TABLE 4.
Global systolic function and blood pressure outcomes before and after spinal cord epidural stimulation (scES) interventions.
Timepoint |
Model Results |
|||||
Pre scES | Post CV scES | Post Voluntary scES + CV scES | Post Stand scES + Voluntary scES + CV scES | Estimate (SE) | p-value | |
Ejection fraction, % | 57 (2) | 58 (2) | 58 (2) | 60 (2) | 1 (0.4) | 0.034 |
End diastolic volume, mL | 89 (7) | 97 (7) | 95 (8) | 96 (7) | 3 (2.0) | 0.192 |
End systolic volume, mL | 38 (4) | 42 (4) | 40 (4) | 41 (4) | 1 (0.7) | 0.216 |
Velocity time integral, cm | 20 (2) | 21 (2) | 23 (2) | 25 (2) | 2 (0.4) | <0.001 |
Cardiac output, L/min | 3.8 (0.6) | 4.1 (0.6) | 4.2 (0.6) | 4.2 (0.6) | 0.2 (0.1) | 0.051 |
Stroke volume, mL | 73 (12) | 77 (12) | 84 (12) | 84 (12) | 4.4 (1.5) | 0.007 |
Systolic blood pressure, mmHg | 99 (10) | 114 (12) | 101 (11) | 117 (11) | 4 (3.1) | 0.244 |
Diastolic blood pressure, mmHg | 52 (5) | 65 (6) | 57 (6) | 67 (6) | 4 (1.7) | 0.034 |
Heart rate, BPM | 49 (3) | 54 (3) | 49 (4) | 48 (4) | −1 (0.8) | 0.378 |
s’ contraction velocity, cm/s | 9 (0.9) | 8 (0.8) | 8 (0.8) | 9 (0.8) | −0.2 (0.2) | 0.409 |
Global circumferential strain, % | −21 (2) | −23 (2) | −23 (2) | −23 (2) | 0.4 (0.4) | 0.291 |
Global longitudinal strain, % | −25 (3) | −26 (3) | −26 (3) | −27 (3) | 0.5 (0.3) | 0.066 |
Data are the estimate (SE) of the echocardiography data obtained from individuals with spinal cord injury (n = 4) before and after scES and task-specific interventions. Measurements from each intervention are compared to pre scES measurements (*p < 0.05). Changes associated with the addition of each subsequent scES intervention are presented as the estimated change (SE) and p value. CV, cardiovascular; CV scES, scES targeted to normalize systolic blood pressure; Voluntary scES, scES targeted to facilitate voluntary movement of the trunk and lower extremities; Stand scES, scES targeted to facilitate independent, overground standing. Bolded values in the table correspond to p-values <0.05.