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Cardiopulmonary Response to Robot-Assisted Tilt Table With Regard to Its Components

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Cardiopulmonar y function is exceptionally critical during the early stages of rehabilitation after neurological disorders such as stroke, spinal cord injur y and Parkinson’s disease. This study aimed to demonstrate how robot-assisted and tilt table exercises affect cardiopulmonar y function. In this study, ten healthy young adults performed six combinations of conditions according to robot-assisted mode (on/off ), angle of tilt table (20°/60°), and functional electrical stimulation (FES) mode (on/off ). Four conditions had FES mode off with combinations of robot-assisted mode (on/off ) and tilt angle (20°/60°) and two conditions had robot-assisted mode and FES on with tilt angle (20°/60°). Cardiopulmonar y effects (oxygen uptake [VO2], peak oxygen uptake [VO2peak], metabolic energy cost [MET], rate pressure product [RPP], heart rate [HR], maximum heart rate [%HRmax], and minute ventilation [VE]) were compared in each condition. As a result, in the angle and FES mode effect, VO2, VO2peak, MET, RPP, HR, and %HRmax, unlike that for VE, showed major effects in angle. In addition, in the robot-assisted mode and angle effect, when the FES was switched off, VO2, METs, and VE values showed major effects in the robot-assisted mode, whereas all other values showed major effects in angle. Compared to earlier reported findings, we can expect that robot- assisted tilt table training can lead to changes in the cardiopulmonar y function.

Abstract

Cardiopulmonar y function is exceptionally critical during the early stages of rehabilitation after neurological disorders such as stroke, spinal cord injur y and Parkinson’s disease. This study aimed to demonstrate how robot-assisted and tilt table exercises affect cardiopulmonar y function. In this study, ten healthy young adults performed six combinations of conditions according to robot-assisted mode (on/off ), angle of tilt table (20°/60°), and functional electrical stimulation (FES) mode (on/off ). Four conditions had FES mode off with combinations of robot-assisted mode (on/off ) and tilt angle (20°/60°) and two conditions had robot-assisted mode and FES on with tilt angle (20°/60°). Cardiopulmonar y effects (oxygen uptake [VO2], peak oxygen uptake [VO2peak], metabolic energy cost [MET], rate pressure product [RPP], heart rate [HR], maximum heart rate [%HRmax], and minute ventilation [VE]) were compared in each condition. As a result, in the angle and FES mode effect, VO2, VO2peak, MET, RPP, HR, and %HRmax, unlike that for VE, showed major effects in angle. In addition, in the robot-assisted mode and angle effect, when the FES was switched off, VO2, METs, and VE values showed major effects in the robot-assisted mode, whereas all other values showed major effects in angle. Compared to earlier reported findings, we can expect that robot- assisted tilt table training can lead to changes in the cardiopulmonar y function.

참고문헌 (35)

  1. Galanis DS, "Cardiovascular and pulmonary adaptations during short-term 15° and 30° head-down posture in healthy male volunteers", Hellenic J Cardiol, 54, pp.273~280 (2013)
  2. Daunoraviciene K, "Necessity of early-stage verticalization in patients with brain and spinal cord injuries : Preliminary study", Technol Health Care, 26, pp.613~623 (2018)
  3. Hill M, "Functional and structural impairments of the pulmonary system in middle-aged people with cervical and upper thoracic spinal cord injuries", J Spinal Cord Med, pp.1~10 (2022)
  4. Aburub A, "Cardiopulmonary function and aerobic exercise in Parkinson’s : a systematic review of the literature", Mov Disord, 2020, pp.1~8 (2019)
  5. Penko AL, "Effect of aerobic exercise on cardiopulmonary responses and predictors of change in individuals with Parkinson’s disease", Arch Phys Med Rehabil, 102, pp.925~931 (2021)
  6. Strano S, "Cardiovascular dysfunction in untreated Parkinson’s disease : a multi-modality assessment", J Neurol Sci, 370, pp.251~255 (2016)
  7. Roth EJ, "Stroke rehabilitation outcome : impact of coronary artery disease", Stroke, 19, pp.42~47 (1988)
  8. Stoller O, "Effects of cardiovascular exercise early after stroke : systematic review and meta-analysis", BMC Neurol, 12, pp.45~ (2012)
  9. van de Port IG, "Systematic review of cardiopulmonary exercise testing post stroke : are we adhering to practice recommendations?", J Rehabil Med, 47, pp.881~900 (2015)
  10. Smith AC, "Cardiorespiratory fitness after stroke : a systematic review", Int J Stroke, 7, pp.499~510 (2012)
  11. Olteanu G, "The most efficient types of training in cardiopulmonary rehabilitation programs : a narrative review", Rom J Mil Med, 125, pp.338~342 (2022)
  12. Mustafa E, "Assessment for cardiovascular fitness in patients with stroke : which cardiopulmonary exercise testing method is better?", Top Stroke Rehabil, 29, pp.347~355 (2022)
  13. Lai CC, "The effect of early cardiopulmonary rehabilitation on the outcomes of intensive care unit survivors", Medicine(Baltimore), 98, pp.e14877~ (2019)
  14. Mohammad Alwardat, "Effectiveness of robot-assisted gait training on freezing of gait in people with Parkinson disease: evidence from a literature review", Journal of exercise rehabilitation, 15(2), pp.187~192 (2019), 한국운동재활학회[DOI]
  15. Rocca A, "Sympathetic activity and early mobilization in patients in intensive and intermediate care with severe brain injuries : a preliminary prospective randomized study", BMC Neurol, 16, pp.169~ (2016)
  16. Hunt KJ, "Control of work rate-driven exercise facilitates cardiopulmonary training and assessment during robot-assisted gait in incomplete spinal cord injury", Biomed Signal Process Control, 3, pp.19~28 (2008)
  17. Craven CT, "Investigation of robotic-assisted tilt-table therapy for early-stage spinal cord injury rehabilitation", J Rehabil Res Dev, 50, pp.367~378 (2013)
  18. Tee JW, "Mean arterial blood pressure management of acute traumatic spinal cord injured patients during the pre-hospital and early admission period", J Neurotrauma, 34, pp.1271~1277 (2017)
  19. Saengsuwan J, "Test-retest reliability and four-week changes in cardiopulmonary fitness in stroke patients : evaluation using a robotics-assisted tilt table", BMC Neurol, 16, pp.163~ (2016)
  20. "Development and evaluation of rehabilitation technologies for early-stage spinal cord injury"[URL]
  21. Ueda K, "Effects of combination of functional electric stimulation and robotic leg movement using dynamic tilt table on walking characteristics in post-stroke patients with spastic hemiplegia : a randomized crossover-controlled trial", J Clin Med, 11, pp.6911~ (2022)
  22. Thrasher TA, "Effects of isometric FES and dynamic FES on cardiovascular parameters on an active tilt-table stepper", 10th Annual Conference of the International FES Society (2005)
  23. Chi L, "Cardiovascular response to functional electrical stimulation and dynamic tilt table therapy to improve orthostatic tolerance", J Electromyogr Kinesiol, 18, pp.900~907 (2008)
  24. Miyamoto Y, "The dynamic response of the cardiopulmonary parameters to passive head-up tilt", Jpn J Physiol, 32, pp.245~258 (1982)
  25. Kumar S, "The effectiveness of a robotic tilt table on the muscle strength and quality of life in individuals following stroke : a randomised control trial", Int J Ther Rehabil, 27, pp.1~9 (2020)
  26. Wang HY, "The effectiveness of functional electrical stimulation of the legs in patients with heart failure : A systematic review and meta-analysis of randomized controlled trials", Clin Rehabil, 36, pp.303~316 (2022)
  27. Luo S, "A Review of Functional Electrical Stimulation Treatment in Spinal Cord Injury", Neuromolecular Med, 22, pp.447~463 (2020)
  28. Phillips WT, "Augmented upper body contribution to oxygen uptake during upper body exercise with concurrent leg functional electrical stimulation in persons with spinal cord injury", Spinal Cord, 36, pp.750~755 (1998)
  29. Banerjee P, "Prolonged electrical muscle stimulation exercise improves strength, peak VO2, and exercise capacity in patients with stable chronic heart failure", J Card Fail, 15, pp.319~326 (2009)
  30. Pérez M, "Effects of electrical stimulation on VO2 kinetics and delta efficiency in healthy young men", Br J Sports Med, 37, pp.140~143 (2003)
  31. Sörös P, "Cardiovascular and neurological causes of sudden death after ischaemic stroke", Lancet Neurol, 11, pp.179~188 (2012)
  32. Brønnum-Hansen H, "Long-term survival and causes of death after stroke", Stroke, 32, pp.2131~2136 (2001)
  33. Roth EJ, "Heart disease in patients with stroke : incidence, impact, and implications for rehabilitation. Part 1 : classification and prevalence", Arch Phys Med Rehabil, 74, pp.752~760 (1993)
  34. Stoller O, "Cardiopulmonary responses to robotic end-effector-based walking and stair climbing", Med Eng Phys, 36, pp.425~431 (2014)
  35. Saengsuwan J, "Cardiopulmonary performance testing using a robotics-assisted tilt table : feasibility assessment in able-bodied subjects", Technol Health Care, 22, pp.179~187 (2014)

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