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  4. Robotically assisted treadmill exercise training for improving peak fitness in chronic motor incomplete spinal cord injury: A randomized controlled trial

Robotically assisted treadmill exercise training for improving peak fitness in chronic motor incomplete spinal cord injury: A randomized controlled trial

The Journal of Spinal Cord Medicine, 2016 · DOI: 10.1179/2045772314Y.0000000281 · Published: January 1, 2016

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study investigated whether robotically assisted treadmill training could improve cardiovascular fitness in people with chronic motor incomplete spinal cord injury (CMISCI). Participants were assigned to either robot-assisted treadmill training or a home stretching program. The study found that the group using robotic treadmill training showed a significant improvement in their peak oxygen consumption during robotic treadmill walking. The control group did not show the same level of improvement. These findings suggest that robot-assisted treadmill training can be an effective way to improve cardiovascular fitness in individuals with CMISCI. This could potentially lead to improved ability to perform daily activities.

Study Duration
3 Months
Participants
18 individuals with CMISCI
Evidence Level
Pilot prospective randomized, controlled clinical trial

Key Findings

  • 1
    The RABWSTT group improved peak VO2 by 12.3% during robotic treadmill walking compared to a non-significant 3.9% within group change observed in HSP controls.
  • 2
    Neither group displayed a significant change in peak VO2 during arm cycle ergometry.
  • 3
    A repeated measures analysis showed statistically significant differences between treatments for peak VO2 during both robotic treadmill walking and arm cycle ergometry.

Research Summary

This study evaluated the effectiveness of robotically assisted body weight supported treadmill training (RABWSTT) for improving cardiovascular fitness in individuals with chronic motor incomplete spinal cord injury (CMISCI). The results indicated that RABWSTT significantly improved peak oxygen consumption (peak VO2) during robotic treadmill walking compared to a home stretching program (HSP). The study concludes that RABWSTT is an effective intervention model for improving peak fitness levels assessed during robotic treadmill walking in persons with CMISCI.

Practical Implications

Rehabilitation Strategy

RABWSTT can be used as a rehabilitation strategy to improve peak fitness levels.

Cardiovascular Health

The study highlights the importance of addressing cardiovascular fitness in individuals with CMISCI.

Exercise Prescription

The results can inform exercise prescription for individuals with CMISCI.

Study Limitations

  • 1
    The treatment and control groups were heterogeneous by age, injury level, and AIS classification.
  • 2
    The relatively small sample size may affect how our findings are extrapolated to individuals with specific injury level classifications.
  • 3
    The control comparison design that was not purely randomized.

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