Epidural stimulation with locomotor training ameliorates unstable blood pressure after tetraplegia. A case report

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 pressur...

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Detalles Bibliográficos
Autores principales: Gorgey, Ashraf S., Sutor, Tommy W., Goldsmith, Jacob A., Ennasr, Areej N., Lavis, Timothy D., Cifu, David X., Trainer, Robert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2022
Materias:
Case Study
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8862417/
https://www.ncbi.nlm.nih.gov/pubmed/35068086
http://dx.doi.org/10.1002/acn3.51508
Descripción
Sumario: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.

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