| Body weight-supported gait training for restoration of walking in people with an incomplete spinal cord injury: a systematic review. | |
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MedLine Citation:
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PMID: 20549154 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate the effect of body weight-supported gait training on restoration of walking, activities of daily living, and quality of life in persons with an incomplete spinal cord injury by a systematic review of the literature. METHODS: Cochrane, MEDLINE, EMBASE, CINAHL, PEDro, DocOnline were searched and identified studies were assessed for eligibility and methodological quality and described regarding population, training protocol, and effects on walking ability, activities of daily living and quality of life. A descriptive and quantitative synthesis was conducted. RESULTS: Eighteen articles (17 studies) were included. Two randomized controlled trials showed that subjects with injuries of less than one year duration reached higher scores on the locomotor item of the Functional Independence Measure (range 1-7) in the over-ground training group compared with the body weight-supported treadmill training group. Only for persons with an American Spinal Injury Association Impairment Scale C or D was the mean difference significant, with 0.80 (95% confidence interval 0.04-1.56). No differences were found regarding walking velocity, activities of daily living or quality of life. CONCLUSION: Subjects with subacute motor incomplete spinal cord injury reached a higher level of independent walking after over-ground training, compared with body weight-supported treadmill training. More randomized controlled trials are needed to clarify the effectiveness of body weight-supported gait training on walking, activities of daily living, and quality of life for subgroups of persons with an incomplete spinal cord injury. |
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Authors:
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Monique Wessels; Cees Lucas; Inge Eriks; Sonja de Groot |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine Volume: 42 ISSN: 1651-2081 ISO Abbreviation: J Rehabil Med Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-06-15 Completed Date: 2010-06-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101088169 Medline TA: J Rehabil Med Country: Sweden |
Other Details:
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Languages: eng Pagination: 513-9 Citation Subset: IM |
Affiliation:
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Rehabilitation Centre Amsterdam, Academic Medical Centre, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living Body Weight* Gait* / physiology Humans Quality of Life Robotics Spinal Cord Injuries / physiopathology, psychology, rehabilitation* Walking* / physiology Weight-Bearing* / physiology |
| Comments/Corrections | |
Comment In:
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J Rehabil Med. 2010 Jun;42(6):527
[PMID:
20549156
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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