Epidural stimulation with locomotor training ameliorates unstable blood pressure after tetraplegia. A case report

Abstract A male with C7 complete tetraplegia participated in 14 weeks of body weight supported treadmill training (BWSTT) combined with spinal cord epidural stimulation p1006-1420eg (SCES), 4 weeks of no intervention, and two more weeks of BWSTT + SCES.The participant presented with unstable resting seated blood pressure (BP; 131/66 mmHg).After retrospective analysis, resting systolic BP decreased and diastolic BP increased, yielding a safe mean arterial BP.There was a fivefold increase in BWSTT bouts per session, and percentage of body weight support decreased to 69%.BWSTT esab miniarc rogue + SCES safely and effectively regulated resting BP and mitigated symptoms of orthostatic intolerance.

These effects were not maintained after 4 weeks without training.

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