SCI underwent 2 weeks of LT as a portion of their rehabilitation program. One participant was assigned to robotic locomotor therapy Lokomat (twice weekly)
+ BWSTT (twice weekly) and the other participant was assigned to manual BWSTT (twice weekly).
All metabolic measurements were conducted during the first and the last training sessions. Body composition measurement (bioelectrical impedance), resting energy expenditure and maximum voluntary contraction
(MVC) were measured in the morning a day before and immediately after the two-week training period.
The current case study was approved by the institutional review board of the Hunter Holmes McGuire
VA Medical Center.
2.2. Measurements
2.2.1. Participants …show more content…
2.2.3. Maximum voluntary contraction (MVC)
Maximum voluntary contraction (MVC) was measured using a Biodex IsokineticDynamometer (Shirely,
NY) located in the SCI Exercise laboratory. An Arjo barrier-free lift was used to move the subject from the wheelchair to the Biodex System. Subjectswere seated with the trunk-thigh angle at 90 degrees and the knee flexed at 90 degrees (where 0 corresponds to the full knee extension). Each subject was securely strapped to the chair by two-crossover shoulder harnesses and a belt across the hip joint. The axis of rotation of the dynamometer was aligned to the anatomical knee axis.
The lever arm was attached 2–3 inches above the lateral malleolus. Each participant was allowed 3 trials/ leg and the average of the three trials was then calculated.
Moreover, the passive torque (Nm) of the right and left knee extensor muscle groups, index of extensor spasticity, was measured at 5, 30, 60, 90, 120, 150, 180,
210, 240, 270 and 300 degrees/sec after considering the force of the lever arm at the corresponding speeds.
2.2.4. Energy expenditure
Resting energy expenditure (REE) was monitored using COSMED K4b2 (COSMED USA, Chicago,