Department of Physical Therapy, Langston University, Langston, Oklahoma 73050, USA.
Physiother Theory Pract. 2010 Oct;26(7):483-9. doi: 10.3109/09593980903580225.
Studies showing improvement in locomotor ability for individuals with chronic spinal cord injury (SCI) use training times that may be prohibitive for clinics. The purpose of this study was to examine the impact of a limited period of training on the gait characteristics of a man with chronic, incomplete SCI. The participant was a minimally ambulatory 59-year-old man almost 3 years post C(3) central cord injury with an ASIA Impairment Scale (AIS) classification of C. The participant received 11 training sessions using body weight support and a treadmill (BWST) over a 6-week period. The Six Minute Walk Test (6 MWT), and gait characteristics measured with motion analysis were obtained pretraining and posttraining. The participant made improvements on all measured gait characteristics. The participant's walking speed and comfort level on the treadmill improved enough for him to use community resources. This participant was able to make improvements in his gait with a much shorter training time period than those reported in previous locomotor training studies. Although this man did not obtain community ambulation status, his decreased dependence on his power chair at home and his new ability to use an available treadmill allow for continued walking practice outside the clinic.
研究表明，针对慢性脊髓损伤（SCI）患者的运动能力改善训练时间可能会使诊所望而却步。本研究的目的是探讨有限训练期对慢性、不完全性 SCI 患者步态特征的影响。参与者是一名 59 岁的男性，接近 3 年前因 C（3）中央脊髓损伤而导致四肢几乎不能活动，美国脊髓损伤协会（ASIA）损伤分级为 C 级。该参与者在 6 周内接受了 11 次使用身体重量支撑和跑步机（BWST）的训练。在训练前后，通过运动分析获得 6 分钟步行测试（6MWT）和步态特征的测量结果。参与者在所有测量的步态特征上都有所改善。参与者在跑步机上的行走速度和舒适度都有所提高，足以使其能够使用社区资源。与之前的运动训练研究相比，该参与者在更短的训练时间内就能改善其步态。尽管该男子没有获得社区行走能力，但他在家中对电动轮椅的依赖性降低，以及他新获得的使用现有跑步机的能力，使他能够在诊所外继续进行行走练习。
