Supported treadmill ambulation training after spinal cord injury

A pilot study

Elizabeth J. Protas, S. Ann Holmes, Huma Qureshy, Andrew Johnson, Dongchul Lee, Arthur M. Sherwood

Research output: Contribution to journalArticle

119 Citations (Scopus)

Abstract

Objectives: To conduct a pilot study of weight-supported ambulation training after incomplete spinal cord injury (SCI), and to assess its safety. Design: Quasiexperimental, repeated measures, single group. Setting: Veterans Affairs medical center. Patients: Three subjects with incomplete, chronic, thoracic SCIs; 2 classified as D on the American Spinal Injury Association (ASIA) impairment scale and 1 as ASIA impairment scale C. Intervention: Subjects participated in 12 weeks of training assisted by 2 physical therapists. The training consisted of walking on a treadmill while supported by a harness and a pneumatic suspension device. Support started at 40% of body weight and a treadmill speed of .16kmph, and progressed by reducing support and increasing treadmill speed and continuous treadmill walking time up to 20 minutes. Training was conducted for 1 hour per day, 5 days per week for 3 months. Treadmill walking occurred for 20 minutes during the sessions. Main Outcome Measures: Gait function (speed, endurance, walking status, use of assistive device and orthotics); oxygen costs of walking; brain motor control assessment; self-report indices; ASIA classification; muscle function test; and safety. Results: All 3 subjects increased gait speed (.118m/s initially to .318m/s after training 12wk), and gait endurance (20.3m/5min initially to 63.5m/5min). The oxygen costs decreased from 1.96 to 1.33mL · kg-1 · m -1 after 12 weeks of training. Conclusions: This pilot study suggests that supported treadmill ambulation training can improve gait for individuals with incomplete SCIs by using objective gait measures. The self-report indices used have promise as patient-centered outcome measures of this new form of gait training. A larger, controlled study of this technique is warranted.

Original languageEnglish (US)
Pages (from-to)825-831
Number of pages7
JournalArchives of Physical Medicine and Rehabilitation
Volume82
Issue number6
DOIs
StatePublished - 2001
Externally publishedYes

Fingerprint

Spinal Cord Injuries
Walking
Gait
Spinal Injuries
Self Report
Outcome Assessment (Health Care)
Oxygen
Safety
Self-Help Devices
Costs and Cost Analysis
Physical Therapists
Veterans
Suspensions
Thorax
Body Weight
Weights and Measures
Equipment and Supplies
Muscles
Brain

Keywords

  • Gait
  • Gait disorders
  • Neurologic
  • Rehabilitation
  • Spinal cord injuries

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Protas, E. J., Holmes, S. A., Qureshy, H., Johnson, A., Lee, D., & Sherwood, A. M. (2001). Supported treadmill ambulation training after spinal cord injury: A pilot study. Archives of Physical Medicine and Rehabilitation, 82(6), 825-831. https://doi.org/10.1053/apmr.2001.23198

Supported treadmill ambulation training after spinal cord injury : A pilot study. / Protas, Elizabeth J.; Holmes, S. Ann; Qureshy, Huma; Johnson, Andrew; Lee, Dongchul; Sherwood, Arthur M.

In: Archives of Physical Medicine and Rehabilitation, Vol. 82, No. 6, 2001, p. 825-831.

Research output: Contribution to journalArticle

Protas, EJ, Holmes, SA, Qureshy, H, Johnson, A, Lee, D & Sherwood, AM 2001, 'Supported treadmill ambulation training after spinal cord injury: A pilot study', Archives of Physical Medicine and Rehabilitation, vol. 82, no. 6, pp. 825-831. https://doi.org/10.1053/apmr.2001.23198
Protas, Elizabeth J. ; Holmes, S. Ann ; Qureshy, Huma ; Johnson, Andrew ; Lee, Dongchul ; Sherwood, Arthur M. / Supported treadmill ambulation training after spinal cord injury : A pilot study. In: Archives of Physical Medicine and Rehabilitation. 2001 ; Vol. 82, No. 6. pp. 825-831.
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