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  4. Dynamic body‑weight support to boost rehabilitation outcomes in patients with non‑traumatic spinal cord injury: an observational study

Dynamic body‑weight support to boost rehabilitation outcomes in patients with non‑traumatic spinal cord injury: an observational study

J NeuroEngineering Rehabil, 2020 · DOI: https://doi.org/10.1186/s12984-020-00791-2 · Published: November 18, 2020

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study explores whether using dynamic body-weight support (DBWS) during rehabilitation helps people with non-traumatic spinal cord injuries (NT-SCI) improve their physical function compared to standard care. The study found that while both groups improved, those using DBWS showed significantly greater gains in sphincter control, which is important for bladder and bowel function. Although there was a trend toward greater gains in locomotion for the DBWS group, this did not reach statistical significance, suggesting that more extensive research is needed.

Study Duration
July 2017 to April 2018
Participants
22 individuals with non-traumatic spinal cord injury
Evidence Level
Observational Study

Key Findings

  • 1
    Participants in the DBWS group achieved significantly higher gains in sphincter control compared to the standard-of-care group.
  • 2
    There was no significant difference in overall functional gains (FIMgain) between the DBWS group and the historical control group after correcting for multiple comparisons.
  • 3
    A trend for greater gains in locomotion for the DBWS group was observed, but it did not reach statistical significance.

Research Summary

This study investigated the impact of dynamic body-weight support (DBWS) on rehabilitation outcomes for individuals with non-traumatic spinal cord injury (NT-SCI). The results suggest a potential benefit of DBWS in improving sphincter control, an important functional outcome for individuals with SCI. While overall functional gains were not significantly different between the DBWS and control groups, a trend towards improved locomotion in the DBWS group warrants further investigation.

Practical Implications

Improved Sphincter Control

DBWS may be a valuable tool for enhancing bladder and bowel control in NT-SCI patients, which is a high priority for this population.

Potential for Locomotion Improvement

Further research is needed to explore the potential of DBWS to improve locomotion in NT-SCI patients.

Technology Advancement

The findings highlight the need for continued research and development of DBWS technology to optimize its features and benefits for neurorehabilitation.

Study Limitations

  • 1
    Small sample size
  • 2
    Retrospective study design prevented randomization
  • 3
    Variance in intervention parameters

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