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Titre : | Effects of Performance-Based Training on Gait and Balance in Individuals With Incomplete Spinal Cord Injury (2019) |
Auteurs : | Brian T. Neville ; Donal Murray ; Kerry B. Rosen |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 100, n° 10, 2019) |
Article en page(s) : | p. 1888-1893 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Démarche ; Équilibre postural ; Réadaptation ; Traumatismes de la moelle épinière |
Résumé : |
Objective
To determine changes in balance and gait following a task-specific, performance-based training protocol for overground locomotor training (OLT) in individuals with motor-incomplete spinal cord injury (iSCI). Design Convenience sample, prepilot and postpilot study. Setting Human performance research laboratory. Participants Adults (N=15; 12 men and 3 women; mean age [y] ± SD, 41.5±16.9), American Spinal Injury Association Impairment Scale C or D, >6 months post-spinal cord injury. Interventions Two 90-minute OLT sessions per week over 12 to 15 weeks. OLT sessions were built on 3 principles of motor learning: practice variability, task specificity, and progressive overload (movement complexity, resistance, velocity, volume). Training used only voluntary movements without body-weight support, robotics, electrical stimulation, or bracing. Subjects used ambulatory assistive devices as necessary. Main Outcome Measures Berg Balance Scale (BBS), Spinal Cord Injury Functional Ambulation Inventory (SCI-FAI) gait parameters, spatiotemporal measures of gait (step length, step width, percent stance, stance:swing ratio) from 7 participants who walked across a pressure-sensitive walkway. Results Fourteen participants completed the OLT protocol and 1 participant completed 15 sessions due to scheduled surgery. The BBS scores showed a mean improvement of 4.53±4.09 (P<.001 sci-fai scores showed a mean increase of spatiotemporal measures gait no significant changes.> Conclusion This pilot demonstrated improvements in balance and selected gait characteristics using a task-specific, performance-based OLT for chronic iSCI. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999319302606 |