Interface pressure and cutaneous hemoglobin and oxygenation changes under ischial tuberosities during sacral nerve root stimulation in spinal cord injury

Liu, Liang Q. and Nicholson, Graham P. and Knight, Sarah L. and Chelvarajah, Ramesh and Gall, Angela and Middleton, Fred R. I. and Ferguson-Pell, Martin W. and Craggs, Michael D. (2006) Interface pressure and cutaneous hemoglobin and oxygenation changes under ischial tuberosities during sacral nerve root stimulation in spinal cord injury. Journal of Rehabilitation Research & Development, 43 (4). pp. 553-564. ISSN 0748-7711

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Abstract

Noninvasive functional magnetic stimulation (FMS) of the sacral nerve roots can activate gluteal muscles. We propose the use of sacral anterior root stimulator (SARS) implants to prevent ischial pressure ulcers in the spinal cord injury (SCI) population. In this study, we (1) investigated the acute effects of sacral FMS on ischial pressure, skin blood content, and oxygenation changes in people with SCI and demonstrated the utility of FMS as an assessment tool, and (2) showed that similar effects are possible with electrical stimulation via a SARS implant. Results indicated that sacral nerve root stimulation, either by FMS or implanted electrical stimulation, induced sufficient gluteus maximus contraction to significantly change subjects' ischial pressures and cutaneous hemoglobin and oxygenation during sitting. In addition to these beneficial acute effects, chronic stimulation via a SARS implant may build gluteal muscle bulk and prevent or reduce pressure ulcers in the SCI population.

Item Type: Article
Keywords (uncontrolled): Functional electrical stimulation; functional magnetic stimulation; gluteal muscles; ischial pressure change; ischial tuberosity; pressure ulcer; rehabilitation; sacral nerve root stimulation; seat interface pressure; spinal cord injury; tissue reflectance spectrometry
Research Areas: A. > School of Health and Education > Adult, Child and Midwifery
Item ID: 11715
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Depositing User: Liang Liu
Date Deposited: 22 Aug 2013 07:10
Last Modified: 13 Oct 2016 14:28
URI: http://eprints.mdx.ac.uk/id/eprint/11715

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