Epidural stimulation with locomotor training ameliorates unstable blood pressure after tetraplegia. A case report
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.
Document Details
- Document Type
- Pub Defense Publication
- Publication Date
- Jan 23, 2022
- Source ID
- 10.1002/acn3.51508
Entities
People
- Areej N. Ennasr
- Ashraf S Gorgey
- David X. Cifu
- Jacob A. Goldsmith
- Robert Trainer
- Timothy D. Lavis
- Tommy W. Sutor
Organizations
- United States Department of Defense
- Virginia Commonwealth University