Passive leg movements and passive cycling do not alter arterial leg blood flow in subjects with spinal cord injury.
BACKGROUND AND PURPOSE: Subjects with a spinal cord injury (SCI) are at increased risk for cardiovascular disease-related secondary complications, such as pressure ulcers and attenuated wound healing. It has been suggested that passive exercise enhances blood flow via mechanical pump effects or refl...
| Publicado en: | Physical Therapy Vol. 86; no. 5; pp. 636 - 646 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
May2006
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106305222&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106305222 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00319023 PTH jtl: Physical Therapy issn: 00319023 maglogo: N pubinfo: dt: May2006 vid: 86 iid: 5 pid: 10398 pub: Oxford University Press / USA artinfo: ui: 106305222 106305222 2009186518 10.1093/ptj/86.5.636 NLM16649888 106305222 ppf: 636 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Passive leg movements and passive cycling do not alter arterial leg blood flow in subjects with spinal cord injury. aug: au: Ter Woerds W De Groot PCE van Kuppevelt DHJ Hopman MTE affil: Department of Physiology, Radboud University Nijmegen Medical Centre, PO Box 9101, 6500 HB Nijmegen, the Netherlands. sug: subj: Blood Circulation Physiology Spinal Cord Injuries Physiopathology Movement Physiology Leg Ultrasonography Ultrasonography, Doppler Cycling Leg Blood Supply Blood Pressure Cardiovascular Diseases Prevention and Control Vascular Resistance Case Control Studies Repeated Measures Adult Middle Age Male Human Adult: 19-44 years Middle Aged: 45-64 years Male ab: BACKGROUND AND PURPOSE: Subjects with a spinal cord injury (SCI) are at increased risk for cardiovascular disease-related secondary complications, such as pressure ulcers and attenuated wound healing. It has been suggested that passive exercise enhances blood flow via mechanical pump effects or reflex activation. The purpose of this study was to assess the effects of passive leg movements and passive cycling on the arterial circulation in subjects with SCI. SUBJECTS: Eight men with motor complete SCI and 8 male control subjects participated. METHODS: Echo Doppler measurements were obtained to measure leg blood flow at rest, during and after 10 minutes of standardized passive leg movements, and during and after 20 minutes of passive leg cycling. Blood pressure was measured continuously, and total vascular resistance and leg vascular resistance were calculated. RESULTS: In both groups, no changes in leg blood flow, vascular resistance, or blood pressure were observed during or after the 2 interventions. DISCUSSION AND CONCLUSION: The results of the study demonstrate that passive leg movements and passive cycling do not alter the arterial peripheral circulation in subjects with SCI or control subjects. Although the results do not support the use of passive movements or exercise for the prevention of cardiovascular disease-related secondary complications, physical therapists should not be dissuaded from using these techniques to address musculoskeletal concerns. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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