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 Scopus citations

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 - Jan 1 2001

Keywords

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

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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    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