Relationship between phantom limb pain, function, and psychosocial health in individuals with lower-limb loss.

Introduction: The adverse influence of chronic pain on function and psychological health in the general population is well understood. However, the relationship between phantom limb pain (PLP) after limb loss with function and psychological health is less clear. The study purpose was to assess the influences of PLP presence and intensity on function and psychosocial health in individuals with lower-limb loss (LLL).

Modeling the effects of hyaluronic acid degradation on the regulation of human astrocyte phenotype using multicomponent interpenetrating polymer networks (mIPNs).

Hyaluronic acid (HA) is a highly abundant component in the extracellular matrix (ECM) and a fundamental element to the architecture and the physiology of the central nervous system (CNS). Often, HA degradation occurs when an overreactive inflammatory response, derived from tissue trauma or neurodegenerative diseases such as Alzheimer's, causes the ECM in the CNS to be remodeled. Herein, we studied the effects of HA content as a key regulator of human astrocyte (HAf) reactivity using multicomponent interpenetrating polymer networks (mIPNs) comprised of Collagen I, HA and poly(ethylene glycol) diacrylate.

Collagen Based Multicomponent Interpenetrating Networks as Promising Scaffolds for 3D Culture of Human Neural Stem Cells, Human Astrocytes, and Human Microglia.

This work describes for the first time the fabrication and characterization of multicomponent interpenetrating networks composed of collagen I, hyaluronic acid, and poly(ethylene glycol) diacrylate for the 3D culture of human neural stem cells, astrocytes, and microglia. The chemical composition of the scaffolds can be modulated while maintaining values of complex moduli within the range of the mechanical performance of brain tissue (∼6.9 kPa) and having cell viability exceeding 84%.

Peak and kinetic cardiorespiratory responses during arm and leg exercise in patients with spinal cord injury.

Study Design: A paired comparison of the peak and submaximal responses of oxygen uptake and heart rate in patients with spinal cord injury (SCI) performing voluntary arm cycle exercise and functional electrical stimulation (FES) leg cycling exercise.

Objectives: To test if the blunted heart rate response and slower rate of adjustment of oxygen uptake seen in patients with SCI performing FES leg cycle exercise are also characteristic of arm exercise in these patients.

Methods: Eight paraplegics performed incremental and constant work rate (CWR) exercise with the legs and arms.

Physiologic responses during functional electrical stimulation leg cycling and hybrid exercise in spinal cord injured subjects.

Objectives: (1) To determine if a hybrid exercise (leg plus arm) training program performed immediately after functional electrical stimulation (FES) leg cycle exercise (LCE) training would further improve aerobic capacity when compared with FES leg cycle training alone, and (2) to compare the submaximal responses occurring during both FES-LCE alone and hybrid exercise in the same SCI subjects.

Design: Nonrandomized control trial whereby subjects act as their own control.

Setting: Outpatient rehabilitation in a primary care hospital.

Changes in gas exchange kinetics with training in patients with spinal cord injury.

We examined the ability of patients with spinal cord injury to undergo adaptations to chronic exercise training (cycle ergometry) invoked by functional electrical stimulation (FES) of the legs. Nine such patients performed incremental and constant work rate exercise before and after exercise training. Exercise sessions averaged 2.

Gas exchange kinetics during functional electrical stimulation in subjects with spinal cord injury.

We examined the kinetics of VO2, VCO2, and VE following the onset of unloaded leg cycling, and in recovery, in six patients with spinal cord injury (SCI). Exercise was produced by functional electrical stimulation (FES) of the quadriceps, hamstrings, and gluteal muscles. End-exercise VO2 (1.

The effect of aging on submaximal exercise performance and recovery.

The upward drift of gas exchange variables during 70% maximal exercise and recovery half-times in aged and young subjects of equivalent age-predicted aerobic capacity was measured. In the aged subjects, upward drift of VE, VO2, and HR was reduced compared with the young group. The recovery of VE, VCO2, and VO2 was slowed in the aged.

Skeletal muscle response to exercise training in congestive heart failure.

To examine the ability of the skeletal muscle of congestive heart failure (CHF) patients to adapt to chronic exercise, five patients performed localized nondominant wrist flexor training for 28 d. Inorganic phosphate (Pi) and phosphocreatine (PCr) were monitored by magnetic resonance spectroscopy in both forearms at rest and during submaximal wrist flexion exercise at 6, 12, 24, and 36 J.min-1 before and after exercise training.

Recovery of gas exchange variables and heart rate after maximal exercise in COPD.

Studies of the limited exercise capacity in patients with COPD have not assessed the recovery phase, although the phenomenon of increased oxygen uptake after exercise has been thoroughly investigated in normal subjects. Therefore, we compared the recovery of gas exchange variables and HR after maximal cycle ergometry in 16 patients with varying severities of airflow obstruction and ten aged control subjects. Aerobic capacity was reduced in the patients with COPD, and the rates of recovery of VE, VO2, VCO2, excess VCO2, and HR were all significantly slower in the patients with COPD than in the controls.