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  4. Clinical Treatment of Orthostatic Hypotension after Spinal Cord Injury with Standing Training Coupled with a Remote Monitoring System

Clinical Treatment of Orthostatic Hypotension after Spinal Cord Injury with Standing Training Coupled with a Remote Monitoring System

Med Sci Monit, 2014 · DOI: 10.12659/MSM.891137 · Published: December 22, 2014

Spinal Cord InjuryCardiovascular ScienceRehabilitation

Simple Explanation

Orthostatic hypotension (OH) is a common complication after spinal cord injury (SCI), impeding rehabilitation. This study explores the use of a remote monitoring system coupled with electric uprise bed training to improve safety and efficiency. The experimental group used the remote monitoring system during electric uprise bed training, while the control group used traditional training methods. The remote monitoring system helped to identify abnormalities of blood pressure, ECG, and heart rhythm. The study found that the remote monitoring system improved training efficiency by shortening the time interval from horizontal to erect position for patients who could reach standing training status within 30 days.

Study Duration
January 2013 to February 2014
Participants
36 patients with orthostatic hypotension after SCI in experimental group, 18 subjects in control group
Evidence Level
Not specified

Key Findings

  • 1
    Implementation of training with electric uprise bed coupled with remote monitoring system is generally safe for patients with OH after SCI.
  • 2
    For patients who could reach standing training status within 30 days, implementation can improve efficiency of training by shortening time interval of training from horizontal position to erect position.
  • 3
    The experimental group showed a significantly higher training completion rate (90.52%) compared to the control group (78.19%).

Research Summary

This study investigated the use of a remote monitoring system coupled with electric uprise bed training for patients with orthostatic hypotension (OH) after spinal cord injury (SCI). The results showed that the remote monitoring system improved the safety and efficiency of the training, particularly for patients who could reach standing training status within 30 days. The study suggests that this approach can help to shorten the training time required from the supine position to the upright position and improve blood pressure changes during position changes.

Practical Implications

Improved Safety

Remote monitoring allows for early detection of adverse reactions, reducing the risk of severe symptoms during training.

Enhanced Efficiency

Shortened training time from supine to erect position for patients who can reach standing training status within 30 days.

Objective Monitoring

Remote monitoring provides objective data (EEG, blood pressure) to guide training, reducing reliance on subjective symptoms.

Study Limitations

  • 1
    The sample size may need to be expanded
  • 2
    The non-repeatability of OH
  • 3
    Diagnostic timing of OH

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