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- Andrea L Behrman
- AL Behrman, PT, PhD, is Associate Professor, Department of Physical Therapy, College of Public Health and Health Professions, University of Florida, Gainesville, Fla, and Research Investigator, VA Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, Fla.
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- Anna R Lawless-Dixon
- AR Lawless-Dixon, PT, DPT, is Staff Physical Therapist, Shands at the University of Florida Medical Center, Gainesville, Fla
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- Sandra B Davis
- SB Davis, PT, is Research Physical Therapist, VA Brain Rehabilitation Research Center, Malcom Randall VA Medical Center
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- Mark G Bowden
- MG Bowden, MS, PT, is Research Physical Therapist, VA Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, and doctoral student, Rehabilitation Science Doctoral Program, University of Florida
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- Preeti Nair
- P Nair, BPhT, is doctoral candidate, Rehabilitation Science Doctoral Program, University of Florida
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- Chetan Phadke
- C Phadke, PT, is doctoral candidate, Rehabilitation Science Doctoral Program, University of Florida
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- Elizabeth M Hannold
- EM Hannold, PhD, is Research Health Scientist, Veterans Affairs Health Sciences Research and Development Service and VA Rehabilitation Research and Development Service, Rehabilitation Outcomes Research Center, Gainesville, Fla
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- Prudence Plummer
- P Plummer, PT, PhD, is NIDRR Postdoctoral Fellow, Brooks Center for Rehabilitation Studies, University of Florida, Jacksonville, Fla
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- Susan J Harkema
- SJ Harkema, PhD, is Associate Professor and Rehabilitation Research Director, Owsley B. Frazier Chair in Spinal Cord Rehabilitation, Department of Neurological Surgery, University of Louisville, and Frazier Rehab Institute, Louisville, Ky
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説明
<jats:title>Abstract</jats:title> <jats:p>Background and Purpose. The use of locomotor training with a body-weight–support systemand treadmill (BWST) and manual assistance has increased in rehabilitation. The purpose of this case report isto 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 45sessions 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 communitymobility. Walking activity (X̄±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 trainingthat used a decision-making algorithm and progression across training environments.</jats:p>
収録刊行物
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- Physical Therapy
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Physical Therapy 85 (12), 1356-1371, 2005-12-01
Oxford University Press (OUP)
