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Thread: Gait Training in Human Spinal Cord Injury Using Electromechanical Systems

  1. #1

    Gait Training in Human Spinal Cord Injury Using Electromechanical Systems

    Arch Phys Med Rehabil. 2011 Dec 29.

    Gait Training in Human Spinal Cord Injury Using Electromechanical Systems: Effect of Device Type and Patient Characteristics.

    Benito-Penalva J, Edwards DJ, Opisso E, Cortes M, Lopez-Blazquez R, Murillo N, Costa U, Tormos JM, Vidal-Samsó J, Valls-Solé J; European Multicenter Study about Human Spinal Cord Injury Study Group, Medina J.
    Source

    Department of Spinal Cord Injury, Institut Guttmann, Hospital de Neurorehabilitació, Institut Universitari adscrit a la Universitat Autònoma de Barcelona, Barcelona, Spain.
    Abstract

    Benito-Penalva J, Edwards DJ, Opisso E, Cortes M, Lopez-Blazquez R, Murillo N, Costa U, Tormos JM, Vidal-Samsó J, Valls-Solé J, European Multicenter Study about Human Spinal Cord Injury Study Group, Medina J. Gait training in human spinal cord injury using electromechanical systems: effect of device type and patient characteristics.
    OBJECTIVE:

    To report the clinical improvements in spinal cord injury (SCI) patients associated with intensive gait training using electromechanical systems according to patient characteristics.
    DESIGN:

    Prospective longitudinal study.
    SETTING:

    Inpatient SCI rehabilitation center.
    PARTICIPANTS:

    Adults with SCI (n=130).
    INTERVENTION:

    Patients received locomotor training with 2 different electromechanical devices, 5 days per week for 8 weeks.
    MAIN OUTCOME MEASURES:

    Lower-extremity motor score, Walking Index for Spinal Cord Injury, and 10-meter walking test data were collected at the baseline, midpoint, and end of the program. Patients were stratified according to the American Spinal Injury Association (ASIA) category, time since injury, and injury etiology. A subgroup of traumatic ASIA grade C and D patients were compared with data obtained from the European Multicenter Study about Human Spinal Cord Injury (EM-SCI).
    RESULTS:

    One hundred and five patients completed the program. Significant gains in lower-limb motor function and gait were observed for both types of electromechanical device systems, to a similar degree. The greatest rate of improvement was shown in the motor incomplete SCI patients, and for patients <6 months postinjury. The positive response associated with training was not affected by injury etiology, age, sex, or lesion level. The trajectory of improvement was significantly enhanced relative to patients receiving the conventional standard of care without electromechanical systems (EM-SCI).
    CONCLUSIONS:

    The use of electromechanical systems for intensive gait training in SCI is associated with a marked improvement in lower-limb motor function and gait across a diverse range of patients and is most evident in motor incomplete patients, and for patients who begin the regimen early in the recovery process.

    http://www.ncbi.nlm.nih.gov/pubmed/22209475
    “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

  2. #2
    where was the test done? In the u.s. ? I am from michigan to wildwilly I am also only 6 months post and I would love to get into something like this. Where do u find info on things like this and where doe i sign up ?

  3. #3
    Here is where this study was done.

    Department of Spinal Cord Injury, Institut Guttmann, Hospital de Neurorehabilitació, Institut Universitari adscrit a la Universitat Autònoma de Barcelona, Barcelona, Spain.

    Since they published in 2011, I have to assume the study was completed in 2010 or earlier (with the lead time for publication generally around 6 months or more), so I doubt they are still recruiting subjects.

    (KLD)

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