scholarly journals Robot-Applied Resistance Augments the Effects of Body Weight–Supported Treadmill Training on Stepping and Synaptic Plasticity in a Rodent Model of Spinal Cord Injury

2017 ◽  
Vol 31 (8) ◽  
pp. 746-757 ◽  
Author(s):  
Erika Hinahon ◽  
Christina Estrada ◽  
Lin Tong ◽  
Deborah S. Won ◽  
Ray D. de Leon
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Body Weight ◽  
Synaptic Plasticity ◽  
Rodent Model ◽  
Treadmill Training ◽  
Cord Injury

scholarly journals Short Term Effects of Rhythmic Auditory Stimulation with Body Weight Supported Treadmill Training on Gait and Balance in Individuals with Incomplete Spinal Cord Injury

2021 ◽  
Vol 6 (4) ◽  
pp. 191-197
Author(s):  
Kanika Singhal ◽  
Chitra Kataria
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Body Weight ◽  
Gait Training ◽  
Auditory Stimulation ◽  
Treadmill Training ◽  
Incomplete Spinal Cord Injury ◽  
Cord Injury ◽  
Rhythmic Auditory Stimulation ◽  
Gait Trainer

Background: Rhythmic auditory stimulation and body weight supported treadmill training both are standardized gait rehabilitation techniques. However there is limited literature evaluating the effect of rhythmic auditory stimulation and its combination with gait training in spinal cord injury. Aim of this study is to determine the short term effectiveness of rhythmic auditory stimulation with body weight supported treadmill training on gait and balance in individuals with incomplete Spinal Cord Injury. Method: A randomized control study design. 8 subjects with incomplete spinal cord injury who met the inclusion criteria were randomly allocated into two groups: Experimental and Control. Subjects in experimental group were given body weight supported treadmill training with rhythmic auditory stimulation. Subjects in Control Group were given Body weight supported treadmill training alone. Both the groups received conventional rehabilitation as well. Both groups received training for 30 minutes, five times a week for two weeks (10 sessions). Outcome Measures: Gait parameters i.e. cadence, velocity, step length were measured using the Biodex Gait Trainer 2TM, level of walking performance measured using Walking Index for Spinal Cord Injury II, and balance was evaluated using Prokin 252NTM , Berg Balance Scale, and Activity specific Balance Confidence scale. Results: No significant improvement was found on gait parameters i.e. cadence, velocity, step length which were measured using the Gait Trainer, level of walking performance measured using WISCI II, and balance which was evaluated using Prokin 252NTM , Berg Balance Scale, and Activity specific Balance Confidence scale. Conclusion: Rhythmic auditory stimulation didn’t have any positive effect on gait training in incomplete spinal cord injured patients. Further studies are warranted to explore the entrainment effects of rhythmic auditory stimulation in spinal cord injured individuals on gait rehabilitation. Keywords: Rhythmic Auditory Stimulation (RAS), Body Weight Supported Treadmill Training (BWSTT), Metronome, Incomplete spinal cord injury, Biodex Gait Trainer 2.0, Prokin 252N

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.

scholarly journals Robotic-Assisted, Body-Weight–Supported Treadmill Training in Individuals Following Motor Incomplete Spinal Cord Injury

2005 ◽  
Vol 85 (1) ◽  
pp. 52-66 ◽  
Author(s):  
T George Hornby ◽  
David H Zemon ◽  
Donielle Campbell
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Body Weight ◽  
Physical Therapists ◽  
Treadmill Training ◽  
Neurological Injury ◽  
Walking Ability ◽  
Incomplete Spinal Cord Injury ◽  
Robotic Assisted ◽  
Cord Injury

AbstractBackground and Purpose. Performance of therapist-assisted, body-weight–supported treadmill training (BWSTT) to enhance walking ability of people with neurological injury is an area of intense research. Its application in the clinical setting, however, is limited by the personnel and labor requirements placed on physical therapists. Recent development of motorized (“robotic”) rehabilitative devices that provide assistance during stepping may improve delivery of BWSTT. Case Description. This case report describes the use of a robotic device to enhance motor recovery and ambulation in 3 people following motor incomplete spinal cord injury. Interventions. Changes in motor impairment, functional limitations, and locomotor disability were monitored weekly during robotic-assisted BWSTT and following transition to therapist-assisted BWSTT with the assistance of one therapist. Outcomes. Following this training, 2 patients recovered independent over-ground walking and another improved his gait speed and endurance. Discussion. The use of robotic devices may assist physical therapists by providing task-specific practice of stepping in people following neurological injury.

scholarly journals Advantage in muscle activation in gait with support of body weight in spinal cord injury

2018 ◽  
Vol 31 (0) ◽  
Author(s):  
Jéssica Saccol Borin ◽  
Tânia Valdameri Capelari ◽  
Melissa Grigol Goldhardt ◽  
Márcia Cristina Issa ◽  
Diego Antônio Pereira Bica dos Santos ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Body Weight ◽  
Muscle Activation ◽  
Gait Training ◽  
Treadmill Training ◽  
Body Weight Support ◽  
Weight Support ◽  
Cord Injury ◽  
Injured Patients

Abstract Introduction: The locomotor training with body weight support has been proposed as an alternative for the rehabilitation of people with spinal cord injury, in order to develop most of the residual potential of the body. Objective: To compare the levels of muscle activation of the main muscle involved in gait during body weight-supported treadmill training and body weight-supported overground training in incomplete spinal cord injured patients. Methods: It was a prospective cross-sectional study, in which 11 incomplete injured patients were submitted to two modalities of gait with body weight support, the first one on the treadmill (two different speeds: 1 and 4km/h), and the second one with the walker on fixed floor. The electromyographical acquisition was done in the rectus femoris (RF), vastus medialis (VM), vastus lateralis (VL) and gluteus maximus (GM). Results: There was a greater muscle activation of all muscles analyzed in the treadmill training as compared to the over groundtraining, both at 4 km/h (RF: p=0.00), (VM: p=0.00), (VL: p=0.00) e (GM: p=0.00) and at 1km/h (RF: p=0.00), (VM: p=0.00), (VL: p=0.00) e (GM: p=0.00). When comparing the two modalities of treadmill training, at 4 and 1km/h, there was no statically significant difference between them (RF: p=0.36), (VM: p=1.00), (VL: p=1.00) e (GM: p=0.16). Conclusion: The gait training with body weight support is more effective in activating the muscles involved in the gait training on treadmill compared to overground training in patients with incomplete spinal cord injury.

Effects of body weight-supported treadmill training at different speeds on the motor function and depressive behaviors after spinal cord injury in rats

Neuroreport ◽  
2020 ◽  
Vol 31 (18) ◽  
pp. 1265-1273
Author(s):  
Chang-Hong Liu ◽  
Bo-Lun Zhao ◽  
Wen-Tao Li ◽  
Xiao-Hua Zhou ◽  
Zhe Jin ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Body Weight ◽  
Motor Function ◽  
Treadmill Training ◽  
Cord Injury

Can body weight supported treadmill training increase bone mass and reverse muscle atrophy in individuals with chronic incomplete spinal cord injury?

2006 ◽  
Vol 31 (3) ◽  
pp. 283-291 ◽  
Author(s):  
Lora M Giangregorio ◽  
Colin E Webber ◽  
Stuart M Phillips ◽  
Audrey L Hicks ◽  
B Catherine Craven ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Body Weight ◽  
Bone Density ◽  
Muscle Mass ◽  
Proximal Tibia ◽  
Bone Geometry ◽  
Treadmill Training ◽  
Whole Body ◽  
Cord Injury

This study evaluates the impact of 12 months of body weight supported treadmill training (BWSTT) on muscle and bone in individuals with spinal cord injury (SCI). Fourteen individuals who sustained an incomplete SCI at least 12 months before the study were recruited to participate in BWSTT 3 times/week for a total of 144 sessions. Thirteen individuals completed the study. The average age of subjects was 29 y, average time post-injury was 7.70 y (range: 1-24 y). Areal bone densities of the proximal and distal femur, proximal tibia, spine, and whole body were measured using dual-energy X-ray absorptiometry. Muscle cross-sectional area (CSA), volumetric bone density, and bone geometry at mid-femur and proximal tibia were measured using computed tomography. Serum osteocalcin and urinary deoxypyridinoline were measured at baseline and after 6 and 12 months of training. All other measures were made before and after training. Participants experienced significant increases in whole-body lean mass, from 45.9 ± 8.7 kg to 47.8 ± 8.9 kg (mean ± SD; p < 0.003). Muscle CSAs increased by an average of 4.9% and 8.2% at the thigh and lower leg sites, respectively. No significant changes occurred in bone density or bone geometry at any site, or in bone biochemical markers. Whole-body bone density exhibited a small but statistically significant decrease (p < 0.006). BWSTT may therefore be a promising intervention for increasing muscle mass. Although 12 months of BWSTT did not increase bone density in individuals with chronic incomplete SCI, it did not appear to decrease bone density at fracture-prone sites.Key words: spinal cord injury, bone density, muscle mass, osteoporosis, body weight support.

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