Effects of A 12-Week Rebound Therapy Exercise on Energy Consumption and Body Mass Index in Patients With Spinal Cord Injury

Introduction: Energy Consumption (EC) and Body Mass Index (BMI) are the major complications associated with Spinal Cord Injury (SCI), which can be improved by exercise rehabilitation. Thus, the present study aimed to evaluate the efficiency of using rebound therapy (exercise on a trampoline) on EC and BMI in individuals with SCI. Materials and Methods: Sixteen individuals with SCI (ASIA classification: A=6, B=6, C=2, D=2) were selected and randomly divided into two groups of experimental (rebound exercise) and control. The experimental group performed the exercise program by a modified trampoline for 12 weeks (10-30 minutes; 3 sessions a week). EC was measured by the Physiological Cost Index (PCI) and BMI was calculated by standard formula before and after the exercise intervention. Finally, the obtained data were analyzed by Repeated-Measures Analysis of Variance (RM-ANOVA) in SPSS. Results: The results of RM-ANOVA revealed significant interaction in both criteria (P<0.01). In other words, the experimental group changes were substantial, compared to that of the control group. Conclusion: The collected results indicated that rebound therapy could, in effect, improve the SCI individuals’ EC and BMI. Furthermore, it was suggested that rebound exercise can be a useful sports rehabilitation method for patients with SCI.

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Factors influencing body composition in persons with spinal cord injury: a cross-sectional study

Journal of Applied Physiology ◽

10.1152/japplphysiol.00729.2002 ◽

2003 ◽

Vol 95 (6) ◽

pp. 2398-2407 ◽

Cited By ~ 218

Author(s):

Ann M. Spungen ◽

Rodney H. Adkins ◽

Charles A. Stewart ◽

Jack Wang ◽

Richard N. Pierson ◽

...

Keyword(s):

Body Mass Index ◽

Spinal Cord ◽

Spinal Cord Injury ◽

Body Composition ◽

Body Mass ◽

Lean Mass ◽

The Body ◽

Control Group ◽

Cord Injury ◽

Total Body

To determine the body composition differences across age, 133 men with chronic spinal cord injury (SCI) (66 with tetraplegia, 67 with paraplegia) were compared with an age-, height-, and ethnicity-matched able-bodied male reference population ( n = 100) using two different dual-energy X-ray absorptiometry densitometers. The effects of duration of injury, level, and completeness of lesion were analyzed in the SCI population. Independent of age, total body and regional lean mass were lower and fat mass was higher in persons with SCI compared with controls. The SCI group was 13 ± 1% (means ± SE) fatter per unit of body mass index (kg/m2) compared with the control group ( P < 0.0001). Advancing age was strongly associated with less lean mass and greater adiposity in those with SCI, whereas it was mildly related in the controls. Total body and regional arm and trunk, but not leg, lean tissues were lower in subjects with SCI, across all ages, than in the controls. In summary, persons with SCI were fatter for any body mass index and demonstrated significantly less lean and more adipose tissues for any given age compared with controls.

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The relation of serum leptin to body mass index and to serum cortisol in men with spinal cord injury

Archives of Physical Medicine and Rehabilitation ◽

10.1053/apmr.2000.9173 ◽

2000 ◽

Vol 81 (12) ◽

pp. 1582-1586 ◽

Cited By ~ 35

Author(s):

Tien-Shang Huang ◽

Yen-Ho Wang ◽

Ssu-Yuan Chen

Keyword(s):

Body Mass Index ◽

Spinal Cord ◽

Spinal Cord Injury ◽

Body Mass ◽

Serum Cortisol ◽

Serum Leptin ◽

Cord Injury

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Body Composition According to Spinal Cord Injury Level: A Systematic Review and Meta-Analysis

Journal of Clinical Medicine ◽

10.3390/jcm10173911 ◽

2021 ◽

Vol 10 (17) ◽

pp. 3911

Author(s):

Peter Francis Raguindin ◽

Alessandro Bertolo ◽

Ramona Maria Zeh ◽

Gion Fränkl ◽

Oche Adam Itodo ◽

...

Keyword(s):

Body Mass Index ◽

Spinal Cord ◽

Spinal Cord Injury ◽

Body Composition ◽

Body Mass ◽

Weighted Mean Difference ◽

Central Adiposity ◽

Fat Percentage ◽

Anthropometric Measures ◽

Cord Injury

The level of injury is linked with biochemical alterations and limitations in physical activity among individuals with spinal cord injury (SCI), which are crucial determinants of body composition. We searched five electronic databases from inception until 22 July 2021. The pooled effect estimates were computed using random-effects models, and heterogeneity was calculated using I2 statistics and the chi-squared test. Study quality was assessed using the Newcastle–Ottawa Scale. We pooled 40 studies comprising 4872 individuals with SCI (3991 males, 825 females, and 56 sex-unknown) in addition to chronic SCI (median injury duration 12.3 y, IQR 8.03–14.8). Individuals with tetraplegia had a higher fat percentage (weighted mean difference (WMD) 1.9%, 95% CI 0.6, 3.1) and lower lean mass (WMD −3.0 kg, 95% CI −5.9, −0.2) compared to those with paraplegia. Those with tetraplegia also had higher indicators of central adiposity (WMD, visceral adipose tissue area 0.24 dm2 95% CI 0.05, 0.43 and volume 1.05 L 95% CI 0.14, 1.95), whereas body mass index was lower in individuals with tetraplegia than paraplegia (WMD −0.9 kg/mg2, 95% CI −1.4, −0.5). Sex, age, and injury characteristics were observed to be sources of heterogeneity. Thus, individuals with tetraplegia have higher fat composition compared to paraplegia. Anthropometric measures, such as body mass index, may be inaccurate in describing adiposity in SCI individuals.

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An observation of the clinical efficacy of combining Riluzole with mannitol and hyperbaric oxygen in treating acute spinal cord injury

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.37.2.3418 ◽

2021 ◽

Vol 37 (2) ◽

Author(s):

Huan-xia Li ◽

Jing Cui ◽

Jing-shi Fan ◽

Jian-zhou Tong

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Hyperbaric Oxygen ◽

Clinical Efficacy ◽

Acute Spinal Cord Injury ◽

Sensory Function ◽

Control Group ◽

Thoracolumbar Fractures ◽

Cord Injury ◽

Experimental Group

Objective: To examine the clinical efficacy of combining Riluzole with mannitol and hyperbaric oxygen therapy in treating thoracolumbar vertebral fracture-induced acute spinal cord injury (ASCI). Methods: From June 2015 to May 2018, 80 patients with thoracolumbar fractures and ASCI who were treated at Baoding First Central Hospital were selected. All patients underwent posterior laminectomy and screw fixation, and they were randomly divided into two groups using a random number table method. The control group received conventional postoperative treatment, while the experimental group was treated with riluzole combined with mannitol and hyperbaric oxygen on the basis of conventional treatment. The recovery of nerve function which included motor function and sensory function, and the changes of serum IL-6, CRP, BDNF, BFGF and other factors before treatment and four weeks after treatment of the two groups of patients were observed and evaluated. Results: After treatment, the motor function scores and sensory function scores of the two groups of patients were improved compared with those before treatment (p<0.05). Compared with the control group, the experimental group improved significantly, and the difference was statistically significant (p<0.05). The levels of IL-6, BDNF and NFGF in the experimental group were significantly lower than those in the control group (p<0.05). Conclusions: For patients with thoracolumbar fractures and ASCI undergoing laminar decompression and fixation, the comprehensive treatment plan of riluzole combined with mannitol and hyperbaric oxygen has certain advantages. Compared with the conventional therapy, it may significantly improve the movement and sensory functions of patients, relieve the inflammatory response of spinal cord, and promote recovery from the injury. doi: https://doi.org/10.12669/pjms.37.2.3418 How to cite this:Li H, Cui J, Fan J, Tong J. An observation of the clinical efficacy of combining Riluzole with mannitol and hyperbaric oxygen in treating acute spinal cord injury. Pak J Med Sci. 2021;37(2):---------. doi: https://doi.org/10.12669/pjms.37.2.3418 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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