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  4. Device use, locomotor training, and the presence of arm swing during treadmill walking post-spinal cord injury

Device use, locomotor training, and the presence of arm swing during treadmill walking post-spinal cord injury

Spinal Cord, 2011 · DOI: 10.1038/sc.2010.128 · Published: March 1, 2011

Spinal Cord InjuryRehabilitationBiomechanics

Simple Explanation

This study looks at arm swing during walking in people with incomplete spinal cord injury (iSCI). Arm swing is a natural part of walking, but it's not clear how it's affected by SCI. The researchers wanted to see if people with iSCI still had arm swing, what factors were linked to it, and whether locomotor training (LT) could change it. LT is a type of therapy that helps people relearn how to walk. The study found that many people with iSCI didn't have arm swing during treadmill walking. However, LT seemed to help some people regain it. This suggests that arm swing can be improved with training.

Study Duration
Not specified
Participants
30 individuals with motor incomplete SCI
Evidence Level
Observational, cross-sectional study

Key Findings

  • 1
    Arm swing was absent during treadmill-based stepping in 60% of the individuals with iSCI
  • 2
    Individuals using no device, a cane, or crutches were more likely to demonstrate arm movement during treadmill stepping than individuals who use wheelchairs, rolling platform walkers, or walkers for community ambulation.
  • 3
    Of the 16 individuals initially lacking arm swing pre-LT, 8 independently integrated arm swing post-LT.

Research Summary

The study assessed arm movement during treadmill stepping in 30 individuals with motor incomplete SCI (iSCI) before and after locomotor training (LT). The results showed that arm swing was absent in a majority (60%) of participants with iSCI before LT. However, after LT, some individuals integrated arm swing. The study concludes that the presence of arm swing is altered following iSCI and can be influenced by experience and practice, particularly through locomotor training.

Practical Implications

Rehabilitation Strategies

Rehabilitation efforts may benefit from highlighting arm swing as an important component or consideration following spinal cord injury.

Device Considerations

Assistive devices that restrict arm swing may hinder the recovery of natural arm movement during walking. Choosing devices that allow for arm swing may be beneficial.

Locomotor Training Enhancement

Integrating arm swing practice into locomotor training programs may improve walking recovery and efficiency in individuals with iSCI.

Study Limitations

  • 1
    Limited sample size with thoracic injuries
  • 2
    Extent of tissue damage not considered
  • 3
    All individuals had incomplete injuries

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