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Gait analysis following treadmill training with body weight support versus conventional physical therapy: a prospective randomized controlled single blind study.
MedLine Citation:
PMID:  21537338     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Study design:Single-blind randomized, controlled clinical study.Objectives:To evaluate, using kinematic gait analysis, the results obtained from gait training on a treadmill with body weight support versus those obtained with conventional gait training and physiotherapy.Setting:Thirty patients with sequelae from traumatic incomplete spinal cord injuries at least 12 months earlier; patients were able to walk and were classified according to motor function as ASIA (American Spinal Injury Association) impairment scale C or D.Methods:Patients were divided randomly into two groups of 15 patients by the drawing of opaque envelopes: group A (weight support) and group B (conventional). After an initial assessment, both groups underwent 30 sessions of gait training. Sessions occurred twice a week, lasted for 30 min each and continued for four months. All of the patients were evaluated by a single blinded examiner using movement analysis to measure angular and linear kinematic gait parameters. Six patients (three from group A and three from group B) were excluded because they attended fewer than 85% of the training sessions.Results:There were no statistically significant differences in intra-group comparisons among the spatial-temporal variables in group B. In group A, the following significant differences in the studied spatial-temporal variables were observed: increases in velocity, distance, cadence, step length, swing phase and gait cycle duration, in addition to a reduction in stance phase. There were also no significant differences in intra-group comparisons among the angular variables in group B. However, group A achieved significant improvements in maximum hip extension and plantar flexion during stance.Conclusion:Gait training with body weight support was more effective than conventional physiotherapy for improving the spatial-temporal and kinematic gait parameters among patients with incomplete spinal cord injuries.Spinal Cord advance online publication, 3 May 2011; doi:10.1038/sc.2011.37.
Authors:
P R Lucareli; M O Lima; F P S Lima; J G de Almeida; G C Brech; J M D'Andréa Greve
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-5-03
Journal Detail:
Title:  Spinal cord : the official journal of the International Medical Society of Paraplegia     Volume:  -     ISSN:  1476-5624     ISO Abbreviation:  -     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-5-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9609749     Medline TA:  Spinal Cord     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1] Departamento de Ortopedia e Traumatologia, Faculdade de Medicida da Universidade de São Paulo, São Paulo, Brazil [2] Rehabilitation Science Department, Universidade Nove de Julho, São Paulo, Brazil [3] Movement Analysis Laboratory, Hospital Albert Einstein, São Paulo, Brazil.
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