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  4. The trunk segmental motion complexity and balance performance in challenging seated perturbation among individuals with spinal cord injury

The trunk segmental motion complexity and balance performance in challenging seated perturbation among individuals with spinal cord injury

Journal of NeuroEngineering and Rehabilitation, 2025 · DOI: https://doi.org/10.1186/s12984-024-01522-7 · Published: December 4, 2024

Spinal Cord InjuryRehabilitation

Simple Explanation

This study investigates how spinal cord injury (SCI) affects trunk motion complexity during seated balance tasks and how this relates to postural control. The researchers measured trunk motion in individuals with SCI and healthy controls during seated perturbations to understand differences in motion complexity and balance performance. The findings suggest that SCI reduces trunk motion complexity, particularly in the lumbar region, impacting postural stability and accuracy, especially during backward movements.

Study Duration
Not specified
Participants
17 individuals with SCI and 18 healthy controls
Evidence Level
Not specified

Key Findings

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    Individuals with SCI showed significantly lower motion complexity in the lumbar and upper thoracic segments compared to healthy controls.
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    Backward perturbations, compared to forward perturbations, resulted in reduced complexity in the lumbar and upper thoracic segments and increased steady-state error.
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    Lower lumbar rotation complexity negatively correlated with MD variability and steady-state error in individuals with SCI, while showing a minor positive correlation with settling time during backward perturbation.

Research Summary

This study examined trunk segmental motion complexity in individuals with SCI during seated perturbations, assessing changes across six trunk segments and analyzing their influence on postural control parameters. The study found that individuals with SCI exhibited a decreasing trend in motion complexity compared to healthy controls, particularly in the upper thoracic and lumbar regions, indicating a simplified motion control. The research suggests that appropriately increasing motion complexity, especially in the lumbosacral region, can improve stability and promote more natural trunk control, making it a potential target for rehabilitation strategies.

Practical Implications

Rehabilitation Strategy Optimization

Motion complexity can be targeted in seated balance rehabilitation to promote more natural and effective trunk control.

FES System Development

Motion complexity can be used to optimize FES strategies for individuals with SCI, improving movement responsiveness and enhancing quality of life.

Fall Prevention

Enhancing lumbar motion complexity could improve postural stability and accuracy during backward perturbation, potentially reducing the risk of falls in individuals with SCI.

Study Limitations

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