Influence of percentage of body-weight support on gait in patients with traumatic incomplete spinal cord injury

Abstract Background 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. Objective This study aimed to assess the effects of different percentages of body-weight-support locomotor trainin...

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Main Authors: Moataz M. El Semary, Lamiaa I. Daker
Format: Article
Language:English
Published: SpringerOpen 2019-06-01
Series:The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s41983-019-0076-9
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author Moataz M. El Semary
Lamiaa I. Daker
author_facet Moataz M. El Semary
Lamiaa I. Daker
author_sort Moataz M. El Semary
collection DOAJ
description Abstract Background 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. Objective This 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 methods Twenty 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. Results The 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). Conclusion Body-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).
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spelling doaj.art-426b54901ab540a487774760b9451fc22022-12-22T00:04:10ZengSpringerOpenThe Egyptian Journal of Neurology, Psychiatry and Neurosurgery1687-83292019-06-015511610.1186/s41983-019-0076-9Influence of percentage of body-weight support on gait in patients with traumatic incomplete spinal cord injuryMoataz M. El Semary0Lamiaa I. Daker1Physical Therapy for Neuromuscular Disorders and its Surgery Department, Faculty of Physical Therapy, Cairo UniversityDepartment of Neurology, Fayoum UniversityAbstract Background 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. Objective This 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 methods Twenty 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. Results The 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). Conclusion Body-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).http://link.springer.com/article/10.1186/s41983-019-0076-9Body-weight-support treadmill trainingGaitLocomotor trainingIncomplete spinal cord injuryCentral pattern generator
spellingShingle Moataz M. El Semary
Lamiaa I. Daker
Influence of percentage of body-weight support on gait in patients with traumatic incomplete spinal cord injury
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Body-weight-support treadmill training
Gait
Locomotor training
Incomplete spinal cord injury
Central pattern generator
title Influence of percentage of body-weight support on gait in patients with traumatic incomplete spinal cord injury
title_full Influence of percentage of body-weight support on gait in patients with traumatic incomplete spinal cord injury
title_fullStr Influence of percentage of body-weight support on gait in patients with traumatic incomplete spinal cord injury
title_full_unstemmed Influence of percentage of body-weight support on gait in patients with traumatic incomplete spinal cord injury
title_short Influence of percentage of body-weight support on gait in patients with traumatic incomplete spinal cord injury
title_sort influence of percentage of body weight support on gait in patients with traumatic incomplete spinal cord injury
topic Body-weight-support treadmill training
Gait
Locomotor training
Incomplete spinal cord injury
Central pattern generator
url http://link.springer.com/article/10.1186/s41983-019-0076-9
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