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Effects of electromyostimulation on muscle and bone in men with acute traumatic spinal cord injury: A randomized clinical trial

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dc.contributor.author Arija Blaźquez, A.
dc.contributor.author Ceruelo Abajo, S.
dc.contributor.author Díaz Merino, M. S.
dc.contributor.author Godino Durán, J. A.
dc.contributor.author Martínez Dhier, L.
dc.contributor.author Rodríguez Martín, José Luis
dc.contributor.author Florensa Vila, J.
dc.date.accessioned 2015-02-19T13:17:51Z
dc.date.available 2015-02-19T13:17:51Z
dc.date.issued 2014
dc.identifier.citation Arija-Blázquez, A., Ceruelo-Abajo, S., Díaz-Merino, M. S., Godino-Durán, J. A., Martínez-Dhier, L., Rodríguez-Martín, J. L., & Florensa-Vila, J. (2014). Effects of electromyostimulation on muscle and bone in men with acute traumatic spinal cord injury: a randomized clinical trial. The Journal of Spinal Cord Medicine, 37(3), 299-309. spa
dc.identifier.issn 10790268 spa
dc.identifier.uri http://hdl.handle.net/11268/3867
dc.description.abstract Objective: To study the effect of 14 weeks of electromyostimulation (EMS) training (47 minutes/day, 5 days/ week) on both muscle and bone loss prevention in persons with recent, complete spinal cord injury (SCI). Design: Prospective, experimental, controlled, single-blind randomized trial with external blind evaluation by third parties. Methods: Eight men with recent SCI (8 weeks from injury; ASIA Impairment Scale (AIS) "A") were randomized into the intervention or the control groups. Cross-sectional area of the quadriceps femoris (QF) muscle was quantified using magnetic resonance imaging. Bone mineral density changes were assessed with a dualenergy X-ray absorptiometry. Several bone biomarkers (i.e. total testosterone, cortisol, growth hormone, insulin-growth factor I, osteocalcin, serum type I collagen C-telopeptide), lipid, and lipoprotein profiles were quantified. A standard oral glucose tolerance test was performed before and after the 14-week training. All analyses were conducted at the beginning and after the intervention. Results: The intervention group showed a significant increase in QF muscle size when compared with the control group. Bone losses were similar in both groups. Basal levels of bone biomarkers did not change over time. Changes in lipid and lipoprotein were similar in both groups. Glucose and insulin peaks moved forward after the training in the intervention group. Conclusions: This study indicates that skeletal muscle of patients with complete SCI retains the ability to grow in response to a longitudinal EMS training, while bone does not respond to similar external stimulus. Increases in muscle mass might have induced improvements in whole body insulin-induced glucose uptake. spa
dc.language.iso eng spa
dc.subject.other Biological markers spa
dc.subject.other Bone density spa
dc.subject.other Electric stimulation spa
dc.subject.other Paraplegia spa
dc.subject.other Skeletal muscle spa
dc.subject.other Spinal cord injuries spa
dc.subject.other Tetraplegia spa
dc.title Effects of electromyostimulation on muscle and bone in men with acute traumatic spinal cord injury: A randomized clinical trial spa
dc.type article spa
dc.description.impact 1.333 JCR (2014) Q4, posición 152 de 192 (Clinical Neurology) spa
dc.identifier.doi 10.1179/2045772313Y.0000000142
dc.rights.accessRights closedAccess spa
dc.subject.uem Médula espinal - Heridas y lesiones spa
dc.subject.unesco Salud spa
dc.description.filiation UEM spa
dc.peerreviewed Si spa


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