Abstract
Objectives: To compare results obtained after a walking reeducation programme using the Lokomat in cervical and thoracic incomplete spinal cord injuries. Materials and methods: A total of 70 patients admitted to the National Paraplegics Hospital for incomplete motor spinal cord injury with a time course of under 6 months, were included in a cohort prospective study. Patients received 40 walking re-education sessions using a combination of the Lokomat and conventional systems. Main outcome measure was Walking Index for Spinal Cord Injury (WISCI II) scale. Secondary outcome measures were 10-meters walk test and Functional Independence Measure (FIM-L) and 6’walking test. Results: 80% of the sample achieved ambulation and the outcomes measures improved significantly in cervical and thoracic patients but there were not significant differences between the groups. Conclusions: The Lokomat system improves walk capacity, speed, endurance and locomotor independency in the same way in cervical and thoracic patients.
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Mehrholz, J., Kugler, J., Pohl, M.: Locomotor training for walking after spinal cord injury. Spine 33(21), 768–777 (2008)
Dobkin, B.H., Appel, D., Barbeau, H., Basso, D.M., Behrman, A.L., Deforge, D., Ditunno, J.F., Dudley, G., Elashoff, R., Fugate, L., Harkema, S., Saulino, M., Scott, M.: Weight-supported treadmill versus over-ground training for walking after acute incomplete SCI. Neurology 66, 484–493 (2006)
Alcobendas-Maestro, M., Esclarín-Ruz, A., Casado-López, R.M., Muñoz-González, A., Pérez-Mateos, G., González-Valdizán, E., Martín, J.L.: Lokomat Robotic-Assisted Versus Overground Training Within 3 to 6 Months of Incomplete Spinal Cord Lesion: Randomized Controlled Trial. Neurorehabil. Neural Repair (June 13) (Epub ahead of point)
Dietz, V.: Body weigth supported gait training: from laboratory to clinical setting. Brain Res. Bull. 78, I–VI (2009)
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Alcobendas-Maestro, M., Esclarín-Ruz, A., Casado-López, R. (2013). Lokomat Training, Cervical versus Thoracic Spinal Cord Injuries: Comparative Study. In: Pons, J., Torricelli, D., Pajaro, M. (eds) Converging Clinical and Engineering Research on Neurorehabilitation. Biosystems & Biorobotics, vol 1. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-34546-3_35
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DOI: https://doi.org/10.1007/978-3-642-34546-3_35
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-34545-6
Online ISBN: 978-3-642-34546-3
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