratios are similar to those reported by Housh et al who found that the quadriceps represented ~52 % and the hamstrings represented ~19 % of the total muscle CSA in nonSCI individuals [13]. These findings may explain why previous work has primarily focused on training the quadriceps muscle to evoke hypertrophy with an emphasis on improving the metabolic profile [9][10][11]. Based on the current findings the size of the quadriceps is double the size of either the hamstrings or adductors.…”

Section: Discussionsupporting

confidence: 88%

Validation of Anthropometric Muscle Cross-Sectional Area Equation after Spinal Cord Injury

2018

View full text Add to dashboard Cite

The purposes of this study were to cross-validate a previously derived anthropometric estimation equation specific to the spinal cord injury population and determine the ratios of absolute skeletal muscle cross-sectional area (CSA) for the quadriceps, hamstrings, and adductor muscle groups based on magnetic resonance imaging. The validation cohort consisted of eleven men with chronic (>1 yr. post injury) spinal cord injury (SCI). Ten individuals were classified as AIS A or B and one participant was classified as an AIS C. Significant correlations were found between the anthropometrically predicted CSAs and MRI-derived CSAs for the whole muscle including bone and intramuscular fat (r=0.72, SEE=10.6 cm, P<0.001), absolute muscle excluding bone and intramuscular fat (r=0.60, SEE=10.1 cm, P=0.005), and absolute quadriceps muscle (r=0.67, SEE=5.5 cm, P=0.002). The quadriceps, hamstrings and the adductor muscle groups represented 52±5%, 23±6%, and 20±4%, respectively, of the absolute muscle CSA. Our results suggest that the utilization of a previously developed anthropometric equation is applicable to a different validation cohort with SCI. The equation has the ability to predict whole muscle CSA, absolute muscle CSA excluding bone and intramuscular fat, and absolute muscle CSA of the quadriceps in individuals with chronic SCI.

show abstract

Section: Discussionsupporting

confidence: 88%

Validation of Anthropometric Muscle Cross-Sectional Area Equation after Spinal Cord Injury

2018

View full text Add to dashboard Cite

show abstract

“…We have tested the feasibility of home-based NMES-RT over an eight-week period utilizing video-telecommunication service. The result showed that the trained knee extensor muscle CSA increased by 18% compared to the controlled limb [78]. This may serve as a continuation of the current trial and bases for establishing future home-based clinical trials to maximize recruitment and reduce the cost associated with travel time.…”

Section: Limitationsmentioning

confidence: 72%

Skeletal muscle hypertrophy and attenuation of cardio-metabolic risk factors (SHARC) using functional electrical stimulation-lower extremity cycling in persons with spinal cord injury: study protocol for a randomized clinical trial

Gorgey

Khalil

Davis

et al. 2019

Trials

Self Cite

View full text Add to dashboard Cite

Background: Persons with spinal cord injury (SCI) are at heightened risks of developing unfavorable cardiometabolic consequences due to physical inactivity. Functional electrical stimulation (FES) and surface neuromuscular electrical stimulation (NMES)-resistance training (RT) have emerged as effective rehabilitation methods that can exercise muscles below the level of injury and attenuate cardio-metabolic risk factors. Our aims are to determine the impact of 12 weeks of NMES + 12 weeks of FES-lower extremity cycling (LEC) compared to 12 weeks of passive movement + 12 weeks of FES-LEC on: (1) oxygen uptake (VO 2), insulin sensitivity, and glucose disposal in adults with SCI; (2) skeletal muscle size, intramuscular fat (IMF), and visceral adipose tissue (VAT); and (3) protein expression of energy metabolism, protein molecules involved in insulin signaling, muscle hypertrophy, and oxygen uptake and electron transport chain (ETC) activities. Methods/Design: Forty-eight persons aged 18-65 years with chronic (> 1 year) SCI/D (AIS A-C) at the C5-L2 levels, equally sub-grouped by cervical or sub-cervical injury levels and time since injury, will be randomized into either the NMES + FES group or Passive + FES (control group). The NMES + FES group will undergo 12 weeks of evoked RT using twice-weekly NMES and ankle weights followed by twice-weekly progressive FES-LEC for an additional 12 weeks. The control group will undergo 12 weeks of passive movement followed by 12 weeks of progressive FES-LEC. Measurements will be performed at baseline (B; week 0), post-intervention 1 (P1; week 13), and post-intervention 2 (P2; week 25), and will include: VO 2 measurements, insulin sensitivity, and glucose effectiveness using intravenous glucose tolerance test; magnetic resonance imaging to measure muscle, IMF, and VAT areas; muscle biopsy to measure protein expression and intracellular signaling; and mitochondrial ETC function.

show abstract

“…The results of the current review study indicated that RPM plays a role in prevention and control of many complications in patients with SCI ( Table 1). The results of investigations revealed that telehealth and nervous diseases and technological advancements could make the health care convenient and economic in such patients by easy access to the program (10,31,38). The findings indicated that telemedicine is effective in patients with nervous disorders and it can decrease the rehospitalization time (16,17).…”

Section: Discussionmentioning

confidence: 99%

The Effect of Remote Patient Monitoring on Patients with Spinal Cord Injury: A Mini-Review

2019

View full text Add to dashboard Cite

Context: Studies revealed that remote patient monitoring can be effective in the prevention and control of complications in patients with spinal cord injury. However, there are a limited number of researches in this domain with contradictions in some cases. Thus, the current study aimed at investigating the impact of remote patient monitoring on patients with spinal cord injury (SCI). Methods: The current descriptive retrospective study searched databases such as Elsevier, Google Scholar, and PubMed in English from 1977 to 2018. After going throw the required procedures, 40 articles were finally confirmed and enrolled in the current study. Conclusions: The results of the current study revealed that the application of remote patient monitoring system was influential and promising in the prevention and control of complications in patients with SCI. Therefore, they can be considered in care planning for such patients.

show abstract

A feasibility pilot using telehealth videoconference monitoring of home-based NMES resistance training in persons with spinal cord injury

Cited by 22 publications

References 32 publications

Validation of Anthropometric Muscle Cross-Sectional Area Equation after Spinal Cord Injury

Validation of Anthropometric Muscle Cross-Sectional Area Equation after Spinal Cord Injury

Skeletal muscle hypertrophy and attenuation of cardio-metabolic risk factors (SHARC) using functional electrical stimulation-lower extremity cycling in persons with spinal cord injury: study protocol for a randomized clinical trial

The Effect of Remote Patient Monitoring on Patients with Spinal Cord Injury: A Mini-Review

Contact Info

Product

Resources

About