Retraining walking adaptability following incomplete spinal cord injury
| Autor: | Andrea L. Behrman, Paula L Castro-Chapman, Emily J. Fox, Dena R. Howland, Martina R. Spiess, Katie A. Butera, Nicole J. Tester |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty Intensity media_common.quotation_subject medicine.medical_treatment Psychological intervention 617: Chirurgie Case Report Dermatology Locomotor training 615.8515: Ergotherapie Pediatrics Adaptability 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Gait (human) medicine Treadmill Spinal cord injury Gait Balance (ability) media_common Rehabilitation business.industry Retraining medicine.disease Neurology 0305 other medical science business human activities 030217 neurology & neurosurgery |
| Zdroj: | Spinal Cord Series and Cases |
| Popis: | Introduction Functional walking requires the ability to modify one’s gait pattern to environmental demands and task goals—gait adaptability. Following incomplete spinal cord injury (ISCI), gait rehabilitation such as locomotor training (Basic-LT) emphasizes intense, repetitive stepping practice. Rehabilitation approaches focusing on practice of gait adaptability tasks have not been established for individuals with ISCIs but may promote recovery of higher level walking skills. The primary purpose of this case series was to describe and determine the feasibility of administering a gait adaptability retraining approach—Adapt-LT—by comparing the dose and intensity of Adapt-LT to Basic-LT. Case presentation Three individuals with ISCIs (>1 year, AIS C or D) completed three weeks each (15 sessions) of Basic-LT and Adapt-LT. Interventions included practice on a treadmill with body weight support and practice overground (≥30 mins total). Adapt-LT focused on speed changes, obstacle negotiation, and backward walking. Training parameters (step counts, speeds, perceived exertion) were compared and outcomes assessed pre and post interventions. Based on completion of the protocol and similarities in training parameters in the two interventions, it was feasible to administer Adapt-LT with a similar dosage and intensity as Basic-LT. Additionally, the participants demonstrated gains in walking function and balance following each training type. Discussion Rehabilitation that includes stepping practice with adaptability tasks is feasible for individuals with ISCIs. Further investigation is needed to determine the efficacy of Adapt-LT. |
| Databáze: | OpenAIRE |
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