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  4. Effect of EMG-biofeedback robotic-assisted body weight supported treadmill training on walking ability and cardiopulmonary function on people with subacute spinal cord injuries – a randomized controlled trial

Effect of EMG-biofeedback robotic-assisted body weight supported treadmill training on walking ability and cardiopulmonary function on people with subacute spinal cord injuries – a randomized controlled trial

BMC Neurology, 2019 · DOI: https://doi.org/10.1186/s12883-019-1361-z · Published: June 6, 2019

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study investigates whether using a robot-assisted treadmill with EMG biofeedback can help people with spinal cord injuries walk better and improve their heart and lung function. The intervention group received 30 min of RABWSTT with EMG biofeedback system over the vastus lateralis muscle to enhance active participation. The control group received passive lower limbs mobilization exercise.

Study Duration
8 weeks
Participants
16 incomplete SCI subjects
Evidence Level
Level 1, Randomized Controlled Trial

Key Findings

  • 1
    Significant time-group interaction was found in the Walking Index for Spinal Cord Injury version II (WISCI II).
  • 2
    Significant improvements were found in the RABWSTT group in mobility sub-score of SCIM III, bilateral symmetry, maximal oxygen consumption and PEF.
  • 3
    The study suggests that RABWSTT can improve walking independence by means other than muscle strength.

Research Summary

The study demonstrated that EMG-biofeedback RABWSTT enhanced the walking performance for SCI subjects and improve cardiopulmonary function. Positive outcomes reflect that RABSTT training may be able to enhance their physical fitness. The use of EMG-biofeedback for monitoring of subject participation during RABWSTT is a feasible treatment regime for promoting independent walking ability.

Practical Implications

Enhanced Walking Performance

EMG-biofeedback RABWSTT can improve walking ability in people with incomplete SCI.

Improved Cardiopulmonary Function

RABWSTT can lead to better maximal oxygen consumption and stronger pulmonary muscles.

Increased Independence

The treatment can help improve independence in daily activities for individuals with SCI.

Study Limitations

  • 1
    Small sample size
  • 2
    Significant dropout in the control group
  • 3
    Discrepancies among patients may affect the prognosis

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