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  4. Endurance neuromuscular electrical stimulation training improves skeletal muscle oxidative capacity in individuals with motor-complete spinal cord injury

Endurance neuromuscular electrical stimulation training improves skeletal muscle oxidative capacity in individuals with motor-complete spinal cord injury

Muscle Nerve, 2017 · DOI: 10.1002/mus.25393 · Published: May 1, 2017

Spinal Cord InjuryNeurologyRehabilitation

Simple Explanation

Spinal cord injury (SCI) leads to muscle atrophy and reduced oxidative capacity. This study investigates whether endurance training with neuromuscular electrical stimulation (NMES) can reverse these effects and improve muscle health. Participants with complete SCI underwent 16 weeks of home-based NMES training of their knee extensor muscles. The study measured changes in muscle oxidative capacity, composition, and blood profiles before and after the training. The study found that endurance training improved muscle oxidative capacity. However, the NMES training did not change blood metabolic and lipid profiles in the participants.

Study Duration
16 weeks
Participants
Fourteen participants with complete SCI
Evidence Level
Not specified

Key Findings

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    The study found a significant average improvement of 119% in skeletal muscle oxidative capacity following the 16-week endurance NMES training program.
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    There were no significant changes observed in muscle composition, including muscle area, fat area, and intramuscular fat percentage, as a result of the NMES training.
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    The study noted a small but statistically significant reduction in HbA1C levels after NMES training, suggesting a potential positive impact on blood sugar control.

Research Summary

This study investigated the effects of 16 weeks of home-based endurance NMES training on skeletal muscle oxidative capacity, muscle composition, and blood metabolic and lipid profiles in individuals with complete SCI. The primary finding was a significant improvement in skeletal muscle oxidative capacity, with an average increase of 119%. However, muscle composition and blood metabolic and lipid profiles remained largely unchanged. The authors concluded that endurance NMES training is a feasible approach to improve muscle health in individuals with SCI, although further research is needed to explore whole-body metabolic changes.

Practical Implications

Rehabilitation Strategy

Endurance NMES training can be implemented as a rehabilitation strategy to improve muscle oxidative capacity in individuals with SCI.

Home-Based Therapy

The feasibility of home-based NMES training makes it an accessible option for individuals with SCI.

Further Research

Future studies should explore the impact of NMES training on whole-body metabolic changes and the inclusion of additional muscle groups.

Study Limitations

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