A preliminary study on the correlation of upper limb loading during seated push-up test and body compositions of individuals with spinal cord injury

  • Arpassanan Wiyanad School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University
  • Pipatana Amatachaya
  • Thanat Sooknuan
  • Charoonsak Somboonporn
  • Jittima Saengsuwan
  • Thiwabhorn Thaweewannakij
  • Sugalya Amatachaya
Keywords: Bone mineral content, Skeletal muscle mass, Rehabilitation, Mobility, Press-up test

Abstract

Individuals with spinal cord injury commonly suffer from body composition decline, e.g., skeletal muscle mass (SMM) and bone mineral content (BMC), that could affect force generation and rehabilitation outcomes, as well as risk of secondary consequences and complications. However, the assessments for body compositions using a complex and costly machine could result in late detection on the abnormality occurred in these individuals. Therefore, this research investigated the correlation between the amount of upper limb loading (ULL) during a seated push-up test (PUT), and the amount of SMM and BMC in 20 individuals with SCI. Subjects were cross-sectionally assessed for the ability of ULL while completing a seated PUT, and SMM and BMC using DXA scan. The findings were analyzed using the Pearson's correlation coefficient (r) and Spearman's rank (rs) correlation coefficients. The findings indicated significant correlation between the amount of ULL, and SMM and BMC of the subjects, not only for the arms, but also the legs and whole body (rs, r=0.560-0.805, p<0.05). The current findings offer preliminary data on the use of ULL during seated PUT to monitor the change of body compositions of individuals with SCI. However, further studies in the large number of sample size with data analysis separately for those with complete and incomplete SCI may provide clear information to extend the benefit of seated PUT for these individuals.

Downloads

Download data is not yet available.

References

Czech-Kowalska J, Czekuc-Kryskiewicz E, Pludowski P, Zaniuk K, Jaworski M, Luba A, et al. The clinical and biochemical predictors of bone mass in preterm infants. PLoS One. 2016;11(11):1-13.

Tan CO, Battaglino RA, Morse LR. Spinal cord injury and osteoporosis: causes, mechanisms, and rehabilitation strategies. Int J Phys Med Rehabil. 2013;1:1-10.

Haisma JA, van der Woude LH, Stam HJ, Bergen MP, Sluis TA, Post MW, et al. Complications following spinal cord injury: occurrence and risk factors in a longitudinal study during and after inpatient rehabilitation. J Rehabil Med. 2007;39(5):393-398.

Phonthee S, Saengsuwan J, Siritaratiwat W, Amatachaya S. Incidence and factors associated with falls in independent ambulatory individuals with spinal cord injury: a 6-month prospective study. Phys Ther. 2013;93(8):1061-1072.

Brotherton SS, Krause JS, Nietert PJ. Falls in individuals with incomplete spinal cord injury. Spinal Cord. 2007;45(1):37-40.

Lee SY, Gallagher D. Assessment methods in human body composition. Curr Opin Clin Nutr Metab Care. 2008;11(5):566-572.

Bredella MA, Ghomi RH, Thomas BJ, Torriani M, Brick DJ, Gerweck AV, et al. Comparison of DXA and CT in the assessment of body composition in premenopausal women with obesity and anorexia nervosa. Obesity. 2010;18(11):2227-2233.

Tanimoto Y, Takechi H, Nagahata H, Yamamoto H. Push-up motion analysis of spinal cord injuries. IEEE. 1998:225-230.

Yoshimura Y, Ise M. Analysis of the push-up movement based on action potentials of upper extremity muscle and ground reaction force between the palm and a force plate. Kawasaki J. Med. Welf. 2005;11(1):1-7.

Kotani Y, Tokuhiro A. Kinesiological study of the push-up motion in spinal cord injury patients: involving measurement of hand pressure applied to a force plate. Acta Med Okayama. 2002; 56(2):75-82.

Siriyakul C, Kosura N. Possibility of using a seated push-up test to determine skeletal muscle mass in older adults. B.Sc. Thesis, School of Physical Therapy, Khon Kaen University, TH.

Tagliaferri C, Wittrant Y, Davicco MJ, Walrand S, Coxam V. Muscle and bone, two interconnected tissues. Ageing Res Rev. 2015;21:55-70.

Bonewald LF, Kiel DP, Clemens TL, Esser K, Orwoll ES, O'Keefe RJ, et al. Forum on bone and skeletal muscle interactions: summary of the proceedings of an ASBMR workshop. J Bone Miner Res. 2013;28(9):1857-1865.

Lorente Ramos RM, Azpeitia Armán J, Arévalo Galeano N, Muñoz Hernández A, García Gómez JM, Gredilla Molinero J. Dual energy X-ray absorptimetry: fundamentals, methodology, and clinical applications Radiologia. 2012;54(5):410-423.

Barbat-Artigas S, Plouffe S, Pion CH, Aubertin-Leheudre M. Toward a sex-specific relationship between muscle strength and appendicular lean body mass index? J Cachexia Sarcopenia Muscle. 2013;4(2):137-144.

Tieland M, Verdijk LB, de Groot LC, van Loon LJ. Handgrip strength does not represent an appropriate measure to evaluate changes in muscle strength during an exercise intervention program in frail older people. International Journal of Sport Nutrition and Exercise Metabolism. 2015;25(1):27-36.

Estrada M, Kleppinger A, Judge JO, Walsh SJ, Kuchel GA. Functional impact of relative versus absolute sarcopenia in healthy older women. J Am Geriatr Soc. 2007;55(11):1712-1719.

Zhang X, Pan X, Deng L, Fu W. Relationship between knee muscle strength and fat/muscle mass in elderly women with knee osteoarthritis based on dual-energy x-ray absorptiometry. Int J Environ Res Public Health. 2020;17(2):1-12.

DiGirolamo DJ, Kiel DP, Esser KA. Bone and skeletal muscle: neighbors with close ties. J Bone Miner Res. 2013;28(7):1509-1518.

Frontera WR. Physiologic changes of the musculoskeletal system with aging: A brief review. Phys Med Rehabil Clin N Am. 2017;28(4):705-711.

Dolbow DR, Gorgey AS. Effects of use and disuse on non-paralyzed and paralyzed skeletal muscles. Aging Dis. 2016;7(1):68-80.

Kaji H. Interaction between muscle and bone. J Bone Metab. 2014;21(1):29-40.

Published
2021-04-30
How to Cite
1.
Wiyanad A, Amatachaya P, Sooknuan T, Somboonporn C, Saengsuwan J, Thaweewannakij T, Amatachaya S. A preliminary study on the correlation of upper limb loading during seated push-up test and body compositions of individuals with spinal cord injury. Naresaun Phayao J [Internet]. 2021Apr.30 [cited 2021Sep.23];14(1):47-3. Available from: https://li01.tci-thaijo.org/index.php/journalup/article/view/247072
Section
Research articles