Combination Therapies for the Mitigation of Musculoskeletal Pathologic Damage in a Novel Model of Severe Injury and Disuse

Abstract

Severe injury in patients results in adverse physiologic and musculoskeletal changes that are immediate and long lasting. In response to injury, metabolic and physiologic responses determine length of hospitalization and subsequent activity limitations. Reduced mobility from bed rest and injury severity affect muscle and bone health and are detrimental to rehabilitative success. Therefore, means to counteract adverse effects on muscle and bone after injury and disuse are needed. Pharmacologic (i.e insulin or oxandrolone), non-pharmacologic (i.e. exercise) and nutritional interventions have been used independently with limited success [17]. The combination of pharmacological interventions and exercise has not been systematically investigated. We propose to determine if the administration of pharmacologic agents combined with exercise attenuates muscle atrophy and bone degradation following severe injury, disuse and re-ambulation. The current proposal is for mitigation of musculoskeletal pathologic change in polytrauma patients.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2017
Accession Number
AD1046526

Entities

People

  • Steven Wolf

Organizations

  • University of Texas at Austin

Tags

DTIC Thesaurus Topics

  • Blood
  • Blood Coagulation
  • Burns
  • Cell Physiological Processes
  • Cells
  • Chemistry
  • Combination Therapy
  • Data Analysis
  • Health Services
  • Medical Personnel
  • Skeletal Muscle
  • Tendons
  • Tensile Strength
  • Therapy
  • Wounds And Injuries

Fields of Study

  • Medicine

Readers

  • Exercise and Sports Science.
  • Neurotrauma and Rehabilitation Medicine.