Body weight supported treadmill training at very low treatment frequency for a young adult with incomplete cervical spinal cord injury.

Daniel L. Young, Harvey W. Wallmann, Iris Poole, A. Joseph Threlkeld

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

INTRODUCTION: Body weight supported treadmill training (BWSTT) using high treatment frequency has been shown to improve gait after spinal cord injury (SCI). This case report describes the use of BWSTT at a very low treatment frequency. SUBJECT: The subject was a 19 y.o. female with an incomplete C6 SCI, one year post-injury, with multiple gait deficits. INTERVENTION: BWSTT was combined with conventional rehabilitation. Mean treatment frequency was 1.16 days/wk over 28.5 wks. A BWSTT progression algorithm based on observational gait analysis guided progressive changes in support levels, treadmill speed, and session length. OUTCOMES: During the first 3 sessions, the subject tolerated an average of 15.7 minutes of BWSTT with 26% BWS at 0.8 m/s, improving to an average of 28 minutes of BWSTT with 10% BWS at 1.6 m/s in the last 3 sessions. Following 28.5 wks of very low frequency BWSTT, the subject displayed improved kinematics, walking speed, endurance, and distance during overground gait. CONCLUSION: Very low frequency BWSTT combined with conventional treatment improved quality and endurance of walking for a person with incomplete cervical SCI. Further work is needed to evaluate the long-term outcome of very low frequency BWSTT and the interaction of BWSTT with other interventions.

Original languageEnglish (US)
Pages (from-to)261-270
Number of pages10
JournalNeuroRehabilitation
Volume25
Issue number4
StatePublished - 2009
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Neurology

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