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Abstract

International Journal of Exercise Science 10(1): 154-165, 2017 The purpose of this study was to examine the effects of active lower body eccentric resistance training (ERT) in individuals with incomplete spinal cord injury (iSCI) and controls (CON). Specifically, the study was designed to determine if those with iSCI adapt similarly to ERT as CON participants as well as the overall safety and efficacy of ERT in this population. This pilot investigation involved the recruitment of persons with iSCI (n = 3) and age- and sex-matched able-bodied CON (n = 3). The 8-week intervention focused on building lower extremity eccentric strength by progressively increasing the duration and intensity of training sessions. Control participants completed the same training intervention. Main outcome measures were eccentric strength (eccentric ergometer), isometric strength (hand held dynamometer), and leg muscle mass (DEXA). All participants completed the ERT. At posttest, eccentric strength improved from pretest (p = .044, ηp2 = .68) with similar changes between groups (p > .05). The percent improvement in isometric strength for those with iSCI (41.5%) was different than CON (-2.8%) after training (p = .044). Neither group demonstrated muscle mass gains at posttest (p > .05). Active lower body ERT is well tolerated and effective at increasing lower extremity strength in those with iSCI. These adaptations are likely attributable to neuromuscular development rather than a hypertrophic response.

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