Therapeutic acute intermittent hypoxia in SCI

Investigating the effect of therapeutic acute intermittent hypoxia on upper limb and respiratory function in people more than one year post spinal cord injury: The AERO-SCI trial

A spinal cord injury (SCI) results in disruption of the neural connections between the brain and spinal cord causing muscle paralysis and loss of sensation below the injury. Therapeutic acute intermittent hypoxia (AIH) is currently an emerging topic in the SCI research field because of its potential to restore function to muscles paralysed after SCI through 'neuroplasticity'. This means the therapy changes the way the brain and spinal cord connect to improve muscle function.

Treatment with AIH involves breathing air with an oxygen content equivalent to standing on top of a mountain at 6000 m (20,000 ft) altitude. It is safe to do this as the low oxygen air is breathed for short periods at a time (i.e. 1 minute) and is alternated with a short period (i.e. 1 minute) of breathing "normal" air (i.e. level of oxygen the same as sea level). In many previous studies of the breathing muscles in animals with SCI and some studies in limb muscles in humans with SCI, it has been shown that just one 30-minute session of therapeutic AIH can boost the function of previously paralysed and partially paralysed muscles for more than an hour. This study aims to understand the mechanisms of action of this therapy in people with SCI so that we will be able to identify the best way forward to target, tailor and apply this treatment clinically for people with both chronic and acute SCI.


Full Name

Assessing the effect of therapeutic acute intermittent hypoxia protocols on upper limb and respiratory function in people with chronic spinal cord injury: a Bayesian Optimal Phase II Design trial

Primary Investigator

David Berlowitz

Coordinator

Laura Stendell

Stream

Respiratory > Sleep in Spinal Cord Injury

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