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  4. Influence of spinal cord integrity on gait control in human spinal cord injury

Influence of spinal cord integrity on gait control in human spinal cord injury

Neurorehabil Neural Repair, 2016 · DOI: 10.1177/1545968315600524 · Published: July 1, 2016

Spinal Cord InjuryNeurologyBiomechanics

Simple Explanation

This study examines how spinal cord injuries affect walking. It goes beyond simple measures like speed and distance to understand the specific ways gait is altered. Researchers used detailed motion tracking to analyze the gait of individuals with motor incomplete SCI and compared it to healthy controls. The study identified distinct clusters of gait parameters that are controlled differently after a spinal cord injury, providing a more detailed understanding of walking impairments.

Study Duration
Not specified
Participants
22 motor incomplete SCI subjects and 21 healthy controls
Evidence Level
Not specified

Key Findings

  • 1
    Walking speed, intralimb coordination, and spinal cord integrity are strongly related, explaining a large portion of the variance in walking outcomes.
  • 2
    Gait-cycle variables (step length, gait-cycle phases, cadence) remained relatively normal with respect to regained walking speed in SCI patients.
  • 3
    Hip and knee ranges of motion were distinctly altered with respect to walking speed in individuals with motor incomplete SCI.

Research Summary

This study investigates the influence of spinal cord integrity on gait control in individuals with motor incomplete spinal cord injury (iSCI). The research identified distinct clusters of discretely-controlled gait parameters that refine the evaluation of gait impairment beyond simple measures of walking speed and distance. The findings suggest that gait alterations after iSCI are specific and differ from those seen in brain disorders like Parkinson's disease or stroke.

Practical Implications

Targeted Interventions

The identification of distinct gait parameter clusters allows for therapeutic interventions specifically tailored to individual patient impairments.

Improved Outcome Evaluation

Comprehensive assessments combined with multivariate analysis enable a more nuanced evaluation of treatment effectiveness.

Understanding Recovery Mechanisms

Elucidating the role of spinal cord integrity in gait control can provide insights into the underlying mechanisms involved in recovery.

Study Limitations

  • 1
    Small sample size limits generalization of results.
  • 2
    Spasticity, a major factor influencing walking pattern, was not assessed.
  • 3
    The effects of medication and walking aids require further attention.

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