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  4. Comparison of walking quality variables between incomplete spinal cord injury patients and healthy subjects by using a footscan plantar pressure system

Comparison of walking quality variables between incomplete spinal cord injury patients and healthy subjects by using a footscan plantar pressure system

Neural Regen Res, 2019 · DOI: 10.4103/1673-5374.244798 · Published: February 1, 2019

Spinal Cord InjuryRehabilitationBiomechanics

Simple Explanation

This study uses a plantar pressure system to compare walking quality between individuals with spinal cord injuries (SCI) and healthy individuals. The system measures spatiotemporal parameters (like speed and stride length) and plantar pressure parameters to assess differences in gait. The goal is to identify sensitive quantitative parameters that can be used to improve gait quality in SCI patients.

Study Duration
Not specified
Participants
23 SCI patients and 28 healthy subjects
Evidence Level
Level 3; Prospective, cross-sectional study

Key Findings

  • 1
    SCI patients exhibited slower walking speeds, longer stride and stance times, and shorter stride lengths compared to healthy subjects.
  • 2
    Peak pressures under the metatarsal heads and toes were lower in SCI patients, while heel pressure and contact area were higher.
  • 3
    Symmetry indexes for stance time, step length, maximum force, impulse, and contact area were increased in SCI patients, indicating reduced symmetry.

Research Summary

This study compared gait variables between SCI patients and healthy subjects using a plantar pressure system, revealing differences in spatiotemporal parameters and plantar pressure distribution. SCI patients showed slower walking speeds, altered plantar pressure distribution with higher heel pressure, and reduced gait symmetry compared to healthy individuals. The plantar pressure system and symmetry index offer sensitive quantitative parameters for assessing and improving gait quality in SCI patients.

Practical Implications

Rehabilitation Strategies

Targeted rehabilitation strategies can be developed to address specific gait impairments identified through plantar pressure analysis.

Assistive Devices

Assistive devices can be tailored to improve plantar pressure distribution and gait symmetry in SCI patients.

Quantitative Assessment

Plantar pressure parameters and symmetry index can be used to quantitatively assess the effectiveness of interventions aimed at improving gait quality.

Study Limitations

  • 1
    Small sample size
  • 2
    Only included patients with ASIA level D injury
  • 3
    Stratified analysis was difficult due to sample size

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