Loading…

The effect of abdominal functional electrical stimulation on blood pressure in people with high level spinal cord injury

Single centre training study. To investigate, in a group of people with spinal cord injury (SCI), the effect of transcutaneous functional electrical stimulation of the abdominal muscles (abdominal FES) during cough training on blood pressure (BP), and how it is affected by injury characteristics and...

Full description

Saved in:
Bibliographic Details
Published in:Spinal cord 2024-11
Main Authors: Bojanic, Teodora, McCaughey, Euan J, Finn, Harrison T, Humburg, Peter, McBain, Rachel A, Lee, Bonsan B, Gandevia, Simon C, Boswell-Ruys, Claire L, Butler, Jane E
Format: Article
Language:English
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c184t-ba21e4170c6451477b294c37886944c1395a04dbd5337a7a1605170490a877f03
container_end_page
container_issue
container_start_page
container_title Spinal cord
container_volume
creator Bojanic, Teodora
McCaughey, Euan J
Finn, Harrison T
Humburg, Peter
McBain, Rachel A
Lee, Bonsan B
Gandevia, Simon C
Boswell-Ruys, Claire L
Butler, Jane E
description Single centre training study. To investigate, in a group of people with spinal cord injury (SCI), the effect of transcutaneous functional electrical stimulation of the abdominal muscles (abdominal FES) during cough training on blood pressure (BP), and how it is affected by injury characteristics and alters over time. Laboratory and community. Sixteen participants with SCI (C4-T5) underwent 25 of abdominal FES cough training (5 sets of 10 stimulated coughs) over 6 weeks as part of a previously published study on the effect of abdominal FES training on cough. Systolic BP (SBP), diastolic BP (DBP) and calculated mean arterial pressure (MAP) were measured at the completion of each set. Abdominal FES coughing resulted in an average ~30% acute increase in BP from initial resting BP across all sessions in almost all participants (p 
doi_str_mv 10.1038/s41393-024-01046-w
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3123549078</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3123549078</sourcerecordid><originalsourceid>FETCH-LOGICAL-c184t-ba21e4170c6451477b294c37886944c1395a04dbd5337a7a1605170490a877f03</originalsourceid><addsrcrecordid>eNo9kF1LwzAUhoMobk7_gBeSS2-q-WrTXsrwCwbezOuQpqcuI11q0jr3783cFAJ54TzvgfMgdE3JHSW8vI-C8opnhImMUCKKbHuCplTIIssLJk5T5gXLRGIm6CLGNSGkolV5jia8EqVkjE7R93IFGNoWzIB9i3Xd-M5utMPtuDGD9fsILk2DNSnGwXaj0_sBTq923je4DxDjGADbDe7B9w7w1g4rvLIfK-zgC1Kv_11qfGgStR7D7hKdtdpFuDr-M_T-9Licv2SLt-fX-cMiM7QUQ1ZrRkFQSUwh8nSbrFklDJdlWVRCmCQg10Q0dZNzLrXUtCB5okVFdCllS_gM3R729sF_jhAH1dlowDm9AT9GxSnjecJlmVB2QE3wMQZoVR9sp8NOUaL2xtXBuErG1a9xtU2lm-P-se6g-a_8KeY_hfx81w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3123549078</pqid></control><display><type>article</type><title>The effect of abdominal functional electrical stimulation on blood pressure in people with high level spinal cord injury</title><source>Springer Nature</source><creator>Bojanic, Teodora ; McCaughey, Euan J ; Finn, Harrison T ; Humburg, Peter ; McBain, Rachel A ; Lee, Bonsan B ; Gandevia, Simon C ; Boswell-Ruys, Claire L ; Butler, Jane E</creator><creatorcontrib>Bojanic, Teodora ; McCaughey, Euan J ; Finn, Harrison T ; Humburg, Peter ; McBain, Rachel A ; Lee, Bonsan B ; Gandevia, Simon C ; Boswell-Ruys, Claire L ; Butler, Jane E</creatorcontrib><description>Single centre training study. To investigate, in a group of people with spinal cord injury (SCI), the effect of transcutaneous functional electrical stimulation of the abdominal muscles (abdominal FES) during cough training on blood pressure (BP), and how it is affected by injury characteristics and alters over time. Laboratory and community. Sixteen participants with SCI (C4-T5) underwent 25 of abdominal FES cough training (5 sets of 10 stimulated coughs) over 6 weeks as part of a previously published study on the effect of abdominal FES training on cough. Systolic BP (SBP), diastolic BP (DBP) and calculated mean arterial pressure (MAP) were measured at the completion of each set. Abdominal FES coughing resulted in an average ~30% acute increase in BP from initial resting BP across all sessions in almost all participants (p &lt; 0.001). However, the increase in BP during abdominal FES coughs from rest reduced over the 25 sessions of training by ~35% for SBP, MAP and DBP (p = 0.024, p = 0.013 and p = 0.042, respectively). There was no meaningful change in resting BP over time (p = 0.935, p = 0.705 and p = 0.988, respectively). Overall, increases in BP during abdominal FES coughs were greatest for those with chronic injuries and cervical injuries. Transcutaneous abdominal FES during cough training acutely increases BP. However, the magnitude of the increase is reduced after 25 sessions of training. Abdominal FES may offer a solution to combat orthostatic hypotension, but its effectiveness may diminish over time.</description><identifier>ISSN: 1362-4393</identifier><identifier>ISSN: 1476-5624</identifier><identifier>EISSN: 1476-5624</identifier><identifier>DOI: 10.1038/s41393-024-01046-w</identifier><identifier>PMID: 39487221</identifier><language>eng</language><publisher>England</publisher><ispartof>Spinal cord, 2024-11</ispartof><rights>2024. The Author(s), under exclusive licence to International Spinal Cord Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c184t-ba21e4170c6451477b294c37886944c1395a04dbd5337a7a1605170490a877f03</cites><orcidid>0000-0002-1345-3821 ; 0000-0002-5834-8152 ; 0000-0003-4922-5262</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39487221$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bojanic, Teodora</creatorcontrib><creatorcontrib>McCaughey, Euan J</creatorcontrib><creatorcontrib>Finn, Harrison T</creatorcontrib><creatorcontrib>Humburg, Peter</creatorcontrib><creatorcontrib>McBain, Rachel A</creatorcontrib><creatorcontrib>Lee, Bonsan B</creatorcontrib><creatorcontrib>Gandevia, Simon C</creatorcontrib><creatorcontrib>Boswell-Ruys, Claire L</creatorcontrib><creatorcontrib>Butler, Jane E</creatorcontrib><title>The effect of abdominal functional electrical stimulation on blood pressure in people with high level spinal cord injury</title><title>Spinal cord</title><addtitle>Spinal Cord</addtitle><description>Single centre training study. To investigate, in a group of people with spinal cord injury (SCI), the effect of transcutaneous functional electrical stimulation of the abdominal muscles (abdominal FES) during cough training on blood pressure (BP), and how it is affected by injury characteristics and alters over time. Laboratory and community. Sixteen participants with SCI (C4-T5) underwent 25 of abdominal FES cough training (5 sets of 10 stimulated coughs) over 6 weeks as part of a previously published study on the effect of abdominal FES training on cough. Systolic BP (SBP), diastolic BP (DBP) and calculated mean arterial pressure (MAP) were measured at the completion of each set. Abdominal FES coughing resulted in an average ~30% acute increase in BP from initial resting BP across all sessions in almost all participants (p &lt; 0.001). However, the increase in BP during abdominal FES coughs from rest reduced over the 25 sessions of training by ~35% for SBP, MAP and DBP (p = 0.024, p = 0.013 and p = 0.042, respectively). There was no meaningful change in resting BP over time (p = 0.935, p = 0.705 and p = 0.988, respectively). Overall, increases in BP during abdominal FES coughs were greatest for those with chronic injuries and cervical injuries. Transcutaneous abdominal FES during cough training acutely increases BP. However, the magnitude of the increase is reduced after 25 sessions of training. Abdominal FES may offer a solution to combat orthostatic hypotension, but its effectiveness may diminish over time.</description><issn>1362-4393</issn><issn>1476-5624</issn><issn>1476-5624</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNo9kF1LwzAUhoMobk7_gBeSS2-q-WrTXsrwCwbezOuQpqcuI11q0jr3783cFAJ54TzvgfMgdE3JHSW8vI-C8opnhImMUCKKbHuCplTIIssLJk5T5gXLRGIm6CLGNSGkolV5jia8EqVkjE7R93IFGNoWzIB9i3Xd-M5utMPtuDGD9fsILk2DNSnGwXaj0_sBTq923je4DxDjGADbDe7B9w7w1g4rvLIfK-zgC1Kv_11qfGgStR7D7hKdtdpFuDr-M_T-9Licv2SLt-fX-cMiM7QUQ1ZrRkFQSUwh8nSbrFklDJdlWVRCmCQg10Q0dZNzLrXUtCB5okVFdCllS_gM3R729sF_jhAH1dlowDm9AT9GxSnjecJlmVB2QE3wMQZoVR9sp8NOUaL2xtXBuErG1a9xtU2lm-P-se6g-a_8KeY_hfx81w</recordid><startdate>20241101</startdate><enddate>20241101</enddate><creator>Bojanic, Teodora</creator><creator>McCaughey, Euan J</creator><creator>Finn, Harrison T</creator><creator>Humburg, Peter</creator><creator>McBain, Rachel A</creator><creator>Lee, Bonsan B</creator><creator>Gandevia, Simon C</creator><creator>Boswell-Ruys, Claire L</creator><creator>Butler, Jane E</creator><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1345-3821</orcidid><orcidid>https://orcid.org/0000-0002-5834-8152</orcidid><orcidid>https://orcid.org/0000-0003-4922-5262</orcidid></search><sort><creationdate>20241101</creationdate><title>The effect of abdominal functional electrical stimulation on blood pressure in people with high level spinal cord injury</title><author>Bojanic, Teodora ; McCaughey, Euan J ; Finn, Harrison T ; Humburg, Peter ; McBain, Rachel A ; Lee, Bonsan B ; Gandevia, Simon C ; Boswell-Ruys, Claire L ; Butler, Jane E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c184t-ba21e4170c6451477b294c37886944c1395a04dbd5337a7a1605170490a877f03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bojanic, Teodora</creatorcontrib><creatorcontrib>McCaughey, Euan J</creatorcontrib><creatorcontrib>Finn, Harrison T</creatorcontrib><creatorcontrib>Humburg, Peter</creatorcontrib><creatorcontrib>McBain, Rachel A</creatorcontrib><creatorcontrib>Lee, Bonsan B</creatorcontrib><creatorcontrib>Gandevia, Simon C</creatorcontrib><creatorcontrib>Boswell-Ruys, Claire L</creatorcontrib><creatorcontrib>Butler, Jane E</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Spinal cord</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bojanic, Teodora</au><au>McCaughey, Euan J</au><au>Finn, Harrison T</au><au>Humburg, Peter</au><au>McBain, Rachel A</au><au>Lee, Bonsan B</au><au>Gandevia, Simon C</au><au>Boswell-Ruys, Claire L</au><au>Butler, Jane E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of abdominal functional electrical stimulation on blood pressure in people with high level spinal cord injury</atitle><jtitle>Spinal cord</jtitle><addtitle>Spinal Cord</addtitle><date>2024-11-01</date><risdate>2024</risdate><issn>1362-4393</issn><issn>1476-5624</issn><eissn>1476-5624</eissn><abstract>Single centre training study. To investigate, in a group of people with spinal cord injury (SCI), the effect of transcutaneous functional electrical stimulation of the abdominal muscles (abdominal FES) during cough training on blood pressure (BP), and how it is affected by injury characteristics and alters over time. Laboratory and community. Sixteen participants with SCI (C4-T5) underwent 25 of abdominal FES cough training (5 sets of 10 stimulated coughs) over 6 weeks as part of a previously published study on the effect of abdominal FES training on cough. Systolic BP (SBP), diastolic BP (DBP) and calculated mean arterial pressure (MAP) were measured at the completion of each set. Abdominal FES coughing resulted in an average ~30% acute increase in BP from initial resting BP across all sessions in almost all participants (p &lt; 0.001). However, the increase in BP during abdominal FES coughs from rest reduced over the 25 sessions of training by ~35% for SBP, MAP and DBP (p = 0.024, p = 0.013 and p = 0.042, respectively). There was no meaningful change in resting BP over time (p = 0.935, p = 0.705 and p = 0.988, respectively). Overall, increases in BP during abdominal FES coughs were greatest for those with chronic injuries and cervical injuries. Transcutaneous abdominal FES during cough training acutely increases BP. However, the magnitude of the increase is reduced after 25 sessions of training. Abdominal FES may offer a solution to combat orthostatic hypotension, but its effectiveness may diminish over time.</abstract><cop>England</cop><pmid>39487221</pmid><doi>10.1038/s41393-024-01046-w</doi><orcidid>https://orcid.org/0000-0002-1345-3821</orcidid><orcidid>https://orcid.org/0000-0002-5834-8152</orcidid><orcidid>https://orcid.org/0000-0003-4922-5262</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 1362-4393
ispartof Spinal cord, 2024-11
issn 1362-4393
1476-5624
1476-5624
language eng
recordid cdi_proquest_miscellaneous_3123549078
source Springer Nature
title The effect of abdominal functional electrical stimulation on blood pressure in people with high level spinal cord injury
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-21T09%3A56%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20effect%20of%20abdominal%20functional%20electrical%20stimulation%20on%20blood%20pressure%20in%20people%20with%20high%20level%20spinal%20cord%20injury&rft.jtitle=Spinal%20cord&rft.au=Bojanic,%20Teodora&rft.date=2024-11-01&rft.issn=1362-4393&rft.eissn=1476-5624&rft_id=info:doi/10.1038/s41393-024-01046-w&rft_dat=%3Cproquest_cross%3E3123549078%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c184t-ba21e4170c6451477b294c37886944c1395a04dbd5337a7a1605170490a877f03%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3123549078&rft_id=info:pmid/39487221&rfr_iscdi=true