1. Reduced oxygen desaturation in the vastus lateralis of chronic stroke survivors during graded muscle contractions.
- Author
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Hyngstrom, Allison S., Nguyen, Jennifer N., Murphy, Spencer A., Raab, Stephanie C., Schmit, Brian D., Gutterman, David D., and Durand, Matthew J.
- Subjects
QUADRICEPS muscle physiology ,KNEE physiology ,OXYGEN saturation ,STATISTICAL power analysis ,T-test (Statistics) ,DATA analysis ,STATISTICAL significance ,RESEARCH funding ,HEMIPLEGIA ,MANN Whitney U Test ,DESCRIPTIVE statistics ,CHRONIC diseases ,LONGITUDINAL method ,INFRARED spectroscopy ,ANALYSIS of variance ,STATISTICS ,STROKE ,STROKE patients ,EXERCISE tests ,DATA analysis software ,MUSCLE contraction ,PSYCHOSOCIAL factors ,DISEASE complications - Abstract
Few studies have examined changes in skeletal muscle physiology post-stroke. This study examined changes in tissue oxygen saturation (StO
2 ) of the vastus lateralis (VL) muscle of stroke survivors and age-matched control participants during maximal and submaximal isometric contractions of the knee extensor muscles. We hypothesized that tissue oxygen desaturation (ΔStO2 ) during knee extensor muscle contractions would be less in the VL in the paretic vs. the non-paretic and control legs. Ten chronic stroke survivors (>6 months post-stroke) with lower extremity muscle weakness and 10 age-matched controls completed this prospective cohort study. Maximum voluntary contractions (MVCs) of the knee extensor muscles were assessed with a Biodex dynamometer and StO2 of the VL was measured using near-infrared spectroscopy. In the paretic leg of the stroke survivors little change in StO2 of the VL was observed during an MVC (ΔStO2 = -1.7 ± 1.8%) compared to the non-paretic (ΔStO2 = -5.1 ± 6.1%; p < 0.05) and control legs (ΔStO2 = -14.4 ± 8.8%; p < 0.05 vs. paretic and non-paretic leg). These differences remained when normalizing for strength differences between the legs. Compared to controls, both the paretic and non-paretic VL showed pronounced reductions in ΔStO2 during ramp and hold contractions equal to 20%, 40%, or 60% of the MVC (p < 0.05 vs. controls at all load levels). These results indicate that oxygen desaturation in response to isometric muscle contractions is impaired in both the paretic and non-paretic leg muscle of stroke survivors compared to age-matched controls, and these differences are independent of differences in muscle strength. [ABSTRACT FROM AUTHOR]- Published
- 2024
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