OBJECTIVE: To investigate whether wearing graduated compression stockings (GCS) could affect the sympatho-adrenergic and heart rate variability (HRV) responses at rest and after a strenuous wheelchair exercise in individuals with spinal cord injury (SCI). DESIGN: Crossover trial. SETTING: Department of Physical Medicine and Rehabilitation, Saint Etienne, France. PARTICIPANTS: Nine men with SCI (five with low paraplegia: LP, four with high paraplegia: HP). INTERVENTIONS: Two maximal wheelchair exercise tests: with and without GCS (21 mmHg). MAIN OUTCOME MEASURES: HRV measurements: high frequency (HF), low frequency (LF), and LF/HF ratio. Norepinephrine (NOR) and epinephrine (EPI), at rest and post-exercise. Secondary measures were: blood pressure, heart rate, maximal power output, oxygen uptake, stroke volume, cardiac output, at rest, during and after exercise. RESULTS: When wearing GCS: LFnu(wavelet-post) significantly increased and HFnu(wavelet-post) significantly decreased (P < 0.05) in SCI subjects, leading to an enhance ratio of LF(wavelet)/HF(wavelet) and a significantly increased in NOR(rest) (P < 0.05). CONCLUSIONS: GCS induces an enhanced sympathetic activity in individuals with paraplegia, regardless of the level of the injury. Enhanced post-exercise sympathetic activity with GCS may help prevent orthostatic hypotension or post-exercise hypotension.
OBJECTIVE: To investigate whether wearing graduated compression stockings (GCS) could affect the sympatho-adrenergic and heart rate variability (HRV) responses at rest and after a strenuous wheelchair exercise in individuals with spinal cord injury (SCI). DESIGN: Crossover trial. SETTING: Department of Physical Medicine and Rehabilitation, Saint Etienne, France. PARTICIPANTS: Nine men with SCI (five with low paraplegia: LP, four with high paraplegia: HP). INTERVENTIONS: Two maximal wheelchair exercise tests: with and without GCS (21 mmHg). MAIN OUTCOME MEASURES: HRV measurements: high frequency (HF), low frequency (LF), and LF/HF ratio. Norepinephrine (NOR) and epinephrine (EPI), at rest and post-exercise. Secondary measures were: blood pressure, heart rate, maximal power output, oxygen uptake, stroke volume, cardiac output, at rest, during and after exercise. RESULTS: When wearing GCS: LFnu(wavelet-post) significantly increased and HFnu(wavelet-post) significantly decreased (P < 0.05) in SCI subjects, leading to an enhance ratio of LF(wavelet)/HF(wavelet) and a significantly increased in NOR(rest) (P < 0.05). CONCLUSIONS: GCS induces an enhanced sympathetic activity in individuals with paraplegia, regardless of the level of the injury. Enhanced post-exercise sympathetic activity with GCS may help prevent orthostatic hypotension or post-exercise hypotension.
Authors: Jill M Wecht; Robert Marsico; Joseph P Weir; Ann M Spungen; William A Bauman; Ronald E De Meersman Journal: Med Sci Sports Exerc Date: 2006-07 Impact factor: 5.411
Authors: L L Steinberg; F A Lauro; M M Sposito; S Tufik; M T Mello; M G Naffah-Mazzacoratti; E A Cavalheiro; A C Silva Journal: Braz J Med Biol Res Date: 2000-08 Impact factor: 2.590
Authors: Paolo Prandoni; Anthonie W A Lensing; Martin H Prins; Michela Frulla; Antonio Marchiori; Enrico Bernardi; Daniela Tormene; Laura Mosena; Antonio Pagnan; Antonio Girolami Journal: Ann Intern Med Date: 2004-08-17 Impact factor: 25.391
Authors: Jonathan Hu; Jonathan D Browne; Jaxon T Baum; Anthony Robinson; Michael T Arnold; Sean P Reid; Eric V Neufeld; Brett A Dolezal Journal: Int J Exerc Sci Date: 2020-12-01