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  4. Effect of torso training on unstable surface on lower limb motor function in patients with incomplete spinal cord injury

Effect of torso training on unstable surface on lower limb motor function in patients with incomplete spinal cord injury

Journal of Zhejiang University (Medical Sciences), 2023 · DOI: 10.3724/zdxbyxb-2022-0551 · Published: April 1, 2023

Spinal Cord InjuryNeurologyRehabilitation

Simple Explanation

This study investigates how torso training on an unstable surface affects lower limb movement in patients with incomplete spinal cord injuries. Patients were divided into two groups: one receiving regular training plus stable surface torso training, and the other receiving regular training plus unstable surface torso training. The study compared gait, leg strength, balance, leg function, mobility, and nerve function between the two groups. The unstable surface training group showed more significant improvements in these areas compared to the stable surface training group. The findings suggest that unstable surface torso training can effectively improve walking and leg strength, thus enhancing lower limb motor function in patients with incomplete spinal cord injuries.

Study Duration
April 2020 to December 2021
Participants
80 patients with incomplete spinal cord injury
Evidence Level
Not specified

Key Findings

  • 1
    Unstable surface torso training significantly improved stride length, stride frequency, and comfortable walking speed compared to both pre-treatment and the stable surface training group.
  • 2
    The unstable surface group showed greater improvements in muscle strength of the quadriceps femoris, gluteus maximus, hamstring, anterior tibialis, and gastrocnemius muscles compared to the stable surface group.
  • 3
    Patients undergoing unstable surface torso training exhibited improved balance, as indicated by shorter trajectories of重心移动总轨迹 and increased dynamic stability limit range, along with better scores on the Berg Balance Scale.

Research Summary

This study investigates the effectiveness of unstable surface torso training on lower limb motor function in patients with incomplete spinal cord injury. Eighty patients were randomly assigned to either a control group (stable surface torso training) or an observation group (unstable surface torso training). The study found that unstable surface torso training significantly improved gait, lower limb muscle strength, balance function, lower limb function, mobility, and nerve function compared to stable surface torso training. The results suggest that unstable surface torso training is an effective method to enhance lower limb motor function in patients with incomplete spinal cord injury.

Practical Implications

Rehabilitation Programs

Unstable surface torso training can be incorporated into rehabilitation programs for patients with incomplete spinal cord injury to improve lower limb motor function.

Improved Gait and Balance

The training method can help improve patients' gait, balance, and muscle strength, leading to enhanced mobility and independence.

Enhanced Nerve Function

Unstable surface torso training may promote nerve function recovery, contributing to better overall outcomes for patients with spinal cord injury.

Study Limitations

  • 1
    The evaluation indicators were mostly macroscopic statistical indicators that are easy to obtain.
  • 2
    Further research could incorporate survey data and neurophysiological indicators.
  • 3
    A more scientific and reasonable comprehensive evaluation index system could be constructed.

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