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  4. Effects of gait training with weight support feedback walker on walker dependence, lower limb muscle activation, and gait ability in patients with incomplete spinal cord injury: A pilot randomized controlled trial

Effects of gait training with weight support feedback walker on walker dependence, lower limb muscle activation, and gait ability in patients with incomplete spinal cord injury: A pilot randomized controlled trial

The Journal of Spinal Cord Medicine, 2025 · DOI: 10.1080/10790268.2023.2260532 · Published: January 1, 2025

Spinal Cord InjuryRehabilitation

Simple Explanation

This study looks at how a special walker that gives feedback on how much weight a person is putting on it can help people with incomplete spinal cord injuries walk better. The researchers wanted to see if this walker could reduce how much people rely on the walker, improve their leg muscle activity, and improve their walking ability. The study involved two groups: one using the feedback walker and another using a regular walker. Both groups also received standard physical therapy. The researchers measured how much each group depended on their walker, how active their leg muscles were, and how well they could walk. The results showed that the group using the feedback walker reduced their reliance on the walker more than the group using the regular walker. The feedback walker group also showed some improvement in leg muscle activity and walking speed.

Study Duration
4 weeks
Participants
11 subjects with incomplete SCI
Evidence Level
Level 1, Randomized Controlled Trial

Key Findings

  • 1
    The WSFW group showed a significant decrease in walker dependence compared to the CW group.
  • 2
    Some lower extremity muscle activation (left side biceps femoris) was increased in the WSFW group compared with those in the CW group.
  • 3
    Velocity of the gait elements were increased in the WSFW group compared with those in the CW group.

Research Summary

This study investigated the effects of a weight support feedback walker (WSFW) on walker dependence, lower limb muscle activation, and gait ability in patients with incomplete spinal cord injury (ISCI). The results showed that the WSFW group experienced a significant decrease in walker dependence compared to the conventional walker (CW) group. Additionally, some lower extremity muscle activation and gait velocity improvements were observed in the WSFW group. The study concludes that WSFW gait training may help patients with ISCI transfer their body weight to the paralyzed lower extremity, but further research with a larger sample size is needed to confirm these findings.

Practical Implications

Rehabilitation Strategies

WSFW training could be integrated into rehabilitation programs for ISCI patients to reduce walker dependence and improve gait.

Assistive Device Design

The study supports the development and use of assistive devices that provide real-time feedback to enhance patient awareness and control during gait training.

Personalized Therapy

Gait training programs can be tailored based on individual patient needs and responses to WSFW feedback, potentially optimizing rehabilitation outcomes.

Study Limitations

  • 1
    Small sample size limits the generalizability of the findings.
  • 2
    The study population had a relatively long onset period after injury, which may have affected training outcomes.
  • 3
    The WSFW was only applied to a standard pick-up walker, and further studies on rolling walkers are needed.

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