Effects of Performance-Based Training on Gait and Balance in Individuals With Incomplete Spinal Cord Injury |
| |
| Institution: | 1. Department of Rehabilitation Science, George Mason University, Fairfax, Virginia;2. KPMG, McLean, Virginia;1. Center for Rehabilitation Outcomes Research, Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Evanston, Illinois;1. TIRR Memorial Hermann, Brain Injury Research Center, Houston, TX;2. Baylor College of Medicine, Department of Physical Medicine and Rehabilitation, Houston, TX;3. Zabolocki VA Medical Center, Milwaukee, WI;4. Craig Hospital, Research Department, Englewood, CO;5. University of Texas Health Science Center at Houston, School of Public Health, Department of Biostatistics and Data Science, Houston, TX;1. Medical School of Shihezi University, Shihezi, Xinjiang, China;2. Department of Psychology Rehabilitation, the First Affiliated Hospital of the Medical College, Shihezi University, Shihezi, Xinjiang, China;1. Brooks Rehabilitation Hospital, Jacksonville, Florida, the United States;2. The Ohio State University College of Medicine, Columbus, Ohio, the United States;3. Center for Rehabilitation Science and Engineering, Virginia Commonwealth University School of Medicine, Richmond, Virginia, the United States;4. Icahn School of Medicine at Mount Sinai, New York, New York, the United States;5. Wayne State University, Detroit, Michigan, the United States;6. Indiana University School of Medicine, Indianapolis, Indiana, the United States;7. Institute for Clinical Outcomes Research and University of Utah School of Medicine, Salt Lake City, Utah, the United States;8. Rocky Mountain University of Health Professions, Provo, Utah, the United States;9. Ohio State University Wexner Medical Center, Columbus, Ohio, the United States |
| |
| Abstract: | ObjectiveTo determine changes in balance and gait following a task-specific, performance-based training protocol for overground locomotor training (OLT) in individuals with motor-incomplete spinal cord injury (iSCI).DesignConvenience sample, prepilot and postpilot study.SettingHuman performance research laboratory.ParticipantsAdults (N=15; 12 men and 3 women; mean age y] ± SD, 41.5±16.9), American Spinal Injury Association Impairment Scale C or D, >6 months post-spinal cord injury.InterventionsTwo 90-minute OLT sessions per week over 12 to 15 weeks. OLT sessions were built on 3 principles of motor learning: practice variability, task specificity, and progressive overload (movement complexity, resistance, velocity, volume). Training used only voluntary movements without body-weight support, robotics, electrical stimulation, or bracing. Subjects used ambulatory assistive devices as necessary.Main Outcome MeasuresBerg Balance Scale (BBS), Spinal Cord Injury Functional Ambulation Inventory (SCI-FAI) gait parameters, spatiotemporal measures of gait (step length, step width, percent stance, stance:swing ratio) from 7 participants who walked across a pressure-sensitive walkway.ResultsFourteen participants completed the OLT protocol and 1 participant completed 15 sessions due to scheduled surgery. The BBS scores showed a mean improvement of 4.53±4.09 (P<.001). SCI-FAI scores showed a mean increase of 2.47±3.44 (P=.01). Spatiotemporal measures of gait showed no significant changes.ConclusionThis pilot demonstrated improvements in balance and selected gait characteristics using a task-specific, performance-based OLT for chronic iSCI. |
| |
| Keywords: | Gait Postural balance Rehabilitation Spinal cord injury AIS"} {"#name":"keyword" "$":{"id":"kwrd0025"} "$$":[{"#name":"text" "_":"American Spinal Injury Association Impairment Scale BBS"} {"#name":"keyword" "$":{"id":"kwrd0035"} "$$":[{"#name":"text" "_":"Berg Balance Scale iSCI"} {"#name":"keyword" "$":{"id":"kwrd0045"} "$$":[{"#name":"text" "_":"incomplete spinal cord injury OLT"} {"#name":"keyword" "$":{"id":"kwrd0055"} "$$":[{"#name":"text" "_":"overground locomotor training SCI-FAI"} {"#name":"keyword" "$":{"id":"kwrd0065"} "$$":[{"#name":"text" "_":"Spinal Cord Injury Functional Ambulation Inventory |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
