A systematic review of the efficacy of gait rehabilitation strategies for spinal cord injury

Top Spinal Cord Inj Rehabil, 2007 · DOI: 10.1310/sci1301-32 · Published: January 1, 2007

Simple Explanation

This review examines different methods to help people with spinal cord injuries walk better. It looks at therapies like treadmill training, electrical stimulation, and braces, and how well they work. The review found that therapies that involve repeated practice of walking are most effective. Supportive devices like braces can also help, especially for those with incomplete injuries. The goal is to give doctors and therapists a clear picture of what treatments are most likely to improve walking ability in people with spinal cord injuries.

Study Duration

Not specified

Participants

41 articles were analyzed, covering various strategies

Evidence Level

Systematic Review

Key Findings

1
Body-weight supported treadmill training (BWSTT) is comparable to overground gait training in sub-acute SCI.
2
BWSTT may be effective in improving functional ambulation in chronic SCI.
3
FES may augment functional ambulation in sub-acute/chronic SCI, while braces may afford particular benefits to people with complete SCI.

Research Summary

Rehabilitation strategies that facilitate repeated practice of gait offer the greatest benefits to functional ambulation in sub-acute or chronic SCI. Supportive devices may augment functional ambulation particularly in people with incomplete SCI. The studies reviewed here suggest that facilitating the practice of walking during rehabilitation can enhance the recovery of functional ambulation in incomplete SCI.

Practical Implications

Intensive Gait Practice

Intensive locomotor training in the sub-acute phase significantly enhances functional ambulation.

FES Augmentation

FES can be used to improve functional ambulation skills, particularly in those with incomplete SCI.

Bracing for Ambulation

Bracing devices can enable ambulation in individuals with complete paraplegia.

Study Limitations

1
Limited number of high-quality RCTs
2
Varied treatment parameters across studies
3
Inconsistent use of standardized outcome measures

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