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Alterations in body composition and spasticity following subtetanic neuromuscular electrical stimulation training in spinal cord injury. Amanda Carty, BSc, MSc, PhD; Kirsty McCormack, BSc; Garret F. Coughlan, BSc, PhD; Louis Crowe, MD, BCh, BAO; Brian Caulfield, BSc, MMedSci, PhD. Aim
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Alterations in body composition and spasticity following subtetanic neuromuscular electrical stimulation training in spinal cord injury Amanda Carty, BSc, MSc, PhD; Kirsty McCormack, BSc; Garret F. Coughlan, BSc, PhD; Louis Crowe, MD, BCh, BAO; Brian Caulfield, BSc, MMedSci, PhD
Aim • Investigate alterations in body composition variables and spasticity following subtetanic neuromuscular electrical stimulation (NMES) training in adults with spinal cord injury (SCI). • Relevance • Skeletal muscle atrophy and development of spasticity are two common sequelae of SCI.
Method • 4 adhesive electrodes were placed bilaterally on proximal and distal quadriceps and hamstrings of 14 sedentary adults with SCI. • Subtetanic contractions were elicited using handheld neuromuscular electrical stimulation (NMES) device. • Lean body mass (LBM)/other body composition variables and spasticity measured before and after 8-week NMES training.
Results • Statistically significant increase in lower-limb LMB was observed. • Subjective responses were positive.
Conclusion • Improvements in body composition and Spinal Cord Assessment Tool for Spastic Reflexes scores indicate that subtetanic NMES training: • Elicits favorable responses. • May have important clinical implications for SCI population.