Poster 77: Impact of Dynamic Body-Weight Support on Inpatient Rehabilitation Outcomes in Non-Traumatic Spinal Cord Injury: Preliminary Findings of an Ongoing Study

PM&R ◽  
2018 ◽  
Vol 10 ◽  
pp. S31-S32
Author(s):  
Justin P. Huber ◽  
Lumy Sawaki
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Body Weight ◽  
Inpatient Rehabilitation ◽  
Ongoing Study ◽  
Body Weight Support ◽  
Traumatic Spinal Cord Injury ◽  
Rehabilitation Outcomes ◽  
Weight Support ◽  
Cord Injury

scholarly journals Dynamic body-weight support to boost rehabilitation outcomes in patients with non-traumatic spinal cord injury: an observational study

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Justin P. Huber ◽  
Lumy Sawaki
Keyword(s):  
Spinal Cord ◽  
Inpatient Rehabilitation ◽  
Standard Of Care ◽  
Body Weight Support ◽  
Control Group ◽  
Traumatic Spinal Cord Injury ◽  
Rehabilitation Outcomes ◽  
Weight Support ◽  
Cord Injury ◽  
Experimental Group

Abstract Background Dynamic body-weight support (DBWS) may play an important role in rehabilitation outcomes, but the potential benefit among disease-specific populations is unclear. In this study, we hypothesize that overground therapy with DBWS during inpatient rehabilitation yields greater functional improvement than standard-of-care in adults with non-traumatic spinal cord injury (NT-SCI). Methods This retrospective cohort study included individuals diagnosed with NT-SCI and undergoing inpatient rehabilitation. All participants were recruited at a freestanding inpatient rehabilitation hospital. Individuals who trained with DBWS for at least three sessions were allocated to the experimental group. Participants in the historical control group received standard-of-care (i.e., no DBWS). The primary outcome was change in the Functional Independence Measure scores (FIMgain). Results During an inpatient rehabilitation course, participants in the experimental group (n = 11), achieved a mean (SD) FIMgain of 48 (11) points. For the historical control group (n = 11), participants achieved a mean (SD) FIMgain of 36 (12) points. From admission to discharge, both groups demonstrated a statistically significant FIMgain. Between groups analysis revealed no significant difference in FIMgain (p = 0.022; 95% CI 2.0–22) after a post hoc correction for multiple comparisons. In a secondary subscore analysis, the experimental group achieved significantly higher gains in sphincter control (p = 0.011: 95% CI 0.83–5.72) with a large effect size (Cohen’s d 1.19). Locomotion subscores were not significantly different (p = 0.026; 95% CI 0.37–5.3) nor were the remaining subscores in self-care, mobility, cognition, and social cognition. Conclusions This is the first study to explore the impact of overground therapy with DBWS on inpatient rehabilitation outcomes for persons with NT-SCI. Overground therapy with DBWS appears to significantly improve functional gains in sphincter control compared to the standard-of-care. Gains achieved in locomotion, mobility, cognition, and social cognition did not meet significance. Findings from the present study will benefit from future large prospective and randomized studies.

scholarly journals Treino Locomotor com Suporte de Peso Corporal na Lesão Medular Incompleta

2001 ◽  
Vol 19 (4) ◽  
pp. 702-710
Author(s):  
Renata Teles Vieira ◽  
Rafaela Machado de Gusmão Oliveira ◽  
Camila Alves Nogueira Barros ◽  
Leonardo Caixeta
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Body Weight ◽  
Treadmill Training ◽  
Body Weight Support ◽  
Locomotor Training ◽  
Weight Support ◽  
Cord Injury

Objetivo. O objetivo deste trabalho foi realizar uma revisão de literatura sobre o uso do treino locomotor em pacientes portadores de lesão medular incompleta, a fim de verificar os seus efeitos para a marcha destes pacientes. Método. Foi realizada uma busca utilizando os bancos de dados medline, scielo e bvs a partir dos descritores: body weight-support treadmill training (suporte parcial de peso com treinamento em esteira), locomotor training (treino locomotor), spinal cord injury (lesão medular), gait (marcha). Todos os artigos coletados nos últimos 18 anos foram analisados. Discussão. A lesão medular é uma grave síndrome neurológica que causa diversos comprometimentos, inclusive da marcha. Para aperfeiçoar este processo, deu-se início à prática de reabilitação na esteira com suporte de peso corporal. A ampla utilização desta técnica de reabilitação deve-se a maior facilidade para o treino da marcha, a satisfação dos pacientes durante o tratamento e, principalmente, aos bons resultados gerados. Conclusão. Um número significante de estudos mostrou que o treino de marcha com suporte de peso corporal é um meio seguro e confiável, e que surgiu para inovar a reabilitação funcional da marcha. Não há evidência científica para afirmar que o treino locomotor com suporte de peso seja um método superior a outras terapias.

Body Weight Support Training Modulates Muscle NF-κB p65 Expression Induced By Spinal Cord Injury

2017 ◽  
Vol 49 (5S) ◽  
pp. 803-804
Author(s):  
Lloyd P. Ruiz ◽  
Erika J. Hinahon ◽  
Emanuel Ruiz ◽  
Christina A. Estrada ◽  
Silvia Villanueva ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Body Weight ◽  
Body Weight Support ◽  
Weight Support ◽  
Cord Injury

Role of Body Weight in Therapy Participation and Rehabilitation Outcomes Among Individuals With Traumatic Spinal Cord Injury

2013 ◽  
Vol 94 (4) ◽  
pp. S125-S136 ◽  
Author(s):  
Wenqiang Tian ◽  
Ching-Hui Hsieh ◽  
Gerben DeJong ◽  
Deborah Backus ◽  
Suzanne Groah ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Body Weight ◽  
Traumatic Spinal Cord Injury ◽  
Rehabilitation Outcomes ◽  
Cord Injury

scholarly journals Improved Intralimb Coordination in People With Incomplete Spinal Cord Injury Following Training With Body Weight Support and Electrical Stimulation

2002 ◽  
Vol 82 (7) ◽  
pp. 707-715 ◽  
Author(s):  
Edelle Carmen Field-Fote ◽  
Dejan Tepavac
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Body Weight ◽  
Electrical Stimulation ◽  
Body Weight Support ◽  
Step Cycle ◽  
Weight Support ◽  
Cord Injury ◽  
Intralimb Coordination ◽  
Walking Speeds

Abstract Background and Purpose. Limb coordination is an element of motor control that is frequently disrupted following spinal cord injury (SCI). The authors assessed intralimb coordination in subjects with SCI following a 12-week program combining body weight support, electrical stimulation, and treadmill training. Subjects. Fourteen subjects with long-standing (mean time post-SCI=70 months, range=12–171 months), incomplete SCI participated. Three subjects without SCI provided data for comparison. Methods. A vector-based technique was used to assign values to the frame-by-frame changes in hip/knee angle, and vector analysis techniques were used to assess how closely the hip/knee angles of each step cycle resembled those of every other step cycle. Overground and treadmill walking speeds also were measured. Results. Following training, 9 of the 14 subjects with SCI demonstrated greater intercycle agreement. Mean overground and treadmill walking speeds improved (84% and 158%, respectively). Discussion and Conclusion. The intervention used in this study is based on our current understanding of the role of afferent input in the production of walking. Although the study sample was small and there was no control group, results suggest that training may improve intralimb coordination in people with SCI.

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