Effects of Gait Rehabilitation Robot Combined with Electrical Stimulation on Spinal Cord Injury Patients' Blood Pressure.

IF 3.4 3区综合性期刊 Q2 CHEMISTRY, ANALYTICAL

Sensors Pub Date : 2025-02-06 DOI:10.3390/s25030984

Takahiro Sato, Ryota Kimura, Yuji Kasukawa, Daisuke Kudo, Kazutoshi Hatakeyama, Motoyuki Watanabe, Yusuke Takahashi, Kazuki Okura, Tomohiro Suda, Daido Miyamoto, Takehiro Iwami, Naohisa Miyakoshi

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引用次数: 0

Abstract

Background: Orthostatic hypotension can occur during acute spinal cord injury (SCI) and subsequently persist. We investigated whether a gait rehabilitation robot combined with functional electrical stimulation (FES) stabilizes hemodynamics during orthostatic stress in SCI.

Methods: Six intermediate-phase SCI patients (five males and one female; mean age: 49.5 years; four with quadriplegia and two with paraplegia) participated. The participants underwent robotic training (RT), with a gait rehabilitation robot combined with FES, and tilt table training (TT). Hemodynamics were monitored using a laser Doppler flowmeter for the earlobe blood flow (EBF) and non-invasive blood pressure measurements. The EBF over time and the resting and exercise blood pressures were compared between each session. Adverse events were also evaluated.

Results: The EBF change decreased in TT but increased in RT at the 0.5-min slope (p = 0.03). Similarly, the pulse rate change increased in TT but decreased in RT at the 1-min slope (p = 0.03). Systolic and mean blood pressures were slightly higher in RT than in TT but not significantly (p = 0.35; 0.40). No adverse events occurred in RT, but two TT sessions were incomplete due to dizziness.

Conclusions: RT with FES can reduce symptoms during orthostatic stress in intermediate-phase SCI. Future studies require a larger number of cases to generalize this study.

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来源期刊

Sensors 工程技术-电化学

CiteScore

7.30

自引率

12.80%

发文量

8430

审稿时长

1.7 months

期刊介绍： Sensors (ISSN 1424-8220) provides an advanced forum for the science and technology of sensors and biosensors. It publishes reviews (including comprehensive reviews on the complete sensors products), regular research papers and short notes. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced.