Date on Master's Thesis/Doctoral Dissertation
5-2017
Document Type
Doctoral Dissertation
Degree Name
Ph. D.
Department
Anatomical Sciences and Neurobiology
Degree Program
Anatomical Sciences and Neurobiology, PhD
Committee Chair
Magnuson, David
Committee Co-Chair (if applicable)
Brueckner-Collins, Jennifer
Committee Member
Brueckner-Collins, Jennifer
Committee Member
LeBlank, Amanda
Committee Member
Keller, Bradley
Committee Member
Howland, Dena
Author's Keywords
spinal cord injury; cardiovascular; exercise
Abstract
There is a general consensus that the level and the severity of spinal cord injury (SCI) impacts chronic cardiac abnormalities such that high thoracic and cervical SCI are the most severely affected. Furthermore, the extreme degree of immobility/inactivity experienced by the persons with SCI has implications on cardiac decline. Yet it has been difficult to separate the relative contributions of the decentralized autonomic nervous system (ANS) and the immediate and profound inactivity to chronic cardiac abnormalities. As such, this body of work sought to characterize a contusion SCI that results in persistent CV dysfunction. Echocardiography, Dobutamine stress echocardiography and pressure volume assessments were utilized to gain insights into structural remodelling and functional reserve following injury. Passive hind-limb cycling (PHLC) and swim (SWIM) training were employed to potentially reverse the observed cardiac decline. We also controlled spontaneous activity by limiting or increasing the amount of space available for animals to move to further our understanding of the effects of immobility/inactivity on SCI induced cardiac dysfunction. Our findings show that SCI disruption of the ANS results in diminished systolic function. Furthermore, we show that when appropriate interventions are implemented acutely cardiac function can be favourably influenced. However, when spontaneous activity is hindered extreme inactivity compound the initial SCI and further exacerbates cardiac decline.
Recommended Citation
DeVeau, Kathryn Michele, "Spinal cord injury induced cardiac decline and the limitations of exercise." (2017). Electronic Theses and Dissertations. Paper 2719.
https://doi.org/10.18297/etd/2719