Combined use of body weight support, functional electric stimulation, and treadmill training to improve walking ability in individuals with chronic incomplete spinal cord injury

Edelle C. Field-Fote

Research output: Contribution to journalArticle

186 Citations (Scopus)

Abstract

Objective: To assess the effect of an intervention combining body weight support (BWS), functional electric stimulation (FES), and treadmill training on overground walking speed (OGWS), treadmill walking speed, speed and distance, and lower extremity motor scores (LEMS). Design: Before and after comparison. Setting: Miami Project to Cure Paralysis. Participants: Nineteen subjects with American Spinal Injury Association class C injury who were at least 1 year postinjury and had asymmetrical lower extremity function. Intervention: Subjects trained 1.5 hours per day, 3 days per week, for 3 months. The training consisted of body weight-supported treadmill walking assisted by electric stimulation. Stimulation was applied to common peroneal nerve of the weaker lower extremity (LE) and timed to assist with the swing phase of the step cycle. Main Outcome Measures: OGWS in the absence of both BWS and FES; LEMS, and treadmill training parameters of speed and distance. Results: Over the course of training, there was a significant increase in OGWS (from .12 ± 0.8m/s to .21 ± .15m/s, p = .0008), treadmill walking speed (from .23 ± .12m/s to .49 ± .20m/s, p = .00003), and treadmill walking distance (from 93 ± 84m to 243 ± 139m, p = .000001). The median LEMS increased significantly for both the stimulated and nonstimulated leg (from 8 to 11 in the FES-assisted leg, from 15 to 18 in the nonassisted leg, p < .005 for each). Conclusions: All subjects showed improvement in OGWS and overall LE strength. Further research is required to delineate the essential elements of these particular training strategies.

Original languageEnglish
Pages (from-to)818-824
Number of pages7
JournalArchives of Physical Medicine and Rehabilitation
Volume82
Issue number6
DOIs
StatePublished - Jun 21 2001

Fingerprint

Spinal Cord Injuries
Electric Stimulation
Walking
Lower Extremity
Body Weight
Leg
Peroneal Nerve
Paralysis
Walking Speed
Outcome Assessment (Health Care)
Wounds and Injuries
Research

Keywords

  • Electric stimulation
  • Exercise test
  • Gait
  • Rehabilitation
  • Spinal cord injuries
  • Walking

ASJC Scopus subject areas

  • Rehabilitation

Cite this

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title = "Combined use of body weight support, functional electric stimulation, and treadmill training to improve walking ability in individuals with chronic incomplete spinal cord injury",
abstract = "Objective: To assess the effect of an intervention combining body weight support (BWS), functional electric stimulation (FES), and treadmill training on overground walking speed (OGWS), treadmill walking speed, speed and distance, and lower extremity motor scores (LEMS). Design: Before and after comparison. Setting: Miami Project to Cure Paralysis. Participants: Nineteen subjects with American Spinal Injury Association class C injury who were at least 1 year postinjury and had asymmetrical lower extremity function. Intervention: Subjects trained 1.5 hours per day, 3 days per week, for 3 months. The training consisted of body weight-supported treadmill walking assisted by electric stimulation. Stimulation was applied to common peroneal nerve of the weaker lower extremity (LE) and timed to assist with the swing phase of the step cycle. Main Outcome Measures: OGWS in the absence of both BWS and FES; LEMS, and treadmill training parameters of speed and distance. Results: Over the course of training, there was a significant increase in OGWS (from .12 ± 0.8m/s to .21 ± .15m/s, p = .0008), treadmill walking speed (from .23 ± .12m/s to .49 ± .20m/s, p = .00003), and treadmill walking distance (from 93 ± 84m to 243 ± 139m, p = .000001). The median LEMS increased significantly for both the stimulated and nonstimulated leg (from 8 to 11 in the FES-assisted leg, from 15 to 18 in the nonassisted leg, p < .005 for each). Conclusions: All subjects showed improvement in OGWS and overall LE strength. Further research is required to delineate the essential elements of these particular training strategies.",
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