Abstract
BackgroundBody-weight-supported treadmill training (BWSTT) is a treatment method to help patients with incomplete spinal cord injuries to restore the capability to walk again.ObjectiveThis study aimed to assess the effects of different percentages of body-weight-support locomotor training on the enhancement of gait for persons with incomplete spinal cord injuries.Subjects and methodsTwenty male paraplegic persons, with the statistical parameters [mean ± SD] age 32.53 ± 1.793 years, height 175.71 ± 1.658 cm, weight 71.59 ± 2.442 kg, and body mass index 23.18 ± 0.828 kg/m2) were picked by convenience sampling. Ten patients were randomly allocated to the body-weight treadmill training 30% group (Group A); and ten patients to the body-weight treadmill training 40% group (Group B). The two groups were exercised for 1h every set, at two sets weekly for 1.5 months. Body-weight-supported treadmill training was divided into a 15-min warm-up on a stationary bicycle, 45-min body-weight-supported treadmill training with 30 and 40% body weight and finally, a 10-min cool down as we started loading with 10% of body weight of each patient until reach 30% or 40% according to his group.ResultsThe resultant data revealed that there are significant distinctions between the body-weight treadmill training 30% and the with body-weight treadmill training 40% groups in regards to alterations in the walking speed, step length, and stride length (p < 0.001), cadence (p = 0.009).ConclusionBody-weight-supported treadmill training 40% in comparison with body-weight-supported treadmill training 30% can enhance both the quantity and quality of gait in paraplegic patients (ASIA B, C, and D classification).
Highlights
Spinal cord trauma is a catastrophic problem with significant influence on an individual’s quality of life
This randomized controlled trial was intended to evaluate the impacts of various percentages of body-weight-support locomotor training on the enhancement in gait for individuals with traumatic motor-incomplete Spinal cord injury (SCI)
The results were based on the observations of the patients with incomplete SCI in Group A and Group B
Summary
Spinal cord trauma is a catastrophic problem with significant influence on an individual’s quality of life. One of the body-weight-support strategies is bodyweight-support treadmill training. A significant problem of traditional body-weight-support treadmill training is the effort needed by therapists to direct the movements of a patient’s legs. Robotic-assisted tools have been established over recent years to provide assistance and symmetrical walking in the gait-training process [3]. This randomized controlled trial was intended to evaluate the impacts of various percentages of body-weight-support locomotor training on the enhancement in gait for individuals with traumatic motor-incomplete SCIs. Body-weight-supported treadmill training (BWSTT) is a treatment method to help patients with incomplete spinal cord injuries to restore the capability to walk again
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