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Secondary complications and restoration of function in SCI

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Variable-frequency-train (VFT) stimulation has received considerable interest for countering the fatigue that occurs in the muscles of able-bodied individuals during functional electrical stimulation. There is also much interest in using electrical stimulation for the rehabilitation of individuals with SCI. This study investigated the effectiveness of VFT stimulation on reducing quadriceps muscle fatigue in persons with complete SCI. The data provide the first evidence that VFT stimulation may not be effective at reducing fatigue without prior conditioning with electrical stimulation. The results may lead to an improved clinical use of electrical stimulation.

Portable neuromuscular stimulator aids exercise and mobility for individuals with paraplegia (pg 41)

Over the past 25 years, functional electrical stimulation has become a viable rehabilitative tool for the paraplegic population. The design and development of a portable, neuromuscular stimulator for use by individuals with paraplegia is described in this article. Potential uses of the neuromuscular stimulator include exercise, mobility and preventive skin care. The stimulator passed all relevant safety and reliability testing, making it suitable for home use.

Neostigmine and glycopyrrolate promote bowel movement (pg 53)

This study assessed the effects of neostigmine alone or neostigmine combined with glycopyrrolate on pulmonary suppression in individuals with SCI. The data suggest that although neostigmine promoted bowel movement, it also caused bronchoconstriction, which may worsen a weak respiratory system. When neostigmine is combined with glycopyrrolate, bowel movement is facilitated while bronchoconstriction is prevented. For patients with SCI who require bowel evacuation assistance, neostigmine and glycopyrrolate should be administered in combination.

Bronchodilator responses to metaproterenol sulfate among subjects with spinal cord injury (pg 59)<
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Contact: Judith LaVoie
judith@vard.org
410-962-1800 x 229
VA Research Communications Service
20-Feb-2004


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