Abstract
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.
Highlights
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
All participants were familiar with body weight-supported gait training on a treadmill and body weight-supported overground training
The clinical characteristics of the patients with spinal cord injury are presented in Table 1, indicating age, gender, Functional Independence Measure (FIM), ASIA, classification of affected motor neurons, Ashworth scale of muscle spasticity with spastic patients
Summary
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. 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. Motor vehicle accidents and falls remain the leading cause of SCI. It is becoming a significant social burden due to improved survival rate and access to care [1]. The disability of walking or the slow paretic gait with high cost of energy proves to be the most visible persistent disability after spinal cord injury [4]
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