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  4. Kinematics and muscle activity of individuals with incomplete spinal cord injury during treadmill stepping with and without manual assistance

Kinematics and muscle activity of individuals with incomplete spinal cord injury during treadmill stepping with and without manual assistance

Journal of NeuroEngineering and Rehabilitation, 2007 · DOI: 10.1186/1743-0003-4-32 · Published: August 21, 2007

Spinal Cord InjuryNeurorehabilitationRehabilitation

Simple Explanation

This study investigates how manual assistance affects muscle activation and movement patterns during treadmill training for people with incomplete spinal cord injuries. The researchers compared the muscle activity and joint movements of individuals with spinal cord injuries while they walked on a treadmill with and without manual help from therapists. The findings suggest that manual assistance doesn't significantly change muscle activation patterns but can help people walk faster and maintain more typical walking patterns at higher speeds.

Study Duration
Not specified
Participants
6 volunteers with incomplete spinal cord injury and 6 volunteers with intact nervous systems
Evidence Level
Not specified

Key Findings

  • 1
    Manual assistance does not significantly alter muscle activation profiles in individuals with spinal cord injury during treadmill training.
  • 2
    Manual assistance allows individuals with spinal cord injury to walk at faster speeds compared to walking without assistance.
  • 3
    Manual assistance helps maintain muscle activation patterns closer to those of control subjects during faster walking speeds.

Research Summary

The purpose of this study was to determine how manual assistance affected lower limb electromyographic activity and joint kinematics in higher-level subjects with incomplete spinal cord injury during body weight supported treadmill training. We found that muscle activation amplitudes and patterns generally did not change when subjects with spinal cord injury were given manual assistance. Providing manual assistance is not a detrimental part of body weight supported treadmill training and it allows subjects with spinal cord injury walk at faster speeds than they could without assistance.

Practical Implications

Rehabilitation Strategies

Manual assistance can be a useful tool in treadmill training for individuals with spinal cord injuries, enabling them to achieve higher walking speeds without negatively impacting muscle activation.

Therapeutic Intervention

Concerns about manual assistance promoting passivity during training are likely unfounded, as the study suggests it does not decrease muscle activation.

Robotic Design

Powered assistance at the ankle joint may be a valuable feature in robotic devices for rehabilitation, given the limitations observed in ankle plantar flexion among subjects with spinal cord injury.

Study Limitations

  • 1
    Small sample size of subjects
  • 2
    Potential variability in the administration of manual assistance by trainers
  • 3
    Lack of long-term training data to assess motor adaptations

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