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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Comparison of Oxygen Demands and Muscle Activity Patterns During Different Forms of Body Weight Supported Locomotion in Individuals With Incomplete SCI

Fenuta, Alyssa 10 1900 (has links)
<p>Body weight supported devices available to enhance locomotor recovery following an incomplete spinal cord injury (SCI) include treadmills with (Lokomat<sup>TM</sup>) and without (Manual Treadmill) robotic assistance, and the overground ZeroG<sup>TM</sup> system. Cardiovascular and muscular demands of these devices were compared during steady-state locomotion at the <em>same</em> level of body weight support (BWS) in 7 individuals with incomplete SCI (42.6±4.29 years) and matched able-bodied controls (CON). Questionnaires evaluated consumer preference based on walking experience. Oxygen uptake (VO<sub>2</sub>), heart rate (HR) and ratings of perceived exertion (RPE) were expressed as percentage of peak values obtained using arm ergometry. Additionally, VO<sub>2</sub> was expressed relative to resting metabolic equivalents (METS). Filtered electromyography (EMG) signals from tibialis anterior (TA), rectus femoris (RF), biceps femoris (BF) and medial gastrocnemius (MG) were normalized to ZeroG<sup>TM </sup>stepping. Lokomat<sup>TM</sup> sessions were the least demanding in terms of oxygen uptake compared to the Manual Treadmill and ZeroG<sup>TM</sup>, and considered the least appropriate device for the SCI group’s current level of function. For SCI, the a) ZeroG<sup>TM</sup> required 3.0 METS, 54.7% of VO<sub>2</sub>peak, 84.7% of peak HR, b) Manual Treadmill required 2.8 METS, 52.9% of VO<sub>2</sub>peak, 80.8% of peak HR and c) Lokomat<sup>TM</sup> required 1.7 METS, 30.1% of VO<sub>2</sub>peak, 67.3% of peak HR. Central RPEs were 3.8, 3.7, 0.5 and peripheral RPEs were 5.1, 4.1, 0.7 for the ZeroG<sup>TM</sup>, Manual Treadmill and Lokomat<sup>TM</sup> respectively. For CON, walking required minimal effort (at most 31.5% of VO<sub>2</sub> peak), with ZeroG<sup>TM</sup> sessions requiring greater muscle activation. For SCI, muscle activation was higher in treadmill conditions compared to the ZeroG<sup>TM</sup> due to increases in TA and BF activity. The Manual Treadmill and ZeroG<sup>TM</sup> should be considered progressions following Lokomat<sup>TM</sup> training where hip extension can be encouraged using the treadmill and additional components of gait (e.g. balance, torso stability) can be focused on using the ZeroG<sup>TM</sup>.</p> / Master of Science (MS)

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