Epidural stimulation with locomotor training ameliorates unstable blood pressure after tetraplegia. A case report | Zendy

Gorgey Ashraf S. | Zendy; Sutor Tommy W. | Zendy; Goldsmith Jacob A. | Zendy; Ennasr Areej N. | Zendy; Lavis Timothy D. | Zendy; Cifu David X. | Zendy; Trainer Robert | Zendy

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Epidural stimulation with locomotor training ameliorates unstable blood pressure after tetraplegia. A case report

Author(s) -

Gorgey Ashraf S.,

Sutor Tommy W.,

Goldsmith Jacob A.,

Ennasr Areej N.,

Lavis Timothy D.,

Cifu David X.,

Trainer Robert

Publication year - 2022

Publication title -

annals of clinical and translational neurology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.824

H-Index - 42

ISSN - 2328-9503

DOI - 10.1002/acn3.51508

Subject(s) - medicine , tetraplegia , blood pressure , anesthesia , stimulation , orthostatic vital signs , spinal cord injury , physical therapy , cardiology , spinal cord , psychiatry

A male with C7 complete tetraplegia participated in 14 weeks of body weight supported treadmill training (BWSTT) combined with spinal cord epidural stimulation (SCES), 4 weeks of no intervention, and two more weeks of BWSTT + SCES. The participant presented with unstable resting seated blood pressure (BP; 131/66 mmHg). After retrospective analysis, resting systolic BP decreased and diastolic BP increased, yielding a safe mean arterial BP. There was a fivefold increase in BWSTT bouts per session, and percentage of body weight support decreased to 69%. BWSTT + SCES safely and effectively regulated resting BP and mitigated symptoms of orthostatic intolerance. These effects were not maintained after 4 weeks without training.

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