Device use, locomotor training and the presence of arm swing during treadmill walking after spinal cord injury
| Autor: | Dena R. Howland, Nicole J. Tester, Kristin V. Day, Andrea L. Behrman, Sarah P. Suter, Amy Cantrell |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty arm swing Walking Treadmill walking Article Central nervous system disease 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation motor control medicine Humans Paralysis Treadmill Spinal cord injury Gait Disorders Neurologic Spinal Cord Injuries stepping business.industry Motor control General Medicine Middle Aged Device use medicine.disease spinal cord injury Exercise Therapy locomotion body regions Locomotor training Cross-Sectional Studies Neurology Arm swing plasticity Arm Exercise Test Physical therapy Female Neurology (clinical) 0305 other medical science business human activities 030217 neurology & neurosurgery |
| Zdroj: | Spinal cord |
| ISSN: | 1476-5624 1362-4393 |
| DOI: | 10.1038/sc.2010.128 |
| Popis: | Objectives Determine the presence of walking-related arm swing following spinal cord injury (SCI), associated factors, and whether arm swing may change following locomotor training (LT). Design Observational, cross-sectional study from a convenience sample with pre-test/post-test from a sample subset. Setting Malcom Randall VAMC and University of Florida, Gainesville, FL. Methods Arm movement was assessed during treadmill stepping, pre-LT, in 30 individuals with motor incomplete SCI (iSCI, American Spinal Injury Association Impairment Scale grade C/D, as defined by the International Standards for Neurological Classifications of SCI, with neurological level of impairment at or below C4). Partial body weight support and manual-trainer assistance was provided, as needed, to achieve stepping and allow arm swing. Arm swing presence was compared based on cervical versus thoracic neurological levels of impairment and device type. Leg and arm strength and walking independence were compared between individuals with and without arm swing. Arm swing was re-evaluated post-LT in the 21/30 individuals that underwent LT. Results Of 30 individuals with iSCI, 12 demonstrated arm swing during treadmill stepping, pre-LT. Arm movement was associated with device type, lower extremity motor scores, and walking independence. Among the 21 individuals that received LT, only 5 demonstrated arm swing pre-LT. Of the 16 individuals lacking arm swing pre-LT, 8 integrated arm swing post-LT. Conclusion Devices routinely used for walking post-iSCI appeared associated with arm swing. Post-LT, arm swing presence increased. Therefore, arm swing may be experience-dependent. Daily neuromuscular experiences provided to the arms may produce training effects, thereby altering arm swing expression. |
| Databáze: | OpenAIRE |
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