School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand.
Spinal Cord. 2013 May;51(5):379-83. doi: 10.1038/sc.2012.178. Epub 2013 Jan 22.
A 2 × 2 cross-over design.
To compare immediate effects of obstacle crossing training and conventional overground walking training on functional ability among independent ambulatory patients with spinal cord injury (SCI).
A tertiary rehabilitation center, Thailand.
Twenty independent ambulatory participants with SCI received a 1-day overground walking training and a 1-day obstacle crossing training program in a randomized cross-over design with a 2-day washout period. Immediately prior and after each training program, the functional ability of all participants was measured using the timed up and go test (TUGT), five times sit-to-stand test (FTSST) and 10-m walk test (10MWT).
The TUGT, FTSST and 10MWT data were significantly better after obstacle crossing training (P<0.001) but not after the overground walking training (P>0.05). The improvement following obstacle crossing training was also significantly different from that of the overground walking training (P<0.05).
Obstacle crossing training immediately enhanced functional ability related to walking of ambulatory participants with SCI. However, a further longitudinal study using a randomized controlled trial is needed to support benefits of incorporation of obstacle crossing training into rehabilitation practice.
2×2 交叉设计。
比较障碍穿越训练和常规地面行走训练对独立步行脊髓损伤（SCI）患者功能能力的即时影响。
泰国一家三级康复中心。
20 名独立步行的 SCI 患者以随机交叉设计接受 1 天的地面行走训练和 1 天的障碍穿越训练方案，洗脱期为 2 天。在每次训练计划之前和之后，所有参与者的功能能力均使用计时起立行走测试（TUGT）、五次坐立站起测试（FTSST）和 10 米步行测试（10MWT）进行测量。
障碍穿越训练后 TUGT、FTSST 和 10MWT 数据明显改善（P<0.001），但地面行走训练后无明显改善（P>0.05）。障碍穿越训练后的改善也明显不同于地面行走训练（P<0.05）。
障碍穿越训练可立即提高独立步行的 SCI 患者与行走相关的功能能力。然而，需要进一步的随机对照试验的纵向研究来支持将障碍穿越训练纳入康复实践的益处。
