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  4. Abundance in proteins expressed after functional electrical stimulation cycling or arm cycling ergometry training in persons with chronic spinal cord injury

Abundance in proteins expressed after functional electrical stimulation cycling or arm cycling ergometry training in persons with chronic spinal cord injury

The Journal of Spinal Cord Medicine, 2017 · DOI: 10.1080/10790268.2016.1229397 · Published: July 1, 2017

Spinal Cord InjuryEndocrinologyRehabilitation

Simple Explanation

This study investigates how different types of exercise affect protein levels in muscles of men with spinal cord injuries. Specifically, it looks at proteins involved in energy use and glucose metabolism. The researchers compared functional electrical stimulation (FES) cycling of paralyzed legs to arm cycling, measuring changes in proteins in both paralyzed and non-paralyzed muscles. The findings suggest that both types of exercise can increase the abundance of key proteins in the trained muscles, potentially improving glucose utilization and energy regulation.

Study Duration
16 weeks
Participants
9 men with chronic motor-complete SCI
Evidence Level
Longitudinal design, Clinical trial

Key Findings

  • 1
    FES-LEC training led to a 3.8-fold increase in GLUT-4 protein expression in the vastus lateralis muscle.
  • 2
    ACE training resulted in a 3.8-fold increase in PGC-1α protein expression in the triceps muscle.
  • 3
    Both FES-LEC and ACE training were associated with increased AMPK protein expression in the trained muscles.

Research Summary

The study investigated the effects of FES-LEC and ACE training on protein expression in paralyzed and non-paralyzed muscles of men with chronic SCI. Results showed that both training interventions increased the abundance of GLUT-4, AMPK, and PGC-1α in the trained muscles, suggesting improved glucose utilization and energy metabolism. The findings indicate that FES-LEC training can modulate protein expression in paralyzed muscle similarly to trained and innervated muscle.

Practical Implications

Exercise as Therapy

Both FES-LEC and ACE can be used as therapeutic interventions to modulate protein expression and potentially improve metabolic health in individuals with SCI.

Targeted Muscle Training

Training of paralyzed muscle can lead to similar molecular responses as training of innervated muscle, highlighting the importance of targeted exercise interventions.

Understanding Molecular Mechanisms

Further research is needed to understand the complex relationships between changes in muscle protein expression and whole-body carbohydrate metabolism in SCI.

Study Limitations

  • 1
    Small sample size
  • 2
    Missing data on one participant in the FES-LES group
  • 3
    Muscle biopsy sample size limited protein analysis

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