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  4. Variability of Leg Kinematics during Overground Walking in Persons with Chronic Incomplete Spinal Cord Injury

Variability of Leg Kinematics during Overground Walking in Persons with Chronic Incomplete Spinal Cord Injury

JOURNAL OF NEUROTRAUMA, 2018 · DOI: 10.1089/neu.2017.5538 · Published: November 1, 2018

Spinal Cord InjuryBiomechanics

Simple Explanation

Incomplete spinal cord injuries disrupt neural pathways critical for walking, leading to inconsistent leg movements. This study investigates how these injuries affect the variability in leg movements during walking. The study compares the variability in foot placement and joint movements between individuals with incomplete spinal cord injuries and healthy controls, examining how walking speed and assistive devices influence this variability. The findings suggest that increased variability in leg movements indicates the severity of motor impairment and could be a target for therapies aimed at restoring walking ability after a spinal cord injury.

Study Duration
Not specified
Participants
16 persons with incomplete SCI and 12 age-matched controls
Evidence Level
Not specified

Key Findings

  • 1
    Persons with iSCI exhibited greater kinematic variability than controls, which scaled with deficits in overground walking speed.
  • 2
    Significant correlation between ACC and end-point variability, and with walking speed, indicates that both are markers of walking performance.
  • 3
    Hip-knee and hip-ankle ACC discriminated AD use, indicating that ACC may capture AD-specific control strategies.

Research Summary

This study quantifies the effects of incomplete spinal cord injury (iSCI) on leg kinematic variability during overground walking, focusing on foot trajectory and joint coordination. The research reveals that individuals with iSCI exhibit greater kinematic variability compared to able-bodied controls, and this variability correlates with walking speed deficits and reliance on assistive devices. The study concludes that increased variability in foot and joint displacement indicates motor impairment severity and may serve as a target for therapeutic interventions to restore walking after iSCI.

Practical Implications

Therapeutic Target

Kinematic variability can be a therapeutic target to restore walking after iSCI.

AD-Specific Mechanics

ACC may capture AD-specific control strategies, refining targeted rehabilitative strategies.

Gait Impairment Marker

Kinematic variability may be a relevant marker of gait impairment

Study Limitations

  • 1
    Limited sample size of 16 persons with iSCI.
  • 2
    Heterogeneity in time since injury, level of injury, and functional capability among iSCI participants.
  • 3
    The varying capabilities of the persons with iSCI are further confounded by the type of assistive device used.

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