Gait training with body weight support in patients with spinal cord injury / Treino de marcha com suporte de peso em pacientes com lesão modular
AUTOR(ES)
Paulo Roberto Garcia Lucareli
DATA DE PUBLICAÇÃO
2009
RESUMO
The restoration of walking after spinal cord injury is important for patients and families, but is still a great challenge for scientists and professionals in rehabilitation. Interventions using repetitive movement to rehabilitate central nervous system injuries have been studied recently with encouraging results when using the implementation of specific tasks. To compare the results of gait training on a treadmill with body weight support (TBWS) versus conventional physical therapy (CPT) regarding gait analysis. In a prospective randomized controlled single-blind study, 24 patients of both gender were evaluated and were randomly assigned and divided equally to study group(A) and control group(B) through opaque envelope. Group A was referred to TBWS and group B to the CPT. They had been diagnosed with partial traumatic SCI at least 12 months earlier. They were able to walk and their motor function below was partially preserved and classified as level C or D. After the initial evaluation, both groups received two sessions per week lasting 30 minutes each, over a four month period, thus totaling 30 sessions. All patients were submitted by a single blind examiner to the gait evaluation of spatial-temporal parameters and angular kinematics of motion of the hip, knee and ankle joints in the sagittal plane using infra red video cameras integrated to Maxtraq motion analysis software. There was no statistically significant difference in comparison between the variables spatial-temporal parameters intra-group (before and after) of the control group B. Group A significant difference in spatial-temporal variables studied: increasing speed, distance, cadence, step length, balance time, total cycle time and support reduction. Angular variables also no significant difference in the intra group comparison Group B-control (before and after), but the Group-A training, significant improvement in maximum hip extension and plantar flexion during gait support. Gait training with body weight support were more effective than conventional physical therapy to improve the spatial-temporal and kinematic gait parameters in patients with incomplete spinal cord injury
ASSUNTO(S)
marcha modalidades de fisioterapia spinal cord injuries/rehabilitation gait traumatismos de medula espinal/reabilitaço ensaio clínico controlado aleatório randomized controlled trial estudo comparativo. physical therapy modalities comparative study
Documentos Relacionados
- A eficiencia do treino de marcha na esteira com suporte parcial de peso nacional em pacientes hemipareticos cronicos pos acidente vascular cerebral
- "Ocorrência de úlcera de pressão em pacientes hospitalizados com lesão traumática da medula espinhal"
- Terapia celular com células-tronco em coelhos com lesão medular induzida e em cães com lesão medular crônica espontânea
- Efeitos do treino de marcha em esteira em crianças com paralisia cerebral
- Sexualidade na lesão medular