Effect of dynamic weight bearing on neuromuscular activation after spinal cord injury

Am J Phys Med Rehabil. 2007 Jun;86(6):499-506. doi: 10.1097/PHM.0b013e31805b764b.

Abstract

Objective: To determine whether individuals who have a spinal cord injury have neuromuscular and physiologic responses to a personalized exercise program during dynamic weight bearing (DWB).

Design: Four subjects with spinal cord injuries (T6, T5-6, C2-5, and C5) completed a 12-wk exercise program that included DWB. Surface electromyography (EMG) was recorded from the right gastrocnemius, biceps femoris, rectus femoris, rectus abdominus, and external oblique. Heart rate (HR) and blood pressure (BP) were recorded throughout training. Descriptive statistics were used to analyze the data.

Results: The results of this study indicate that the subjects actively responded to exercise during DWB, as measured by EMG, HR, and BP.

Conclusions: The results suggest that exercise during DWB can induce physiologic and neuromuscular responses in individuals who have a spinal cord injury, and that exercise during DWB may serve as a preparatory program for more advanced rehabilitation.

MeSH terms

  • Adult
  • Blood Pressure
  • Electromyography
  • Exercise Therapy / instrumentation
  • Exercise Therapy / methods*
  • Exercise Therapy / organization & administration
  • Heart Rate
  • Humans
  • Middle Aged
  • Spinal Cord Injuries / rehabilitation*
  • Weight-Bearing*