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 journalArticlepeer-review

    122 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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