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Effect of Standing on OH in SCI

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Active stand training that emphasizes weight bearing is thought to stimulate the neuromuscular system below the level of injury in individuals with SCI and may affect the response to orthostatic stress by increasing venous return (Harkema et al. 2008).

Table 10: Standing on OH in SCI

Discussion

Only one study examined the effect of active stand training using the body weight support treadmill system on cardiovascular function among individuals with complete SCI.  Harkema et al. (2008) found that after 80 sessions (60 minutes/session; 5x/week) of active stand training, individuals with complete cervical SCI demonstrated increased resting blood pressure and improvements in the cardiovascular responses to standing.

Conclusion

There is level 4 evidence (from 1 pre-post study) (Harkema et al. 2008) that 80 sessions of active stand training improves cardiovascular control such as response to orthostatic stress after cervical SCI.

  • There is limited evidence that active stand training improves the response to orthostatic stress in cervical SCI.