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Thread: Locomotion (Not Locomotor) training

  1. #11
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    willy,

    you have my vote.whatever you want to run for you have my vote.

    thank you for the effort you put into helping.

  2. #12
    Here is a good article looking at various forms of gait/locomotion training.

    Phys Ther. 2011 Jan;91(1):48-60. Epub 2010 Nov 4.

    Influence of a locomotor training approach on walking speed and distance in people with chronic spinal cord injury: a randomized clinical trial.
    Field-Fote EC, Roach KE.

    Department of Physical Therapy, Miller School of Medicine, University of Miami, Miami, Florida, USA. edee@miami.edu

    Comment in:

    Phys Ther. 2011 Jan;91(1):60-2; author reply 62.

    Abstract
    BACKGROUND: Impaired walking limits function after spinal cord injury (SCI), but training-related improvements are possible even in people with chronic motor incomplete SCI.

    OBJECTIVE: The objective of this study was to compare changes in walking speed and distance associated with 4 locomotor training approaches.

    DESIGN: This study was a single-blind, randomized clinical trial.

    SETTING: This study was conducted in a rehabilitation research laboratory.

    PARTICIPANTS: Participants were people with minimal walking function due to chronic SCI.

    INTERVENTION: Participants (n=74) trained 5 days per week for 12 weeks with the following approaches: treadmill-based training with manual assistance (TM), treadmill-based training with stimulation (TS), overground training with stimulation (OG), and treadmill-based training with robotic assistance (LR).

    MEASUREMENTS: Overground walking speed and distance were the primary outcome measures.

    RESULTS: In participants who completed the training (n=64), there were overall effects for speed (effect size index [d]=0.33) and distance (d=0.35). For speed, there were no significant between-group differences; however, distance gains were greatest with OG. Effect sizes for speed and distance were largest with OG (d=0.43 and d=0.40, respectively). Effect sizes for speed were the same for TM and TS (d=0.28); there was no effect for LR. The effect size for distance was greater with TS (d=0.16) than with TM or LR, for which there was no effect. Ten participants who improved with training were retested at least 6 months after training; walking speed at this time was slower than that at the conclusion of training but remained faster than before training.

    LIMITATIONS: It is unknown whether the training dosage and the emphasis on training speed were optimal. Robotic training that requires active participation would likely yield different results.

    CONCLUSIONS: In people with chronic motor incomplete SCI, walking speed improved with both overground training and treadmill-based training; however, walking distance improved to a greater extent with overground training.

    http://www.ncbi.nlm.nih.gov/pubmed/21051593
    “As the cast of villains in SCI is vast and collaborative, so too must be the chorus of hero's that rise to meet them” Ramer et al 2005

  3. #13
    Senior Member WarrenJ's Avatar
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    Wild Willy Thanks for great input and article..Seems like ambulating yourself overground is the best medicine. Nonetheless, I am 2 yrs post op I can ambulate with walker 750-1000 ft Max. I use my tone. Recently done handwalk about 100 ft.

    According to NRN therapist the biggest gains realized were ASIA Cs improving to ASIA Ds. I am currently an ASIA D from and ASIA C post op.

    So in short it seems like you gotta just MOVE?
    Appreciate the small gains and the large ones will be ignored!!

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