Lokomat Robotic-Assisted Versus Overground Training Within 3 to 6 Months of Incomplete Spinal Cord Lesion: Randomized Controlled Trial

Neurorehabilitation and Neural Repair

Volumn 26, Issue 9, 2012, Pages 1058-1063

  Alcobendas Maestro, Mónica ^a   Esclarín Ruz, Ana ^a   Casado López, Rosa M ^a   Muñoz González, Alejandro ^a   Pérez Mateos, Guillermo ^a   González Valdizán, Esteban ^a   Martín, José Luis R ^b  

^a HOSPITAL NACIONAL DE PARAPLÉJICOS   (Spain)

^b UNIVERSIDAD EUROPEA DE MADRID   (Spain)

Author keywords

body weight support; locomotor training; neuronal plasticity; rehabilitation of walking; robotic assisted step training; spinal cord injury

Indexed keywords

ADULT; ARTICLE; CONSERVATIVE TREATMENT; CONTROLLED STUDY; EDUCATION PROGRAM; FEMALE; HOSPITAL ADMISSION; HUMAN; LOCOMOTION; MAJOR CLINICAL STUDY; MALE; MEDICAL DEVICE; MOBILITY AIDS FOR BLIND PERSONS; MUSCLE STRENGTH; MUSCLE TRAINING; OBSERVER BIAS; ORTHOTICS; RANDOMIZED CONTROLLED TRIAL; RATING SCALE; ROBOTIC ASSISTED LOCOMOTOR; SCORING SYSTEM; SINGLE BLIND PROCEDURE; SPINAL CORD LESION; TRAINING; VISUAL ANALOG SCALE; WALKING;

ADULT; EXERCISE THERAPY; FEMALE; GAIT; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; MUSCLE STRENGTH; ODDS RATIO; PAIN; PAIN MEASUREMENT; PHYSICAL ENDURANCE; RECOVERY OF FUNCTION; ROBOTICS; SPINAL CORD INJURIES; TREATMENT OUTCOME; WALKING;

EID: 84867297271     PISSN: 15459683     EISSN: 15526844     Source Type: Journal    
DOI: 10.1177/1545968312448232     Document Type: Article

References (21)

1. Kirshblum S, Priebe MM, Ho CH. Spinal cord injury medicine: rehabilitation phase after acute spinal cord injury. Arch Phys Med Rehabil. 2007 ; 81: S62 - S70
2. Mehrholz J, Kugler J, Pohl M. Locomotor training for walking after spinal cord injury. Cochrane Database Syst Rev. 2008 ; (2). CD006676
3. Waters RL, Adkins RH, Yakura J. Motor and sensory recovery following complete tetraplegia. Arch Phys Med Rehabil. 1993 ; 74: 242-247 (Pubitemid 23083796)
4. Wirz M, Zemon DH, Rupp R, et al. Effectiveness of automated locomotor training in patients with chronic incomplete spinal cord injury: a multicenter trial. Arch Phys Med Rehabil. 2005 ; 86: 672-680 (Pubitemid 40487831)
5. Colombo G, Wirz M, Dietz V. Driven gait orthosis for improvement of locomotor training in paraplegic patients. Spinal Cord. 2001 ; 39: 252-255 (Pubitemid 32566071)
6. Werning A, Müller S, Nasay A, Cagol E. Laufband therapy based on "rules of spinal locomotion" is effective in spinal cord injured persons. Eur J Neurosci. 1995 ; 7: 823-829
7. Dobkin BH, Apple D, Barbeau H, et al. Weight-supported treadmill versus over-ground training for walking after acute incomplete SCI. Neurology. 2006 ; 66: 484-493
8. Tefertiller C, Pharo B, Evans N, Winchester P. Efficacy of rehabilitation robotics for walking training in neurological disorders: a review. J Rehabil Res Dev. 2011 ; 48: 387-416
9. Nooijen C, Ter Hoeve N, Field-Fote E. Gait quality is improved by locomotor training in individuals with SCI regardless of training approach. J Neuroeng Rehabil. 2009 ; 6: 36
10. Field-Fote E, Roach K. Influence of a locomotor training approach on walking speed and distance in people with chronic spinal cord injury: a randomized clinical trial. Phys Ther. 2011 ; 91: 48-60
11. Vaney C, Gattlen B, Lugon-Moulin V, et al. Robotic-assisted step training (Lokomat) not superior to equal intensity of over-ground rehabilitation in patients with multiple sclerosis. Neurorehabil Neural Repair. 2012 ; 26: 212-221
12. Duncan P, Sullivan K, Behrman A, et al. Body-weight-supported treadmill rehabilitation program after stroke. N Engl J Med. 2011 ; 364: 2026-2036
13. American Spinal Injury Association. Atlanta: ASIA; c1996-08. http://www.asia-spinalinjury.org/publications/59544-sc-Exam-Sheet-r4.pdf. Accessed November 2010.
14. Lam T, Nooman VK, Eng JJ. A systematic review of functional ambulation outcome measures in spinal cord injury. Spinal Cord. 2008 ; 46: 246-254 (Pubitemid 351498868)
15. Steeves JD, Lammertse D, Curt A, Fawcett JW, Tuszynski MH, Ditunno JF. Guidelines for the conduct of clinical trials for spinal cord injury as developed by the ICCP panel: clinical trial outcome measure. Spinal Cord. 2007 ; 45: 206-221 (Pubitemid 46340849)
16. Burns AS, Delparte JJ, Patrick M, Marino RJ, Ditunno JF. The reproducibility and convergent validity of the Walking Index for Spinal Cord Injury (WISCI) in chronic spinal cord injury. Neurorehabil Neural Repair. 2011 ; 25: 149-157
17. Ditunno JF, Barbeau H, Dobkin BH, et al. Validity of the walking scale for spinal cord injury and other domains of function in a multicenter clinical trial. Neurorehabil Neural Repair. 2007 ; 21: 539-550 (Pubitemid 47585198)
18. Hall KM, Cohen ME, Wright J, Call M, Werner P. Characteristics of the functional independence measure in traumatic spinal cord injury. Arch Phys Med Rehabil. 1999 ; 80: 1471-1476 (Pubitemid 29526646)
19. Rodriguez LP Medida de la independencia funcional. New York, NY: Research Foundation State New York; University of New York ; 1991 :
20. Ditunno JF, Young W, Donovan WH, Creasey G. The international standards booklet for neurological and functional classification of spinal cord injury. American Spinal Injury Association. Paraplegia. 1994 ; 32: 70-80 (Pubitemid 24057469)
21. Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther. 1987 ; 67: 206-207 (Pubitemid 17026064)