著者

Misa Miura Ryo Yoshizawa Shigeru Oowada Aki Hirayama Osamu Ito Masahiro Kohzuki Teruhiko Maeba

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

Progress in Rehabilitation Medicine (ISSN:24321354)

巻号頁・発行日

vol.2, pp.20170008, 2017 (Released:2017-06-15)

参考文献数

14

被引用文献数

2 2

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Objective: Hemodialysis (HD) patients have lower fitness levels than healthy subjects because of various structural, metabolic, and functional abnormalities secondary to uremic changes in skeletal muscles. Aerobic and resistance exercises are beneficial in improving not only physical function, including maximal oxygen uptake and muscle strength, but also anthropometrics, nutritional status, and hematologic indices. The use of electric ergometers that place light loads on patients has been implemented at many dialysis facilities in Japan. However, reports comparing the effects on body function of electric and variable-load ergometers are few. This study aimed to compare electric ergometers and variable-load ergometers in terms of exercise outcomes in HD patients. Methods: A total of 15 ambulatory HD patients were randomly divided into two groups: the variable-load ergometer group (n=8) and the electric ergometer group (n=7). HD patients exercised at a level based on their physical function three times a week for 12 weeks. Results: After the 12-week intervention period, only the variable-load ergometer group experienced significant increases in lower extremity muscle strength and exercise tolerance. Conclusion: This study confirmed that conventional aerobic training and electric bike exercise during HD were efficacious and safe without causing sudden hypotension or any other side effects. However, exercise using a variable-load ergometer may be more effective than exercise using an electric bike in improving the physical function of HD patients. Exercise using a variable-load ergometer elicited specific whole-body and local effects.

著者

土肥 豊

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

リハビリテーション医学 (ISSN:0034351X)

巻号頁・発行日

vol.21, no.2, pp.111-116, 1984-03-18 (Released:2009-10-28)

参考文献数

32

著者

Asako Kaneoka Rumi Ueha Miki Nagatomo Akiko Matsunaga Shigeko Umezaki Haruhi Inokuchi Toru Ogata

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

Progress in Rehabilitation Medicine (ISSN:24321354)

巻号頁・発行日

vol.7, pp.20220064, 2022 (Released:2022-12-23)

参考文献数

27

被引用文献数

1

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Background: To prevent aspiration, patients with irreversible dysphagia may undergo surgeries that separate the esophagus and trachea. Such interventions result in loss of vocal function and require alternative communication methods. We report a patient with amyotrophic lateral sclerosis (ALS) who used esophageal speech after receiving a central-part laryngectomy (CPL) to prevent aspiration.Case: A 64-year-old woman with ALS was admitted to our hospital. The patient maintained good cognitive and oral function and presented with mild dysarthria and dysphagia. Faced with rapidly worsening respiratory distress, saliva aspiration, and excessive sputum, she underwent a tracheostomy on the premise of invasive ventilation. Subsequently, the patient began using a voice-generating application for communication. Given the patient’s sincere hope to prevent aspiration and aspiration pneumonia, achieve safe oral intake, and decrease caregiver burden for frequent suctioning, the patient underwent a CPL. Following surgery, belching was observed during meals, and the patient could phonate when she belched. This finding led to four speech therapy sessions to practice esophageal speech, allowing the patient to use the pseudo-speech technique for short conversations. Removal of the entire cricoid cartilage in the CPL decreases the upper esophageal sphincter (UES) pressure, thereby allowing air to easily pass through the UES. Therefore, the patient could use the air as a sound source for esophageal speech without extensive training.Discussion: Esophageal speech may be an alternative to oral communication in patients undergoing CPL. Further research is warranted to generalize these findings to patients undergoing CPL.

著者

松下 隆

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

リハビリテーション医学 (ISSN:0034351X)

巻号頁・発行日

vol.40, no.6, pp.357-362, 2003-06-18 (Released:2009-10-28)

著者

舟橋 満寿子 長 博雪 鈴木 康之 工藤 英昭 松尾 多希子 許斐 博史 堀口 利之 林田 哲郎 玉川 公子

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

リハビリテーション医学 (ISSN:0034351X)

巻号頁・発行日

vol.30, no.9, pp.647-656, 1993-09-18 (Released:2009-10-28)

参考文献数

14

被引用文献数

10 2

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嚥下・呼吸障害を呈する重度重複障害児者の一部に誤嚥防止を目的として気道・食道の分離を試み,単純気管切開を含め各術式の有効性を比較検討した.その結果,喉頭気管分離術が,下気道感染症の激減,呼吸機能・嚥下機能・栄養状態の改善,経口摂食の獲得,術後合併症の少ないことなど,すべての面で他の術式より優れていた.彼らの生活は受動的になりがちだが,外科的方法も含め呼吸・嚥下という生命の基本のリハビリテーションを適切に行うことで能動的な活動を引き出しえた.ただし術後再閉鎖の可能性は彼らには少ないので,手術的方法を選ぶ場合,十分利点・欠点を検討し,彼らの生活の質の向上をめざすものであるべきと思われる.

著者

立岩 正孝

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

リハビリテーション医学 (ISSN:0034351X)

巻号頁・発行日

vol.6, no.2, pp.63-83, 1969-04-18 (Released:2009-10-28)

参考文献数

29

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1) Statistics of electrotherapies in Japan (1961-1966): Questionnaires concerning on clinical application of low frequency electrotherapy were sent to 142 big clinics in all over the Japan. Answers were obtained from 70 clinics. The total number of the cases was 8973 who were treated for past five years.It is clarified from the analysis of this questionnaires and answers that low frequency electrotherapy have been applyed in many clinics by following the basis of neuro-physiological principles and some improvements were noticed on 56.4% of 8858 cases.2) Statistics of electrotherapy in our clinic during past five years:The principle in the treatment of the nervous system in our clinic were as follows;a) The diseases in the muscle and peripheral nerve fibers: They will be treated by the third effect of polarization.b) The disease in neuro-muscular junction: It will be treated by the post-tetanic potentiation on neuro-muscular junction.c) The disease in the spinal synapses:It will be treated by two theoretical bases; firstly post-tetanic potentiation on spinal mono-synaptic reflex and secondly the third effect of spinal polarization on the reflex action.3) Therapeutic application of low frequency current on progressive muscular dystrophy:Recent advancement in electrotherapy on progressive muscular dystrophy in our clinic was reported in the view point of electromyography and biochemistry. The best result was gained by the administration of post-tetanic potentiation on the spinal mono-synaptic pathway.4) Several problems in future:The size and shape of electrode, wave-form, amplitude modulation, frequency modulation, telemetry, mechanical vibration, electrical narcosis, and heart and bladder stimulation with pace maker and so on were discussed.

著者

辻 哲也 園田 茂 千野 直一

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

リハビリテーション医学 (ISSN:0034351X)

巻号頁・発行日

vol.33, no.5, pp.301-309, 1996-05-18 (Released:2009-10-28)

参考文献数

13

被引用文献数

41 19

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機能的自立度評価法(FIM)を用いて,脳血管障害患者190例の入院・退院時のADL評価を行った.項目別自立度により運動,認知項目の難易度パターンを調べ,Rasch分析により運動,認知項目の合計点別に各項目の点数分布を分析した.運動項目では,難易度パターンは入院・退院時とも同様であり,損傷病巣側,年齢による差もなかった.認知項目では損傷病巣側により差がみられた.痴呆は難易度パターンに影響を与えていた.また,Rasch分析により,運動項目は合計点別に50点未満の介助群から80点台後半の応用歩行自立群までの5つのグループに分けられた.一方,認知項目では症例の一元性に問題があり,Rasch分析以外の解析手法を検討すべきであると思われた.

著者

新名 直樹 長嶋 淑子 白土 修 眞野 行生

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

リハビリテーション医学 (ISSN:0034351X)

巻号頁・発行日

vol.35, no.9, pp.649-654, 1998-09-18 (Released:2009-10-28)

参考文献数

19

被引用文献数

1

著者

Yuichiro Soma Hirotaka Mutsuzaki Tomokazu Yoshioka Shigeki Kubota Yukiyo Shimizu Akihiro Kanamori Masashi Yamazaki

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

Progress in Rehabilitation Medicine (ISSN:24321354)

巻号頁・発行日

vol.7, pp.20220036, 2022 (Released:2022-07-21)

参考文献数

26

被引用文献数

3

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Objectives: To achieve better outcomes, neuromuscular and biomechanical factors should be considered in rehabilitation after anterior cruciate ligament reconstruction. In this study, we investigated the feasibility and safety of a wearable exoskeleton robot suit [known as the single-joint hybrid assistive limb (HAL-SJ)] and whether knee training using this device could improve functional outcomes after anterior cruciate ligament reconstruction.Methods: HAL-SJ-assisted knee extension and flexion exercises were commenced in 11 patients 18 weeks after reconstruction; exercises were performed once a week for three weeks at a frequency of five sets of ten repetitions. Patients were monitored for HAL-SJ-related adverse events. Physical evaluations were conducted before and after HAL-SJ training. Surface electromyography of the quadriceps and hamstring muscles was performed in 4 of the 11 patients during each session and the muscle co-contraction index was calculated.Results: The peak muscle torque was higher at all velocities after HAL-SJ training. The active range of motion significantly increased in both extension and flexion, and the range of motion in passive flexion significantly increased. The Tegner Activity Scale and Lysholm Knee Questionnaire scores also significantly increased after knee HAL training. The muscle co-contraction index during extension tended to be lower after HAL-SJ training. No adverse events were observed.Conclusions: The findings of this study indicate the feasibility and safety of HAL-SJ training as a neuromuscular rehabilitation tool after anterior cruciate ligament reconstruction. The knee HAL-SJ training may have contributed to these results from a neurophysiological perspective by lowering the co-contraction of knee muscles, which would correct impairment of the antagonistic or synergistic muscles.

著者

Chanasak Hathaiareerug Suthida Somnam Wipoo Kumnerddee Chanwit Phongamwong

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

Progress in Rehabilitation Medicine (ISSN:24321354)

巻号頁・発行日

vol.7, pp.20220037, 2022 (Released:2022-07-22)

参考文献数

28

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Objectives: This study aimed to evaluate the diagnostic properties for carpal tunnel syndrome (CTS) of the median-to-ulnar cross-sectional area ratio (MUR) and the median-to-superficial radial cross-sectional area ratio (MRR).Methods: A case–control study was conducted. A physiatrist, blinded to the CTS status of the subjects, assessed the cross-sectional area of the median nerve (CSA-m), MUR, and MRR at the distal wrist crease for the CTS and control groups. The relationship of CSA-m, MUR, and MRR with CTS severity was tested using Spearman’s correlation. The overall diagnostic accuracy was determined using the area under the receiver operating characteristic curve (AUC). The cut-off values to diagnose CTS were chosen to achieve similar values for sensitivity and specificity.Results: There were 32 hands in the CTS group and 33 hands in the control group. The correlations of CSA-m, MUR, and MRR with CTS severity were 0.66, 0.56, and 0.34, respectively. The AUCs of CSA-m, MUR, and MRR were 0.86 (95%CI: 0.77–0.95), 0.79 (0.69–0.90), and 0.69 (0.56–0.82), respectively. The cut-off values of CSA-m, MUR, and MRR were 12 mm2 (sensitivity, 81.3%; specificity, 81.8%), 2.6 (sensitivity, 68.8%; specificity, 69.7%), and 10 (sensitivity, 65.6%; specificity, 63.6%), respectively.Conclusions : MUR and MRR had acceptable diagnostic abilities but did not show superiority over CSA-m for CTS diagnosis.

著者

西脇 香織 近藤 国嗣 里宇 明元 千野 直一

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

リハビリテーション医学 (ISSN:0034351X)

巻号頁・発行日

vol.39, no.5, pp.257-266, 2002-05-18 (Released:2009-10-28)

参考文献数

36

被引用文献数

3 1

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Peripheral nerves have a potency to regenerate vigorously after injury, but often it is difficult to achieve a sufficient functional recovery. Although advances in microsurgery and a better understanding of nerve regeneration have improved the outcomes of nerve repair, a delayed and misdirected reinnervation still be a problem hindering functional restoration. Rehabilitation managements of peripheral nerve injury, such as electrical stimulation, exercise training and other approaches, have been in clinical use, but their effects on promoting reinnervation remain controversial. In this paper we review the basic studies which have investigated the mechanisms and efficacies of electrical stimulation, exercise training and motor/sensory reeducation. Electrical stimulation could elicit effects on the regenerated nerves, but inappropriate stimulation conditions might disturb regeneration. Exercise training often improves functional recovery after nerve injury, but overloaded and forced exercise might have a detrimental effect. The peripheral axonal misdirection is reflected in a cortical reorganizational changes. Some studies have revealed beneficial changes in the cortical map after motor/sensory reeducation programs in monkeys with nerve injury, which may explain the improved functional outcomes after rehabilitation in humans.

著者

豊倉 穣 本田 哲三 石田 暉 村上 恵一

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

リハビリテーション医学 (ISSN:0034351X)

巻号頁・発行日

vol.29, no.2, pp.153-158, 1992-02-18 (Released:2009-10-28)

参考文献数

11

被引用文献数

7 5

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注意障害に対する訓練として,SohlbergらのAttention process trainingを日本語訳し,原版よりその手技を簡便化したうえで外来患者の家庭訓練に用いた.注意障害を有する脳障害患者の慢性期2症例で施行した結果,注意障害評価法としての机上テストで改善が認められ,日常生活上,社会生活上にもその効果が示唆された.以上よりAPTは認知リハビリテーションの一手技として有効である可能性が示された.

著者

Miho Shogenji Mikako Yoshida Koyomi Sumiya Tsutomu Shimada Yasunori Ikenaga Yoru Ogawa Kohei Hirako Yoshimichi Sai

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

Progress in Rehabilitation Medicine (ISSN:24321354)

巻号頁・発行日

vol.7, pp.20220028, 2022 (Released:2022-05-25)

参考文献数

34

被引用文献数

1

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Objectives : Many stroke patients experience motor and cognitive dysfunctions that make living at home challenging. We aimed to identify the factors associated with hospital discharge to home in older stroke patients in convalescent rehabilitation wards where intensive and comprehensive inpatient rehabilitation are performed following acute-phase treatment.Methods : A retrospective cohort study was conducted among 1227 older stroke patients registered in the database of the Council of Kaga Local Stroke Network, Japan, between 2015 and 2019. Patients’ basic characteristics, discharge destination, type and severity of stroke, cognitive status, and activities of daily living (ADL) including continence were evaluated.Results : The proportion of subjects discharged to home was 62.3%. The mean hospital stay in the home discharge group was shorter than that in the non-home discharge group (111 days vs. 144.6 days, P <0.001). The following factors were associated with discharge to home: age (adjusted odds ratio [AOR]: 2.801, 95% confidence interval [CI] [1.473, 2.940]; P <0.001), sex (AOR: 1.513, 95% CI [1.112, 2.059]), stroke type (AOR: 1.426, 95% CI [1.013, 2.007]), low cognitive status (AOR: 3.750, 95% CI [2.615, 5.379]), low level of bladder control (AOR: 2.056, 95% CI [1.223, 3.454]), and low level of bowel control (AOR: 2.823, 95% CI [1.688, 4.722]).Conclusions : Age, sex, stroke type, cognitive function, and ADL scores for bladder and bowel control were associated with discharge to home. Improving continence management regarding both voiding and defecation may be a promising care strategy to promote hospital discharge to home in older stroke patients.

著者

上田 敏

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

リハビリテーション医学 (ISSN:0034351X)

巻号頁・発行日

vol.39, no.3, pp.123-127, 2002-03-18 (Released:2009-10-28)

参考文献数

4

被引用文献数

1 1

著者

Shoichi Masaki Tadashi Takahashi Toshinori Sahara Ryo Endo Masayoshi Obana

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

Progress in Rehabilitation Medicine (ISSN:24321354)

巻号頁・発行日

vol.7, pp.20220004, 2022 (Released:2022-02-04)

参考文献数

17

被引用文献数

3

---

Background: COVID-19 is associated with an increased risk of venous thromboembolism (VTE), and prophylactic anticoagulation is recommended for the prevention of VTE in COVID-19 patients. We encountered a patient with COVID-19 who developed iliopsoas hematoma (IPH) that was likely caused by prophylactic anticoagulation against VTE; we report the case here because IPH is an important risk in rehabilitation treatment.Case: The patient was a 73-year-old man with severe COVID-19 who received anticoagulation therapy from the time of admission (day 0). On day 22, decreased hemoglobin levels, muscle weakness in the left lower extremity, and pain on passive movement of the left hip joint were noted. On day 29, computed tomography (CT) was performed and revealed a mass lesion suspicious of a hematoma in the left iliopsoas muscle. On day 36, magnetic resonance imaging (MRI) was carried out to re-evaluate the mass lesion and revealed a multicystic lesion that could also have been an abscess. CT-guided puncture drainage was performed, but no pus-like material was collected; this finding led to a diagnosis of IPH. Subsequent exercise loads were gradually increased while the status of the hematoma was assessed.Discussion: The prevalence of IPH in COVID-19 patients has been reported to be 7.6 cases per 1000 admissions, and the use of anticoagulation is likely to increase the risk of IPH. Because rehabilitative interventions can lead to the discovery or aggravation of IPH, the possibility of IPH should be kept in mind when providing rehabilitation treatment for COVID-19 patients.

著者

Kohji Iwai Tomoyuki Hisano Ryo Komada Tamami Miyai Kazutaka Sakai Mayu Torimoto Yasuyuki Tsujita

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

Progress in Rehabilitation Medicine (ISSN:24321354)

巻号頁・発行日

vol.6, pp.20210030, 2021 (Released:2021-08-04)

参考文献数

21

被引用文献数

3

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Objectives: This study investigated retrospectively the effect of early rehabilitation in the intensive care unit (ICU) by a dedicated therapist using a rehabilitation protocol.Methods: The subjects comprised patients admitted to our emergency ICU. A dedicated therapist and a rehabilitation protocol were instigated in April 2018. We enrolled 330 patients in phase I (April 2016–March 2018) and 383 patients in phase II (April 2018–March 2020). Patients in the ICU for only one night and pediatric patients were excluded. The following data were accessed from medical records: sex, height, age, Sequential Organ Failure Assessment, rehabilitation intervention, ventilation at admission, duration of mechanical ventilation, extubation, reintubation, tracheotomy, length of ICU stay, length of hospital stay, and outcome. The effectiveness of rehabilitation was assessed using the time from ICU admission to the first rehabilitation session, first sitting exercise, and first standing exercise. Clinical outcomes were analyzed separately for subjects discharged to home or transferred to another hospital.Results: The percentage of subjects undergoing rehabilitation intervention increased significantly from 23.4% to 56.7% (P<0.001) in phase II. Moreover, reintubation (P=0.045); the length of ICU stay (P=0.022); and the time from ICU admission to the first rehabilitation session (P<0.001), the first sitting exercise (P=0.001), and the first standing exercise (P=0.047) significantly decreased in phase II. Furthermore, the duration of mechanical ventilation (P=0.007) and the length of ICU stay (P=0.036) were significantly reduced in the transfer group.Conclusions: Although the effectiveness of early intervention was suggested, prospective multicenter studies are required to confirm this finding.

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

リハビリテーション医学 (ISSN:0034351X)

巻号頁・発行日

vol.40, no.2, pp.93-115, 2003-02-18 (Released:2009-10-28)

著者

岡本 隆嗣 橋本 圭司 大橋 正洋 中地 照子 石井 明美 宮野 佐年

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

リハビリテーション医学 (ISSN:0034351X)

巻号頁・発行日

vol.41, no.10, pp.678-685, 2004-10-18 (Released:2009-10-28)

参考文献数

16

被引用文献数

5 6

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当院で入院の多数を占める脊髄損傷,脳外傷,変形性股関節症患者のHRQOLおよび費用対効果を,EuroQOLを用い調査した.対象は2003年7月~12月に30日以上入院し,質問が理解可能で,重度の合併症がない111名である.調査内容は(1)入退院時FIM,(2)入退院時EuroQOL,(1)5項目法(5 Dimension,以下5D),(2)視覚評価法(Visual Analogue Scale,以下VAS),(3)5Dで問題がある人の割合,(3)費用効用分析,とした.結果は,脳外傷・脊髄損傷はFIMが有意に改善し,5D・VASは,3疾患とも有意に改善した.5D各項目では,脳外傷・脊髄損傷は各項目とも全体的に問題を感じている人の割合が減少し,変形性股関節症では,特に痛み・不安の項目で減少がみられた.診療報酬より算出した入院中の医療費は,脳外傷146.2±50.4万円,脊髄損傷182.2±79.0万円,変形性股関節症138.9±40.7(手術料含むと285.6±71.1)万円であった.患者の状態が退院後も変化しないと仮定した場合の1質調整生存年(Quality adjusted Life Year;QALY)獲得のための医療費は,脳外傷43.1±12.4万円,脊髄損傷42.5±55.1万円,変形性股関節症47.8±48.7(手術料含むと93.2±84.7万円)であった.本調査で,リハビリテーション前後での効用値の有意な増加を確認することができ,3群とも費用効果ありと考えられた.

著者

Keisuke Yorimoto Yosuke Ariake Takako Saotome Madoka Mori-Yoshimura Tadashi Tsukamoto Yuji Takahashi Yoko Kobayashi

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

Progress in Rehabilitation Medicine (ISSN:24321354)

巻号頁・発行日

vol.5, pp.20200011, 2020 (Released:2020-05-26)

参考文献数

9

被引用文献数

2

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Objective: The aim of this study was to validate the usefulness of the measurement of lung insufflation capacity (LIC) using the LIC TRAINER (LT) in patients with amyotrophic lateral sclerosis (ALS). Methods: This retrospective study was conducted in the rehabilitation departments of the Japanese National Center of Neurology and Psychiatry and involved 20 ALS patients who underwent respiratory therapy between April 1, 2014, and December 2017. The vital capacity (VC), maximum insufflation capacity (MIC), and LIC measurements at the start of respiratory therapy were extracted from the medical records, and patients were divided into three groups: group A, VC could not be measured; group B, VC could be measured, but MIC was less than VC; and group C, MIC was larger than VC. LIC could be measured in all groups. In group C, paired t-tests were used to analyze whether there was a significant difference in the volumes measured using different methods. Results: LIC was 950, 1863±595, and 2980±1176 ml in groups A (n=1), B (n=10), and C (n=9), respectively. In groups A and B, LIC could be measured in all patients, even when VC or MIC could not be measured. In group C, the measured LIC value was significantly greater than MIC (p=0.003). Conclusion: LIC could be successfully measured using the LT. By using the LT, it was feasible to conveniently perform LIC measurements, suggesting that it could be a useful device for performing respiratory therapy in ALS patients.

著者

Henry Prakash Magimairaj Anand Viswanathan Selvaraj Samuelkamaleshkumar Thangavelu Senthilvelkumar

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

Progress in Rehabilitation Medicine (ISSN:24321354)

巻号頁・発行日

vol.6, pp.20210042, 2021 (Released:2021-10-26)

参考文献数

23

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Objectives: We analyzed exercise-related changes in cardiac troponins and other physiological and metabolic parameters in amateur wheelchair racers with spinal cord injury (SCI) participating in a marathon event.Methods: This pilot, prospective, observational study was conducted at a community marathon event. Fifteen community-living individuals with SCI who had registered to participate in the marathon were recruited for the study. Participants with SCI used manually propelled wheelchairs (n=5) or tricycles (n=10). The outcome measures were high-sensitivity cardiac troponin-T levels (hs-cTnT), heart rate, and metabolic parameters, including body temperature, serum electrolytes, and urine osmolality. These parameters were compared with 15 age- and race-distance-matched non-SCI runners who participated in the same marathon.Results: Participants with SCI had a higher median (inter-quartile range) baseline hs-cTnT level [13.7 ng/L (10.3–25)] than did runners [4.2 ng/L (3.2–8.7; P <0.001)]. Post-race values of hs-cTnT were elevated in participants with SCI [28.0 ng/L (19.0–48.2)] and in runners [41.5 ng/L (18.4–87.1, P= 0.7)]; however, there was no significant difference between the two groups. Other parameters were not significantly different between SCI participants and runners.Conclusion: Post-race hs-cTnT levels of amateur SCI participants were elevated but were not significantly different from those of runners. Other race-induced physiological and metabolic changes in SCI participants were comparable to those of runners. The high baseline hs-cTnT levels in participants with SCI observed in this study warrant further research.