Muscle activity, cross-sectional area, and density following passive standing and whole body vibration: A case series

作者:Masani Kei*; Alizadeh Meghrazi Milad; Sayenko Dimitry G; Zariffa Jose; Moore Cameron; Giangregorio Lora; Popovic Milos R; Craven B Catharine
来源:Journal of Spinal Cord Medicine, 2014, 37(5): 575-581.
DOI:10.1179/2045772314Y.0000000255

摘要

Objective: To investigate the effects of intermittent passive standing (PS) and whole body vibration (WBV) on the electromyography (EMG) activity, cross-sectional area, and density of lower extremity muscles in individuals with chronic motor complete spinal cord injury (SCI). %26lt;br%26gt;Design: Case series. %26lt;br%26gt;Methods: Seven adult men with chronic (%26gt;= 2 years), thoracic motor complete (AIS A-B) SCI completed a 40-week course of thrice-weekly intermittent PS-WBV therapy, in a flexed knee posture (160 degrees), for 45 minutes per session at a frequency of 45 Hz and 0.6-0.7 mm displacement using the WAVE (R) Pro Plate, with an integrated EasyStand (TM) standing frame. EMG was measured in major lower extremity muscles to represent muscle activity during PS-WBV. The cross-sectional area and density of the calf muscles were measured using peripheral quantitative computed tomography at the widest calf cross-section (66% of the tibia length) at pre- and post-intervention. All measured variables were compared between the pre- and post-intervention measurements to assess change after the PS-WBV intervention. %26lt;br%26gt;Results: PS-WBV acutely induced EMG activity in lower extremity muscles of SCI subjects. No significant changes in lower extremity EMG activity, muscle cross-sectional area, or density were observed following the 40-week intervention. %26lt;br%26gt;Conclusions: Although acute exposure to PS-WBV can induce electrophysiological activity of lower extremity muscles during PS in men with motor complete SCI, the PS-WBV intervention for 40 weeks was not sufficient to result in enhanced muscle activity, or to increase calf muscle cross-sectional area or density.

  • 出版日期2014-9