Energy expenditure and muscle activity during lying, sitting, standing, and walking in people with motor-incomplete spinal cord injury

Bart Dekker, Olaf Verschuren, Astrid C. J. Balemans, Nadia Baart, Frank Tubbing, Casper F. van Koppenhagen, Marcel W. M. Post

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Study design: Cross-sectional exploratory study. Objectives: To determine oxygen uptake (VO2), energy expenditure (EE), and muscle activity (MA) during lying (rest), sitting, standing, and walking among ambulatory individuals with spinal cord Injury (SCI) and to compare VO2, EE, and MA between individuals with different levels of ambulation. Setting: Rehabilitation institution with a spinal cord injury unit. Methods: A total of 22 adults with motor-incomplete SCI, ten in a low-ambulation group (non-functional or household walker) and 12 in a high-ambulation group (community or normal walker). VO2 was measured using indirect calorimetry. EE was expressed in metabolic equivalent of task (MET). MA was measured using a wireless surface electromyography device. Results: Mean VO2 was 3.19 ml/kg/min. During lying and sitting, EE was below 1.5 METs for all participants. During standing, three participants of the low-ambulation group and none in the high-ambulation group showed MET values of >1.5. In the walking condition, all participants showed MET values above 1.5. MA during stance was higher compared to the sitting condition and significantly higher in the low-ambulation group compared to the high-ambulation group. Conclusion: Lying, supported- and unsupported sitting, without moving, appear to be sedentary behaviors for ambulatory individuals with a motor-incomplete SCI (MET values of <1.5 and a lack of MA). Walking, but not standing, is a moderate physical activity (>1.5 METs), which can be used by all individuals with motor-incomplete SCI to interrupt sedentary behavior.
Original languageEnglish
Pages (from-to)1008-1016
JournalSpinal Cord
Volume56
Issue number10
DOIs
Publication statusPublished - 2018

Cite this

Dekker, B., Verschuren, O., Balemans, A. C. J., Baart, N., Tubbing, F., van Koppenhagen, C. F., & Post, M. W. M. (2018). Energy expenditure and muscle activity during lying, sitting, standing, and walking in people with motor-incomplete spinal cord injury. Spinal Cord, 56(10), 1008-1016. https://doi.org/10.1038/s41393-018-0167-y
Dekker, Bart ; Verschuren, Olaf ; Balemans, Astrid C. J. ; Baart, Nadia ; Tubbing, Frank ; van Koppenhagen, Casper F. ; Post, Marcel W. M. / Energy expenditure and muscle activity during lying, sitting, standing, and walking in people with motor-incomplete spinal cord injury. In: Spinal Cord. 2018 ; Vol. 56, No. 10. pp. 1008-1016.
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title = "Energy expenditure and muscle activity during lying, sitting, standing, and walking in people with motor-incomplete spinal cord injury",
abstract = "Study design: Cross-sectional exploratory study. Objectives: To determine oxygen uptake (VO2), energy expenditure (EE), and muscle activity (MA) during lying (rest), sitting, standing, and walking among ambulatory individuals with spinal cord Injury (SCI) and to compare VO2, EE, and MA between individuals with different levels of ambulation. Setting: Rehabilitation institution with a spinal cord injury unit. Methods: A total of 22 adults with motor-incomplete SCI, ten in a low-ambulation group (non-functional or household walker) and 12 in a high-ambulation group (community or normal walker). VO2 was measured using indirect calorimetry. EE was expressed in metabolic equivalent of task (MET). MA was measured using a wireless surface electromyography device. Results: Mean VO2 was 3.19 ml/kg/min. During lying and sitting, EE was below 1.5 METs for all participants. During standing, three participants of the low-ambulation group and none in the high-ambulation group showed MET values of >1.5. In the walking condition, all participants showed MET values above 1.5. MA during stance was higher compared to the sitting condition and significantly higher in the low-ambulation group compared to the high-ambulation group. Conclusion: Lying, supported- and unsupported sitting, without moving, appear to be sedentary behaviors for ambulatory individuals with a motor-incomplete SCI (MET values of <1.5 and a lack of MA). Walking, but not standing, is a moderate physical activity (>1.5 METs), which can be used by all individuals with motor-incomplete SCI to interrupt sedentary behavior.",
author = "Bart Dekker and Olaf Verschuren and Balemans, {Astrid C. J.} and Nadia Baart and Frank Tubbing and {van Koppenhagen}, {Casper F.} and Post, {Marcel W. M.}",
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Dekker, B, Verschuren, O, Balemans, ACJ, Baart, N, Tubbing, F, van Koppenhagen, CF & Post, MWM 2018, 'Energy expenditure and muscle activity during lying, sitting, standing, and walking in people with motor-incomplete spinal cord injury' Spinal Cord, vol. 56, no. 10, pp. 1008-1016. https://doi.org/10.1038/s41393-018-0167-y

Energy expenditure and muscle activity during lying, sitting, standing, and walking in people with motor-incomplete spinal cord injury. / Dekker, Bart; Verschuren, Olaf; Balemans, Astrid C. J.; Baart, Nadia; Tubbing, Frank; van Koppenhagen, Casper F.; Post, Marcel W. M.

In: Spinal Cord, Vol. 56, No. 10, 2018, p. 1008-1016.

Research output: Contribution to journalArticleAcademicpeer-review

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T1 - Energy expenditure and muscle activity during lying, sitting, standing, and walking in people with motor-incomplete spinal cord injury

AU - Dekker, Bart

AU - Verschuren, Olaf

AU - Balemans, Astrid C. J.

AU - Baart, Nadia

AU - Tubbing, Frank

AU - van Koppenhagen, Casper F.

AU - Post, Marcel W. M.

PY - 2018

Y1 - 2018

N2 - Study design: Cross-sectional exploratory study. Objectives: To determine oxygen uptake (VO2), energy expenditure (EE), and muscle activity (MA) during lying (rest), sitting, standing, and walking among ambulatory individuals with spinal cord Injury (SCI) and to compare VO2, EE, and MA between individuals with different levels of ambulation. Setting: Rehabilitation institution with a spinal cord injury unit. Methods: A total of 22 adults with motor-incomplete SCI, ten in a low-ambulation group (non-functional or household walker) and 12 in a high-ambulation group (community or normal walker). VO2 was measured using indirect calorimetry. EE was expressed in metabolic equivalent of task (MET). MA was measured using a wireless surface electromyography device. Results: Mean VO2 was 3.19 ml/kg/min. During lying and sitting, EE was below 1.5 METs for all participants. During standing, three participants of the low-ambulation group and none in the high-ambulation group showed MET values of >1.5. In the walking condition, all participants showed MET values above 1.5. MA during stance was higher compared to the sitting condition and significantly higher in the low-ambulation group compared to the high-ambulation group. Conclusion: Lying, supported- and unsupported sitting, without moving, appear to be sedentary behaviors for ambulatory individuals with a motor-incomplete SCI (MET values of <1.5 and a lack of MA). Walking, but not standing, is a moderate physical activity (>1.5 METs), which can be used by all individuals with motor-incomplete SCI to interrupt sedentary behavior.

AB - Study design: Cross-sectional exploratory study. Objectives: To determine oxygen uptake (VO2), energy expenditure (EE), and muscle activity (MA) during lying (rest), sitting, standing, and walking among ambulatory individuals with spinal cord Injury (SCI) and to compare VO2, EE, and MA between individuals with different levels of ambulation. Setting: Rehabilitation institution with a spinal cord injury unit. Methods: A total of 22 adults with motor-incomplete SCI, ten in a low-ambulation group (non-functional or household walker) and 12 in a high-ambulation group (community or normal walker). VO2 was measured using indirect calorimetry. EE was expressed in metabolic equivalent of task (MET). MA was measured using a wireless surface electromyography device. Results: Mean VO2 was 3.19 ml/kg/min. During lying and sitting, EE was below 1.5 METs for all participants. During standing, three participants of the low-ambulation group and none in the high-ambulation group showed MET values of >1.5. In the walking condition, all participants showed MET values above 1.5. MA during stance was higher compared to the sitting condition and significantly higher in the low-ambulation group compared to the high-ambulation group. Conclusion: Lying, supported- and unsupported sitting, without moving, appear to be sedentary behaviors for ambulatory individuals with a motor-incomplete SCI (MET values of <1.5 and a lack of MA). Walking, but not standing, is a moderate physical activity (>1.5 METs), which can be used by all individuals with motor-incomplete SCI to interrupt sedentary behavior.

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