Effects of Continuous Passive Motion on Reversing the Adapted Spinal Circuit in Humans With Chronic Spinal Cord Injury Ya-Ju Chang, PhD, Jing-Nong Liang,

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Effects of Continuous Passive Motion on Reversing the Adapted Spinal Circuit in Humans With Chronic Spinal Cord Injury Ya-Ju Chang, PhD, Jing-Nong Liang, MS, Miao-Ju Hsu, PhD, Hen-Yu Lien, PhD, Chia-Ying Fang, MS, Cheng-Hsiang Lin, PhD Archives of Physical Medicine and Rehabilitation Volume 94, Issue 5, Pages 822-828 (May 2013) DOI: 10.1016/j.apmr.2012.11.035 Copyright © 2013 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 1 Flowchart of the inclusion process of the SCI subjects. Archives of Physical Medicine and Rehabilitation 2013 94, 822-828DOI: (10.1016/j.apmr.2012.11.035) Copyright © 2013 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 2 PAD prior to and after training in the training and control groups. A lower ratio of test H-reflex/conditioning H-reflex represents a stronger PAD. In the upper panel, the bars show mean and SDs of test-H-reflex amplitude normalized to their respective conditioning H-reflexes in the training (n=7) and the control (n=7) groups during pretest (black bars) and 4 weeks (white bars) conditions at stimulation frequencies of 0.1Hz, 1Hz, 5Hz, and 10Hz. The lower panel shows that the ratio of test H-reflex/conditioning H-reflex decreases significantly after 4 weeks in the training group but not in the control group. Archives of Physical Medicine and Rehabilitation 2013 94, 822-828DOI: (10.1016/j.apmr.2012.11.035) Copyright © 2013 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 3 PAD for 1 participant who completed 12 weeks of training. The y axis showed the amplitude of test H-reflex normalized to their respective conditioning H-reflexes. A lower ratio of test H-reflex/conditioning H-reflex represents a stronger PAD. The x axis showed the testing frequencies. The 4 lines represent the values at prior to, 4, 8, and 12 weeks of CPM training. Note that the prominent PAD pattern was shown at 4 weeks of training. No significant improvement in PAD was shown at 8 and 12 weeks of CPM training. Archives of Physical Medicine and Rehabilitation 2013 94, 822-828DOI: (10.1016/j.apmr.2012.11.035) Copyright © 2013 American Congress of Rehabilitation Medicine Terms and Conditions