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  4. Arm and leg coordination during treadmill walking in individuals with motor incomplete spinal cord injury: A preliminary study

Arm and leg coordination during treadmill walking in individuals with motor incomplete spinal cord injury: A preliminary study

Gait Posture, 2012 · DOI: 10.1016/j.gaitpost.2012.01.004 · Published: May 1, 2012

Spinal Cord InjuryRehabilitationBiomechanics

Simple Explanation

This study examines how people with incomplete spinal cord injuries coordinate their arm and leg movements while walking on a treadmill. Researchers looked at the timing, amplitude, and consistency of hip and shoulder movements to understand how these movements are related. The study found that individuals with iSCI demonstrate altered, but reproducible, coordination patterns, particularly at slower walking speeds, which might be compensatory strategies.

Study Duration
Not specified
Participants
11 individuals with motor incomplete spinal cord injury and 11 controls
Evidence Level
Level 3, Preliminary study

Key Findings

  • 1
    Individuals with iSCI showed a 1:1 arm:leg frequency ratio, regardless of walking speed, unlike controls who varied their ratio with speed.
  • 2
    Inter-extremity coordination is present following iSCI, but patterns differ, especially at slower walking speeds.
  • 3
    Hip and arm swing amplitudes in individuals with iSCI remain speed-dependent, similar to controls.

Research Summary

This preliminary study characterized arm and leg coordination during treadmill walking in individuals with motor incomplete spinal cord injury (iSCI). Outcomes in individuals with iSCI selecting fast CWSs (range, 1.0–1.3 m/s) and speed-matched individuals without neurological injuries are similar. Shoulder and hip movement patterns, however, are highly reproducible (coordinated) in participants with iSCI, regardless of CWS.

Practical Implications

Rehabilitation Strategies

Findings suggest that rehabilitation programs should focus on restoring normal inter-extremity coordination patterns to improve walking function after iSCI.

Compensatory Mechanisms

Understanding altered coordination patterns can help identify compensatory strategies used by individuals with iSCI to enhance balance and forward propulsion during walking.

Neural Control of Walking

The study highlights the role of neural components in regulating arm swing and inter-extremity coordination, providing insights for developing targeted interventions.

Study Limitations

  • 1
    Small sample size
  • 2
    Preliminary nature of the study
  • 3
    Treadmill walking may not fully reflect overground walking

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