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Case Reports
, 85 (12), 1356-71

Locomotor Training Progression and Outcomes After Incomplete Spinal Cord Injury

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  • PMID: 16305274
Case Reports

Locomotor Training Progression and Outcomes After Incomplete Spinal Cord Injury

Andrea L Behrman et al. Phys Ther.

Abstract

Background and purpose: The use of locomotor training with a body-weight-support system and treadmill (BWST) and manual assistance has increased in rehabilitation. The purpose of this case report is to describe the process for retraining walking in a person with an incomplete spinal cord injury (SCI) using the BWST and transferring skills from the BWST to overground assessment and community ambulation.

Case description: Following discharge from rehabilitation, a man with an incomplete SCI at C5-6 and an American Spinal Injury Association (ASIA) Impairment Scale classification of D participated in 45 sessions of locomotor training.

Outcomes: Walking speed and independence improved from 0.19 m/s as a home ambulator using a rolling walker and a right ankle-foot orthosis to 1.01 m/s as a full-time ambulator using a cane only for community mobility. Walking activity (mean+/-SD) per 24 hours increased from 1,054+/-543 steps to 3,924+/-1,629 steps.

Discussion: In a person with an incomplete SCI, walking ability improved after locomotor training that used a decision-making algorithm and progression across training environments.

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