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  4. Effect of Overground Training Augmented By Mental Practice On Gait Velocity in Chronic, Incomplete Spinal Cord Injury

Effect of Overground Training Augmented By Mental Practice On Gait Velocity in Chronic, Incomplete Spinal Cord Injury

Arch Phys Med Rehabil, 2014 · DOI: 10.1016/j.apmr.2013.11.016 · Published: April 1, 2014

Spinal Cord InjuryNeurologyRehabilitation

Simple Explanation

This study investigates whether combining mental practice (MP) with overground training (OT) improves gait velocity in people with chronic, incomplete spinal cord injury (SCI). The researchers compared a group receiving OT only to a group receiving OT plus MP. Volunteers were recruited from rehabilitation clinics and SCI support groups. Participants were assessed on gait velocity, mobility, independence, and life satisfaction at multiple points during the study. The study found that overground training improved gait velocity. However, adding mental practice to overground training did not result in further improvements in gait velocity or other measures.

Study Duration
8 weeks
Participants
18 subjects with chronic, incomplete SCI
Evidence Level
Level 1, Randomized controlled, single blinded study

Key Findings

  • 1
    Overground training (OT) was associated with a significant increase in gait velocity across all subjects at both 1 week and 12 weeks post-therapy.
  • 2
    There were no significant differences in intervention response between the group receiving overground training plus mental practice (MP + OT) and the group receiving overground training only (OT).
  • 3
    The addition of mental practice to overground training did not result in significant improvements in Tinetti Performance Oriented Mobility Assessment (POMA), Spinal Cord Injury Independence Measure (SCIM), or Satisfaction with Life Scale (SWLS) scores.

Research Summary

This study compared the efficacy of overground training (OT) alone versus OT augmented by mental practice (MP) on gait velocity and other motor outcomes in individuals with chronic, incomplete spinal cord injury (SCI). The results showed that overground training was associated with significant gains in gait velocity in subjects with SCI. However, these gains were not augmented by the addition of mental practice. The study suggests that while OT is effective for improving gait velocity, adding MP does not provide additional benefits in this population.

Practical Implications

Rehabilitation Strategies

Overground training should be considered as a primary intervention to increase gait velocity in individuals with chronic, incomplete SCI.

Mental Practice Utility

The study questions the added value of mental practice as an adjunctive therapy to overground training for improving gait velocity in this population.

Future Research

Further research is needed to investigate whether higher durations or frequencies of mental practice could yield different results or if other populations might benefit more from the combination of mental practice and overground training.

Study Limitations

  • 1
    Relatively small sample size, which could diminish power to estimate a treatment effect.
  • 2
    Heterogeneity common to this population with incomplete SCI.
  • 3
    Potential ceiling effect in the MP + OT group due to higher baseline scores on some outcome variables.

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