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  4. Efficacy of Acute Intermittent Hypoxia on Physical Function and Health Status in Humans with Spinal Cord Injury: A Brief Review

Efficacy of Acute Intermittent Hypoxia on Physical Function and Health Status in Humans with Spinal Cord Injury: A Brief Review

Neural Plasticity, 2015 · DOI: 10.1155/2015/409625 · Published: May 27, 2015

Spinal Cord InjuryPhysiologyNeuroplasticity

Simple Explanation

Spinal cord injury (SCI) leads to reduced movement, causing a sedentary lifestyle and increasing the risk of health problems. Current exercise methods for SCI rehabilitation can be costly and hard to access. A promising alternative is acute intermittent hypoxia (IH), which involves short, repeated exposures to low oxygen, potentially improving physical function efficiently. Intermittent hypoxia (IH) is a strategy that may induce spinal plasticity characterized by repeated exposures to low oxygen levels which can be administered during a single session (acute exposure) or over more prolonged periods of time (chronic exposure). IH appears to be a safe, time-efficient, and robust approach to enhance physical function in chronic, incomplete SCI.

Study Duration
Not specified
Participants
Humans with spinal cord injury
Evidence Level
Review Article

Key Findings

  • 1
    Short-term IH administration enhances respiratory function in humans with SCI.
  • 2
    A single dose of IH led to significant improvements in maximal plantar flexion torque and peak gastrocnemius electromyographic activity.
  • 3
    IH combined with walking improved walking endurance more than placebo combined with walking.

Research Summary

This review examines the clinical application of intermittent hypoxia (IH) in humans with spinal cord injury (SCI). IH appears to be a safe and efficient method for enhancing physical function, particularly in individuals with chronic, incomplete SCI. The review also identifies several key questions for future research, including optimizing IH protocols, understanding the underlying mechanisms, and exploring its potential benefits for individuals with complete SCI.

Practical Implications

Rehabilitation Strategy

IH can be used as a time-efficient rehabilitation strategy to improve physical function in individuals with SCI.

Respiratory Improvement

Short-term IH administration enhances respiratory function in humans with SCI.

Motor Function Enhancement

IH can improve muscle torque and walking ability in individuals with SCI.

Study Limitations

  • 1
    Literature in humans with SCI is relatively sparse
  • 2
    Optimal dose of IH to maximize physical gains and to be potentially employed in complete SCI is unknown.
  • 3
    Human studies documenting a potential benefit of IH on health status in persons with SCI have yet to identify a specific mechanism

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