Locomotor training for walking afer spinal cord injury

This review examines the effectiveness of locomotor training for improving walking ability in people with spinal cord injury (SCI). Locomotor training includes strategies like treadmill training with bodyweight support, robotic-assisted gait training, and electrical stimulation. The review identified five randomized controlled trials involving 309 people with SCI. The results showed that none of the locomotor interventions had a significant beneficial or harmful effect on participants. The authors conclude that there isn't enough evidence to determine which locomotor training strategy is most effective for improving walking ability in people with SCI, or if it's better than other rehabilitation methods.

• 1
  Bodyweight supported treadmill training (BWSTT) did not significantly increase walking velocity or capacity in people with SCI.
• 2
  Robotic-assisted locomotor training may result in reduced walking capacity compared to other interventions, though this is based on only one study and requires further investigation.
• 3
  There were no significant differences in adverse events or dropouts between study groups, suggesting that different types of locomotor training have similar safety and acceptability.