| Restoration of walking function in an individual with chronic complete (AIS A) spinal cord injury. | |
| | |
MedLine Citation:
|
PMID: 20809063 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: The prognosis for further recovery of motor function 2 years after complete spinal cord injury is poor. This case report describes recovery of walking function in an a 33-year old man two years post T7 spinal cord injury American Spinal Injury Association Impairment Scale A following intensive physical therapy and robotic locomotor training. DESIGN: Case report. METHODS: The subject engaged in an intensive clinic-based physical therapy program and research-based robotic locomotor training study over a 7-month period. Physical therapy was initiated 4 months prior to entry into the research study, and targeted trunk control, upper extremity strength, and upright mobility. On initial entry into the robotic locomotor training study the subject's AIS A classification was substantiated. Initial, interim, and follow-up tests of sensation, strength, sitting balance, spasticity, and mobility were performed. RESULTS: Lower extremity motor scores improved from 0/50 to 4/50, bilateral hip flexors increased from grade 0/5 to 2/5, warranting injury re-classification from American Spinal Injury Association Impairment Scale A to C. Intensive physical therapy combined with robotic locomotor training was associated with restoration of short distance walking function with lower extremity braces and a walker. CONCLUSION: To our knowledge, this is the first report of an individual with chronic spinal cord injury American Spinal Injury Association Impairment Scale A improving in over-ground walking ability following intensive physical therapy and robotic locomotor training. The presence of a neurophysiologically discomplete lesion probably permitted training of operational neural pathways and enabled the development of useful voluntary movement. |
| | |
Authors:
|
Kathleen J Manella; Juana Torres; Edelle C Field-Fote |
Related Documents
:
|
2216563 - The child dancer. medical considerations. 6846683 - Incidence of soccer injuries and their relation to training and team success. 15355233 - Mosquito behavior and vector control. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
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 Sep |
Date Detail:
|
Created Date: 2010-09-02 Completed Date: 2010-09-10 Revised Date: 2011-03-30 |
Medline Journal Info:
|
Nlm Unique ID: 101088169 Medline TA: J Rehabil Med Country: Sweden |
Other Details:
|
Languages: eng Pagination: 795-8 Citation Subset: IM |
Affiliation:
|
Department of Physical Therapy, University of Miami Miller School of Medicine, Coral Gables, Florida, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Humans Lower Extremity / physiopathology Male Physical Therapy Modalities Recovery of Function Robotics Spinal Cord Injuries / physiopathology, rehabilitation* Time Factors Treatment Outcome Walking / physiology* |
| Comments/Corrections | |
Comment In:
|
J Rehabil Med. 2011 Mar;43(4):367; author reply 367-8
[PMID:
21327323
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Mode of hand training determines cortical reorganisation: A randomized controlled study in healthy a...
Next Document: Anterior hybrid decompression and segmental fixation for adjacent three-level cervical spondylosis.