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  4. Overground walking patterns after chronic incomplete spinal cord injury show distinct response patterns to unloading

Overground walking patterns after chronic incomplete spinal cord injury show distinct response patterns to unloading

Journal of NeuroEngineering and Rehabilitation, 2018 · DOI: https://doi.org/10.1186/s12984-018-0436-1 · Published: October 15, 2018

Spinal Cord InjuryRehabilitationBiomechanics

Simple Explanation

This study investigates how people with incomplete spinal cord injuries (iSCI) adapt their walking when using body weight support (BWS) during overground walking, compared to healthy individuals. The researchers analyzed the walking patterns of 12 individuals with chronic iSCI (CiSCI) at different levels of BWS and compared them to a control group. The findings showed that while both groups adjusted their walking speed and timing similarly, the CiSCI group did not adapt their joint movements and coordination as effectively as the control group.

Study Duration
Not specified
Participants
12 CiSCI and 18 controls
Evidence Level
Not specified

Key Findings

  • 1
    Controls proportionally adjusted temporal parameters, single joint trajectories, and intralimb coordination to unloading levels, while spatial parameters were unaffected.
  • 2
    CiSCI adapted temporal parameters similarly to controls but did not adjust intralimb coordination or single joint trajectories to the level of unloading.
  • 3
    Continuous, dynamic unloading during overground walking leads to subtle gait adjustments corresponding to changes in body load.

Research Summary

The study investigated the effects of body weight support (BWS) on overground walking patterns in individuals with chronic incomplete spinal cord injury (CiSCI) compared to controls. Results showed that CiSCI adapted temporal parameters similarly to controls, but exhibited diminished responses in intralimb coordination and single joint trajectories. The findings suggest that overground unloading is a viable locomotor therapy tool and may provide insights into diminished neural control of intralimb coordination in CiSCI.

Practical Implications

Rehabilitation Tool

Overground walking with BWS can be used as a safe and supported way for CiSCI patients to begin locomotor training early in rehabilitation.

Targeted Therapy

The study highlights the potential to specifically target intralimb coordination deficits in iSCI rehabilitation using overground BWS.

Insights into Neural Control

The differential responses to unloading offer a window into the diminished neural control of intralimb coordination in individuals with iSCI.

Study Limitations

  • 1
    Small sample size of iSCI subjects.
  • 2
    Heterogeneous iSCI sample with mainly sensory impairments.
  • 3
    Baseline walking measures differed between the groups, and there was a significant age difference.

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