Locomotor training progression and outcomes after incomplete spinal cord injury
Locomotor training progression and outcomes after incomplete spinal cord injury
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DOI：
10.1093/ptj/85.12.1356
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发表时间：
2005-12-01
期刊：
影响因子：
3.2
通讯作者：
Harkema, SJ
中科院分区：
文献类型：
--
作者：
Behrman, AL;Lawless-Dixon, AR;Harkema, SJ
背景和目的。使用运动训练与体重支持系统和跑步机（BWST）和人工辅助康复增加。本病例报告的目的是描述使用BWST对不完全性脊髓损伤（SCI）患者进行行走再训练的过程，并将BWST的技能转移到地上评估和社区护理中。康复出院后，一名C5-6不完全SCI且美国脊髓损伤协会（ASIA）损伤量表分类为D的男性参加了45次运动训练。步行速度和独立性从使用滚动步行者和右踝足矫形器的家庭步行者的0.19 m/s提高到仅使用手杖进行社区移动的全职步行者的1.01 m/s。每24小时步行活动（X +/- SD）从1，1054 +/- 543步增加到3，924 +/-1，629步。在一个不完全SCI的人中，行走能力在运动训练后得到了改善，运动训练使用了决策算法和在训练环境中的进展。[Behrman AL，Lawless-Dixon AR，Davis SB等人，不完全脊髓损伤后的运动训练进展和结果。
Background and Purpose. The use of locomotor training with a body-weight-support system and treadmill (BWST) and manual assistance has increased in rehabilitation. The purpose of this case report is to describe the process for retraining walking in a person with an incomplete spinal cord injury (SCI) using the BWST and transferring skills from the BWST to overground assessment and community ambulation.Case Description. Following discharge from rehabilitation, a man with an incomplete SCI at C5-6 and an American Spinal Injury Association (ASIA) Impairment Scale classification of D participated in 45 sessions of locomotor training.Outcomes. Walking speed and independence improved from 0.19 m/s as a home ambulator using a rolling walker and a right ankle-foot orthosis to 1.01 m/s as a full-time ambulator using a cane only for community mobility. Walking activity (X +/- SD) per 24 hours increased from 1,1054 +/- 543 steps to 3,924 +/- 1,629 steps.Discussion. In a person with an incomplete SCI, walking ability improved after locomotor training that used a decision-making algorithm and progression across training environments. [Behrman AL, Lawless-Dixon AR, Davis SB, et al. Locomotor training progression and outcomes after incomplete spinal cord injury.