Barbeau Hugues, Nadeau Sylvie, Garneau Christiane
School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada.
J Neurotrauma. 2006 Mar-Apr;23(3-4):571-85. doi: 10.1089/neu.2006.23.571.
The aim of this review is to examine the physical determinants for functional walking as well as the efficacy of gait rehabilitation after spinal cord injury (SCI) in humans. The results indicate several important physical determinants in gait. Examples are provided of different interventions that produce beneficial effects on outcome measures of gait such as gait speed, stride length, walking endurance, motor recovery, and gait quality. These findings need to be considered in current SCI rehabilitation practices, but the efficacy of certain interventions remains unclear. Well-designed clinical trials are needed to provide evidence of the role of physical determinants in the development of new concepts and principles in locomotor recovery after SCI. This review focuses on relevant literature, and informs rehabilitation specialists and basic scientists about the physical determinants and factors to consider for optimization of gait training in individuals with incomplete SCI.
本综述的目的是研究功能性步行的身体决定因素以及脊髓损伤（SCI）后人类步态康复的疗效。结果表明了步态中的几个重要身体决定因素。文中提供了不同干预措施的例子，这些措施对步态的结果指标，如步速、步长、步行耐力、运动恢复和步态质量产生有益影响。在当前的SCI康复实践中需要考虑这些发现，但某些干预措施的疗效仍不明确。需要精心设计的临床试验来提供证据，证明身体决定因素在SCI后运动恢复新概念和原则发展中的作用。本综述聚焦于相关文献，并向康复专家和基础科学家介绍身体决定因素以及在不完全性SCI个体中优化步态训练时需考虑的因素。
