The Journal of Spinal Cord Medicine, 2023 · DOI: 10.1080/10790268.2022.2035619 · Published: July 1, 2023
This study looks at how spinal cord injury (SCI) affects the muscles and tendons in the lower limbs, and how this relates to nerve function. The study found that people with SCI had smaller muscles with altered structure (lower thickness, pennation angle, and fascicle length) and increased echo intensity, indicating changes in muscle quality. Tendons were also affected. The study also found electrophysiological disorders in the muscles of SCI patients, suggesting nerve damage. These changes may explain why muscles don't respond well to electrical stimulation after SCI.
The study's findings can help in designing more targeted rehabilitation programs for individuals with SCI, focusing on addressing muscle and tendon maladaptations.
Understanding the neuromuscular electrophysiological disorders (NED) can lead to optimized NMES protocols tailored to the specific needs of SCI patients.
Early detection and intervention strategies can be developed to mitigate muscle atrophy and tendon remodeling in individuals with SCI.