Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 5 , Pages 688-696 , May 2006

Rapid and Extensive Arterial Adaptations After Spinal Cord Injury

  • Patricia C. de Groot, MSc

      Affiliations

    • Department of Physiology, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands
  • ,
  • Michiel W. Bleeker, PhD, MD

      Affiliations

    • Department of Physiology, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands
  • ,
  • Dirk H. van Kuppevelt, MD

      Affiliations

    • Rehabilitation Centre St Maartenskliniek, Nijmegen, the Netherlands
  • ,
  • Luc H. van der Woude, PhD

      Affiliations

    • Faculty of Human Movement Sciences, Institute for Fundamental and Clinical Human Movement Sciences, Vrije Universiteit Amsterdam, the Netherlands
  • ,
  • Maria T. Hopman, MD, PhD

      Affiliations

    • Department of Physiology, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands
    • Corresponding Author InformationCorrespondence to Maria T. Hopman, MD, PhD, Dept of Physiology, Radboud University Nijmegen Medical Centre, PO Box 9101, 6500 HB Nijmegen, the Netherlands.

  • Image Result

    Changes in (A) vessel diameter, (B) MWSR, (C) basal leg blood flow of the CFA, and (D) reactive hyperemic flow in the SFA at weeks 1, 2, 3, 4, and 6 postinjury. Results of early adaptation are represe

    Changes in (A) vessel diameter, (B) MWSR, (C) basal leg blood flow of the CFA, and (D) reactive hyperemic flow in the SFA at weeks 1, 2, 3, 4, and 6 postinjury. Results of early adaptation are represented as individual data points. Diagonal blocks represent the range of values in able-bodied controls and solid blocks represent values in chronic SCI subjects from previous studies. *Significant differences between weeks (P<.01).

  • Image Result
    Individual data points of changes in (A) relative FMD response (B) absolute FMD responses, and (C) ratio of FMD/ΔMWSR at weeks 1, 2, 3, 4, and 6 postinjury. Diagonal blocks represent the range of valu

    Individual data points of changes in (A) relative FMD response (B) absolute FMD responses, and (C) ratio of FMD/ΔMWSR at weeks 1, 2, 3, 4, and 6 postinjury. Diagonal blocks represent the range of values in able-bodied controls and solid blocks represent values from chronic SCI subjects from previous studies. *Significant differences between weeks (P<.05).

  • Image Result
    Individual data point of changes in MAP at weeks 1, 2, 3, 4, and 6 postinjury. *Significant differences between weeks (P<.05).

    Individual data point of changes in MAP at weeks 1, 2, 3, 4, and 6 postinjury. *Significant differences between weeks (P<.05).

  • Image Result
    Individual data point of time course changes in (A) leg volume and (B) for diameter normalized for leg volume at weeks 1, 2, 3, 4, and 6 postinjury. Diagonal blocks represent the range of values in ab

    Individual data point of time course changes in (A) leg volume and (B) for diameter normalized for leg volume at weeks 1, 2, 3, 4, and 6 postinjury. Diagonal blocks represent the range of values in able-bodied controls and solid blocks represent values from chronic SCI subjects from previous studies. *Significant differences between weeks (P<.01).

  • Image Result
    Femoral artery diameter size across the whole spectrum of physical activity from extreme deconditioning (SCI) to endurance-trained athletes. Abbreviations: BR, bedrest; ULLS, unilateral limb suspensio

    Femoral artery diameter size across the whole spectrum of physical activity from extreme deconditioning (SCI) to endurance-trained athletes. Abbreviations: BR, bedrest; ULLS, unilateral limb suspension.

  • Image Result
    Shear rate values (y axis) plotted against the blood flow (x axis). (A) Hyperemic responses and (B) resting values are presented for SCI patients in the present study at weeks 1, 2, 3, 4, and 6 postin

    Shear rate values (y axis) plotted against the blood flow (x axis). (A) Hyperemic responses and (B) resting values are presented for SCI patients in the present study at weeks 1, 2, 3, 4, and 6 postinjury from a group of controls (lower line; open squares) and from a group of chronic SCI subjects (upper line; open circles).

 Supported by the Dutch Organization for Health Research and Development.No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.Reprints are not available from the author.

PII: S0003-9993(06)00109-2

doi: 10.1016/j.apmr.2006.01.022

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 5 , Pages 688-696 , May 2006