Document Detail


Gait training regimen for incomplete spinal cord injury using functional electrical stimulation.
MedLine Citation:
PMID:  16249784     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: Case series, and repeated assessments of the same individuals.
OBJECTIVE: To demonstrate the feasibility and efficacy of a multiweek intervention on walking function in people with chronic, incomplete spinal cord injuries.
SETTING: Rehabilitation hospital for spinal cord injury (SCI) in Toronto, Canada.
METHODS: A convenience sample of five subjects with chronic, incomplete SCI trained for 12-18 weeks using a new multichannel neuroprosthesis for walking. The following outcome measures were recorded throughout the training period: walking speed, step frequency and average stride length based on a 2-min walk test. Also identified were which walking aids and orthoses subjects preferred to use, and whether they employed a step-to or step-through gait strategy. Follow-up measurements of three subjects were made up to 10 weeks after treatment.
RESULTS: All subjects demonstrated significant improvements in walking function over the training period. Four of the subjects achieved significantly increased walking speeds, which were due to increases in both stride length and step frequency. The fifth subject experienced a significant reduction in preferred assistive devices. Follow-up measurements revealed that two subjects walked slightly slower several weeks after treatment, but they still walked significantly faster than at the start of treatment.
CONCLUSION: The gait training regimen was effective for improving voluntary walking function in a population for whom significant functional changes are not expected. This application of functional electrical therapy is viable for rehabilitation of gait in incomplete SCI.
Authors:
T A Thrasher; H M Flett; M R Popovic
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't     Date:  2005-10-25
Journal Detail:
Title:  Spinal cord     Volume:  44     ISSN:  1362-4393     ISO Abbreviation:  Spinal Cord     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-01     Completed Date:  2006-08-01     Revised Date:  2011-06-06    
Medline Journal Info:
Nlm Unique ID:  9609749     Medline TA:  Spinal Cord     Country:  England    
Other Details:
Languages:  eng     Pagination:  357-61     Citation Subset:  IM    
Affiliation:
University of Toronto, Institute of Biomaterials and Biomedical Engineering, Ontario, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Electric Stimulation Therapy / methods*
Exercise Therapy / methods*
Feasibility Studies
Female
Gait Disorders, Neurologic / etiology,  rehabilitation*
Humans
Male
Middle Aged
Recovery of Function*
Spinal Cord Injuries / complications,  rehabilitation*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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