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  4. Feasibility of visual instrumented movement feedback therapy in individuals with motor incomplete spinal cord injury walking on a treadmill

Feasibility of visual instrumented movement feedback therapy in individuals with motor incomplete spinal cord injury walking on a treadmill

Frontiers in Human Neuroscience, 2014 · DOI: 10.3389/fnhum.2014.00416 · Published: June 12, 2014

Spinal Cord InjuryNeurologyRehabilitation

Simple Explanation

Incomplete spinal cord injury can lead to difficulty walking due to impaired proprioception. This study explores using visual feedback to help people with iSCI improve their walking. The study involved participants walking on a treadmill while receiving visual feedback on their knee angle during swing. The goal was to see if they could normalize their gait and maintain improvements after the therapy. The results suggest that this type of feedback can be an effective addition to standard gait therapies, helping people with iSCI improve their walking patterns.

Study Duration
6 weeks
Participants
5 individuals with chronic iSCI
Evidence Level
Not specified

Key Findings

  • 1
    Four of five participants with iSCI showed short and medium-term benefits from the visual feedback training, indicating they could adapt their gait toward more physiological knee kinematics.
  • 2
    The greatest decrease in mean norm distance (ND), indicating better gait, was observed during the first three sessions of training.
  • 3
    Participants with higher vibration sensitivity in the knee joint showed greater immediate benefits from feedback training, suggesting proprioception plays a role in the effectiveness of the therapy.

Research Summary

This study investigated the feasibility of using instrumented kinematic real-time feedback to improve gait patterns in individuals with incomplete spinal cord injury (iSCI). The results suggest that visual feedback can be an effective adjunct to established gait therapies, as participants were able to alter their gait patterns during feedback and maintain improvements in the medium term. The study highlights the potential of real-time movement feedback as a therapy for ambulatory iSCI patients with sensory deficits, emphasizing the need for further research to determine the optimal feedback parameters and training strategies.

Practical Implications

Rehabilitation potential

Instrumented kinematic real-time feedback can be used as an adjunct therapy to established gait therapies in individuals with iSCI.

Personalized therapy

Assessing proprioception levels of iSCI patients can help predict the effectiveness of visual feedback therapy.

Future research

Future studies should investigate long-term learning effects and the transfer of acquired skills to activities of daily living.

Study Limitations

  • 1
    Small sample size
  • 2
    Lack of a control group
  • 3
    Treadmill walking differs from overground walking

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