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  4. Level walking and ambulatory capacity in persons with incomplete spinal cord injury: relationship with muscle strength

Level walking and ambulatory capacity in persons with incomplete spinal cord injury: relationship with muscle strength

Spinal Cord, 2004 · DOI: 10.1038/sj.sc.3101569 · Published: March 1, 2004

Spinal Cord InjuryRehabilitationMusculoskeletal Medicine

Simple Explanation

This study investigates the connection between lower body muscle strength and walking ability in people with incomplete spinal cord injuries. It looks at how individual muscle strength affects walking speed, endurance, and overall walking independence. The research found that the strength of certain hip muscles is particularly important for walking performance. Specifically, the strength of these muscles on the less affected side of the body has a significant impact. The findings suggest that focusing on strengthening key hip muscles could improve walking ability in individuals with incomplete spinal cord injuries. Also, assessing walking performance should involve both speed measurements and broader measures of walking independence.

Study Duration
Not specified
Participants
22 subjects with incomplete spinal cord injury (ISCI)
Evidence Level
Prospective analysis of relationships

Key Findings

  • 1
    Hip flexors, extensors, and abductors showed the highest correlations with functional walking measures on both sides of the body.
  • 2
    The strength of the less affected hip flexors significantly predicted gait speed and six-minute walk distance, while the less affected hip extensors predicted ambulatory capacity.
  • 3
    The strength of the less affected limb was generally more important than that of the more affected limb for all three functional walking measures.

Research Summary

This study examined the relationship between lower extremity muscle strength and walking performance in persons with chronic ISCI. Lower extremity muscle strength, in particular that of hip flexors, hip extensors, and hip abductors, is an important determinant of functional walking performance. Hip flexor and hip extensor strength of the less affected side can significantly predict walking performance.

Practical Implications

Targeted Strengthening

Rehabilitation programs should prioritize strengthening hip flexors, extensors, and abductors to improve walking performance in individuals with ISCI.

Focus on Less Affected Limb

Interventions should focus on strengthening the less affected limb to maximize functional gains.

Comprehensive Assessment

Walking performance should be assessed using both gait speed and measures of ambulatory capacity to provide a comprehensive evaluation.

Study Limitations

  • 1
    Small sample size limits the generalizability of the findings.
  • 2
    Level of injury and use of mobility aids were not controlled.
  • 3
    Potential gender differences regarding the mechanisms of SCI injury and recovery of muscle function.

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