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Effects of arm cranking exercise on muscle oxygenation between active and inactive muscles in people with spinal cord injury
The Journal of Spinal Cord Medicine ( IF 1.8 ) Pub Date : 2020-05-07 , DOI: 10.1080/10790268.2020.1754649
Masahiro Horiuchi 1, 2
Affiliation  

Objective: We investigated the effects of the incremental arm-cranking exercise (ACE) on tissue oxygen saturation (StO2) between active and inactive muscles, and the relationship between peak oxygen uptake (VO2peak) and changes in the StO2 in inactive muscles.

Design: Observational study.

Setting: Community-based supervised intervention.

Participants: The participants were individuals with motor and sensory complete spinal cord injury (complete SCI; n = 8) and motor complete but sensory incomplete SCI (incomplete SCI; n = 8), and able-bodied (AB) individuals (n = 8) matched for age, height, and body mass index.

Intervention: The ACE was performed at a rate increasing by 10 watts min−1 until exhaustion.

Outcome Measures: VO2peak, heart rate (HR), and StO2.

Results: While VO2peak was similar among the groups, peak HR was significantly higher in both SCI groups than in the AB (P < 0.05). In active muscles (biceps brachii), no differences in the StO2 were observed among the groups (P > 0.05). In inactive muscles (vastus lateralis), the StO2 in the AB and the incomplete SCI began to decrease at approximately 40% of the peak work rate; however, they remained unchanged in the complete SCI. The reductions in StO2 in the AB were significantly greater than in the incomplete SCI.

Conclusions: These results suggest that sympathetic vasoconstriction occurred in the incomplete SCI and AB, although it did not occur in the complete SCI, probably due to a reduction in sympathetic nerve activity. Sympathetic vasoconstriction in inactive muscles may not contribute to an individual’s VO2peak regardless of their group.



中文翻译:

手臂曲柄运动对脊髓损伤患者活动肌肉和非活动肌肉之间肌肉氧合的影响

目的:我们研究了增量曲臂运动 (ACE) 对活跃和不活跃肌肉组织氧饱和度 (StO 2 ) 的影响,以及峰值摄氧量 (VO 2peak ) 与不活跃肌肉中 StO 2变化之间的关系.

设计:观察性研究。

设置:基于社区的监督干预。

参与者:参与者是患有运动和感觉完全脊髓损伤(完全 SCI;n = 8)和运动完全但感觉不完全 SCI(不完全 SCI;n = 8)的个体,以及健全 (AB) 个体(n = 8 ) 与年龄、身高和体重指数相匹配。

干预: ACE 以增加 10 watts min -1的速率进行,直至筋疲力尽。

结果测量: VO 2peak、心率 (HR) 和 StO 2

结果:虽然两组间VO 2peak相似,但两个SCI 组的峰值HR 均显着高于AB 组(P < 0.05)。在活跃肌肉(肱二头肌)中,各组间的 StO 2无差异(P > 0.05)。在不活动的肌肉(股外侧肌)中,AB 和不完全 SCI 中的 StO 2在峰值工作速率的约 40% 时开始下降;但是,它们在完整的 SCI 中保持不变。AB中StO 2的减少明显大于不完全SCI。

结论:这些结果表明交感神经血管收缩发生在不完全 SCI 和 AB 中,尽管它没有发生在完全 SCI 中,可能是由于交感神经活动减少。不活动肌肉中的交感神经血管收缩可能对个体的 VO 2peak没有贡献,无论其群体如何。

更新日期:2020-05-07
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