Locomotor training with body weight support in SCI

التفاصيل البيبلوغرافية
العنوان: Locomotor training with body weight support in SCI
المؤلفون: Pieter Meyns, Jaak Duysens, H Rijken, D. H. J. M. van Kuppevelt, H W A A Van de Crommert
المصدر: Spinal Cord, 52, 887-93
Spinal Cord, 52, 12, pp. 887-93
Spinal Cord, 52(12), 887-893. Nature Publishing Group
بيانات النشر: Nature Publishing Group, 2014.
سنة النشر: 2014
مصطلحات موضوعية: Adult, Male, REHABILITATION, medicine.medical_specialty, medicine.medical_treatment, Electromyography, PARAPLEGIC PATIENTS, Biceps, Physical medicine and rehabilitation, medicine, Humans, SPINAL-CORD-INJURY, Treadmill, Muscle, Skeletal, Spinal cord injury, Gait Disorders, Neurologic, Physical Therapy Modalities, Spinal Cord Injuries, Leg, Rehabilitation, medicine.diagnostic_test, business.industry, Body Weight, General Medicine, Middle Aged, medicine.disease, Disorders of movement Donders Center for Medical Neuroscience [Radboudumc 3], Gait, Exercise Therapy, Preferred walking speed, Locomotor training, ORTHOSIS, Neurology, Physical therapy, Neurology (clinical), business, GAIT, WALKING, Locomotion, TREADMILL
الوصف: Study design: Case series.Objectives: To determine the optimal testing speed at which the recovery of the EMG (electromyographic) activity should be assessed during and after body weight supported (BWS) locomotor training.Setting: Tertiary hospital, Sint Maartenskliniek, Nijmegen, The Netherlands.Methods: Four participants with incomplete chronic SCI were included for BWS locomotor training; one AIS-C and three AIS-D (according to the ASIA (American Spinal Injury Association) Impairment Scale or AIS). All were at least 5 years after injury. The SCI participants were trained three times a week for a period of 6 weeks. They improved their locomotor function in terms of higher walking speed, less BWS and less assistance needed. To investigate which treadmill speed for EMG assessment reflects the functional improvement most adequately, all participants were assessed weekly using the same two speeds (0.5 and 1.5 km h(-1), referred to as low and high speed, respectively) for 6 weeks. The change in root mean square EMG (RMS EMG) was assessed in four leg muscles; biceps femoris, rectus femoris, gastrocnemius medialis and tibialis anterior.Results: The changes in RMS EMG occurred at similar phases of the step cycle for both walking conditions, but these changes were larger when the treadmill was set at a low speed (0.5 km h(-1)).Conclusion: Improvement in gait is feasible with BWS treadmill training even long after injury. The EMG changes after treadmill training are more optimally expressed using a low rather than a high testing treadmill speed.
اللغة: English
تدمد: 1362-4393
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ebf10bb3b807346b9893c02f8c87ac19
https://research.rug.nl/en/publications/44e7262c-ace2-49ad-bfc2-4e1d7a27c3f5
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....ebf10bb3b807346b9893c02f8c87ac19
قاعدة البيانات: OpenAIRE