Journal of Spinal Cord Medicine最新文献

{"title":"Factors associated with home discharge for individuals with cervical spinal cord injuries: Analysis according to age group.","authors":"Tomohiro Yoshimura, Hiroaki Hayashi, Yusuke Terao, Iwao Kojima, Kazumasa Jimbo, Kousuke Takahama, Taichi Yasumori, Takashi Murayama, Naohisa Kikuchi, Minoru Yamada","doi":"10.1080/10790268.2024.2432732","DOIUrl":"https://doi.org/10.1080/10790268.2024.2432732","url":null,"abstract":"<p><strong>Objective: </strong>To identify the factors associated with home discharge in individuals with cervical spinal cord injuries (cSCI) according to age group.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Hospital or rehabilitation centers specializing in spinal cord injuries in Japan.</p><p><strong>Methods: </strong>The subjects were individuals with cSCI who were registered in the National Spinal Cord Injury Database between April 2000 and March 2019 and hospitalized for rehabilitation purposes. The subjects were stratified into three groups: 18-34 years old (young-aged group), 35-64 years old (middle-aged group), and 65 years and older (old-aged group). Logistic regression analysis was performed to identify the factors associated with home discharge in each age group.</p><p><strong>Results: </strong>In the logistic regression analysis, the variables extracted as factors related to home discharge were: in the young-aged group, independence in bathing (odds ratio [OR]: 4.55), independence in toilet transfer (OR: 4.45), and high cervical (C1-C4) neurological level of injury (OR: 3.16). In the middle-aged group, living with others (OR: 3.36), independence in toilet transfer (OR: 5.74), and independence on stairs (OR: 3.58) were extracted. In the old-aged group, living with others (OR: 14.16), independence in bladder management (OR: 7.74), independence in locomotion (OR: 4.55), and good cognitive function (OR: 2.91) were extracted.</p><p><strong>Conclusion: </strong>These results suggest that the factors associated with home discharge for individuals with cSCI have different characteristics in each age group. Additionally, factors common to all age groups, such as transfers and toileting, were identified. Appropriate support depending on the age group is necessary for home discharge.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-7"},"PeriodicalIF":1.8,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"End user evaluation of the Canadian Spinal Cord Injury Physical Activity Guidelines: Barriers and facilitators to uptake and dissemination in the United States.","authors":"Kimberley R Monden, Angela Hanks Philippus, Nathan Adams, Charles H Bombardier","doi":"10.1080/10790268.2024.2449291","DOIUrl":"https://doi.org/10.1080/10790268.2024.2449291","url":null,"abstract":"<p><strong>Objective: </strong>To engage U.S. end users to (1) gather information on facilitators and barriers to awareness and adoption of the Canadian Spinal Cord Injury (SCI) Physical Activity (PA) guidelines; (2) inform potential adaptations to the presentation and messaging of the guidelines; and (3) develop recommendations for targeted dissemination strategies to promote awareness in the United States.</p><p><strong>Design: </strong>Multi-method.</p><p><strong>Setting: </strong>Working groups conducted remotely via Zoom and online surveys.</p><p><strong>Participants: </strong>Individuals with lived SCI experience (<i>n</i> = 5), providers/clinical researchers (<i>n</i> = 7), and members of SCI professional or community organisations (<i>n</i> = 6).</p><p><strong>Interventions: </strong>N/A.</p><p><strong>Outcome measures: </strong>N/A.</p><p><strong>Results: </strong>Participants highlighted the need for centralised, credible sources of information on PA. While participants generally viewed the guidelines as appropriate, useable, and acceptable, some questioned their credibility, as they were developed explicitly for Canadians with SCI rather than Americans. To enhance reach and effectiveness, participants suggested dissemination strategies that target specific audiences (i.e. level of functioning, level of injury, current level of PA). They also recommended collaborations with existing trusted community SCI organisations.</p><p><strong>Conclusion: </strong>Findings underscore the need for accessible, centralised, and credible information sources on PA tailored to the needs of the SCI community. Findings also suggest that while the guidelines do not require redevelopment for a U.S. context, they do need customised presentation, such as removing Canadian symbols from the materials, to better suit U.S. audiences. Effective dissemination will benefit from targeted strategies that leverage trusted organisations to reach and engage specific groups, ultimately supporting greater guideline awareness, acceptance, and application across the SCI population.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-23"},"PeriodicalIF":1.8,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spinal cord injury-specific prognostic risk assessment tool for development of type 2 diabetes.","authors":"Katherine D Arnow, Alex H S Harris, Daniel S Logan, Kristen Davis-Lopez, Sherri LaVela, Susan Frayne, Justina Wu, Dan Eisenberg","doi":"10.1080/10790268.2024.2434310","DOIUrl":"https://doi.org/10.1080/10790268.2024.2434310","url":null,"abstract":"<p><strong>Context: </strong>Available diabetes risk calculators were developed for able-bodied individuals, but their metabolic profile is different from individuals with spinal cord injury.</p><p><strong>Objectives: </strong>We aimed to develop a diabetes risk assessment tool specific to individuals with spinal cord injury.</p><p><strong>Methods: </strong>We used national Veterans Affairs data to identify patients with at least a 2-year history of spinal cord injury and no prior history of diabetes with a Veterans Heath Affairs visit from 2005-2007, and followed the 11,054 individuals that met inclusion criteria for up to 17 years to assess diabetes development. We used least absolute shrinkage and selection operator (LASSO) Cox regression to develop prognostic diabetes prediction models and evaluated these models on discrimination and calibration.</p><p><strong>Results: </strong>2937 subjects developed diabetes during follow-up; median follow-up time was 8.7 years (IQR 3.3, 15.4). The first model selected 17 predictors and demonstrated median discrimination of 0.70 (IQR 0.69, 0.72) at 15 years. The second, more parsimonious model with 4 selected predictors demonstrated median discrimination of 0.69 (IQR 0.68, 0.71) at 15 years. Both models demonstrated good calibration across predicted risk, with better calibration in the 17-predictor model.</p><p><strong>Conclusion: </strong>These spinal cord injury-specific risk calculators can be used by both patients and providers in assessing risk of diabetes development, and in shared decision making regarding surveillance and prevention.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Structural validity of the Trunk Assessment Scale for Spinal Cord Injury (TASS) with Rasch analysis for individuals with spinal cord disorders.","authors":"Hiroki Sato, Kazuhiro Miyata, Kenichi Yoshikawa, Shuhei Chiba, Masafumi Mizukami","doi":"10.1080/10790268.2023.2256515","DOIUrl":"10.1080/10790268.2023.2256515","url":null,"abstract":"<p><strong>Objective: </strong>To confirm the structural validity of the Trunk Assessment Scale for Spinal Cord Injury (TASS).</p><p><strong>Participants and methods: </strong>We evaluated 104 Japanese individuals with a spinal cord injury (SCI) (age 63.5 ± 12.2 years; 64 with tetraplegia) with the TASS 1-3 times. We conducted a Rasch analysis to assess the TASS' unidimensionality, fit statistics, category probability curve, ceiling/floor effects, local independence, reliability, and difference item function (DIF).</p><p><strong>Results: </strong>The TASS was observed to be a unidimensional and highly reproducible scale of item difficulty hierarchy that sufficiently identifies the superiority of the examinee's ability. The TASS was easy for the participants of this study. One TASS item was a misfit based on the infit and outfit mean square; another item also showed a DIF contrast for age. Several items were found to require a synthesis or modification of the content. The TASS showed a floor effect, and most of the non-scorers were individuals with a complete SCI.</p><p><strong>Conclusion: </strong>Our findings clarify the structural validity of the TASS, and our analyses revealed that the TASS includes an unfitness item and was less challenging for individuals with SCIs. The improvements suggested by these results provide important information for modifying the TASS to a more useful instrument.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"75-83"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11749286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10598745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of robotic therapy associated with noninvasive brain stimulation on motor function in individuals with incomplete spinal cord injury: A systematic review of randomized controlled trials.","authors":"Anas R Alashram","doi":"10.1080/10790268.2024.2304921","DOIUrl":"10.1080/10790268.2024.2304921","url":null,"abstract":"<p><strong>Context: </strong>Motor deficits are among the most common consequences of incomplete spinal cord injury (SCI). These impairments can affect patients' levels of functioning and quality of life. Combined robotic therapy and non-invasive brain stimulation (NIBS) have been used to improve motor impairments in patients with corticospinal tract lesions.</p><p><strong>Objectives: </strong>To examine the effects of combined robotic therapy and NIBS on motor function post incomplete SCI.</p><p><strong>Methods: </strong>PubMed, SCOPUS, MEDLINE, PEDro, Web of Science, REHABDATA, CINAHL, and EMBASE were searched from inception until July 2023. The Physiotherapy Evidence Database (PEDro) scale was employed to evaluate the selected studies quality.</p><p><strong>Results: </strong>Of 557 studies, five randomized trials (<i>n</i> = 122), with 25% of participants being females, were included in this review. The PEDro scores ranged from eight to nine, with a median score of nine. There were variations in treatment protocols and outcome measures, resulting in heterogeneous findings. The findings showed revealed evidence for the impacts of combined robotic therapy and NIBS on motor function in individuals with incomplete SCI.</p><p><strong>Conclusions: </strong>Combined robotic training and NIBS may be safe for individuals with incomplete SCI. The existing evidence concerning its effects on motor outcomes in individuals with SCI is limited. Further experimental studies are needed to understand the effects of combined robotic training and NIBS on motor impairments in SCI populations.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"6-21"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11749291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139543439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age-dependent effect of vitamin D supplementation on musculoskeletal health in chronic spinal cord injury patients: A pilot study.","authors":"Hea-Eun Yang, Byeong Wook Lee, I Jun Choi, Ji Yeon Oh, Eui Jin An","doi":"10.1080/10790268.2023.2257850","DOIUrl":"10.1080/10790268.2023.2257850","url":null,"abstract":"<p><strong>Objective: </strong>To determine the effect of vitamin D supplementation on changes in body composition associated with musculoskeletal health status in patients with chronic SCI and vitamin D deficiency as a response to age.</p><p><strong>Design: </strong>Prospective drug-intervention study.</p><p><strong>Setting: </strong>Department of rehabilitation medicine, Veterans Health Service Medical Center.</p><p><strong>Participants: </strong>Seventeen patients with vitamin D insufficiency/deficiency (<30 ng/mL) and chronic SCI were divided into two groups: groups A <65 years (<i>n</i> = 8) and B ≥65 years of age (<i>n</i> = 9).</p><p><strong>Interventions: </strong>Both groups received 800 IU/day cholecalciferol for 12 weeks.</p><p><strong>Outcome measures: </strong>We used blood samples to evaluate metabolites related to vitamin D, testosterone (T), lipid profiles, and sex hormone-binding globulin (SHBG). Bioelectrical impedance analysis (BIA) was used to evaluate body composition.</p><p><strong>Results: </strong>Group A had significantly better baseline clinical characteristics for all BIA measurements. SHGB was significantly higher in Group B (<i>P</i> = 0.003) and albumin was significantly higher in Group A (<i>P</i> = 0.000). When comparing pre- to post-treatment, Group A showed a significant improvement in T (<i>P</i> = 0.042), total cholesterol (<i>P</i> = 0.035), and triglyceride (<i>P</i> = 0.025) levels, whereas Group B significantly increased vitamin D (<i>P</i> = 0.038) and protein mass (PM) (<i>P</i> = 0.034) levels.</p><p><strong>Conclusion: </strong>This study suggested that addressing vitamin D deficiency in patients with SCI had different effects in young and older adults, with both groups showing positive changes in body composition. Particularly, the increase in PM on BIA measurements in elderly patients at high risk of sarcopenia was encouraging.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"93-102"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11749134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41240312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploratory examination of the scale structure of the Moorong Self-Efficacy Scale: Application of Rasch Measurement Theory.","authors":"Allan J Kozlowski, Jennifer A Weaver, Trudy Mallinson, Cally Gooch, Rachel Hren, Michelle A Meade, John F Butzer","doi":"10.1080/10790268.2023.2256516","DOIUrl":"10.1080/10790268.2023.2256516","url":null,"abstract":"<p><strong>Objective: </strong>Exploratory application of the Rasch Measurement (RM) Model for evidence for reproducibility, conceptual/content validity, and structural validity of the Moorong Self-Efficacy Scale (MSES).</p><p><strong>Study design: </strong>Secondary RM analysis of data collected in a randomized controlled trial comparing two exercise interventions for persons living with spinal cord injury (SCI).</p><p><strong>Setting: </strong>Community-dwelling persons living with SCI enrolled in an exercise study.</p><p><strong>Participants: </strong>Adults (<i>n</i> = 79) enrolled in the parent study had a traumatic SCI > 3 months prior, injury level C5 to T12.</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Outcome measure: </strong>The original MSES is a 16-item measure of self-efficacy with a 7-level response scale for un/certainty which was developed for use with persons living with SCI.</p><p><strong>Results: </strong>We addressed item misfit, infrequent category endorsement, and category step disorder by removing two items and reorganizing the rating scale. Rating scale changes removed category 4 (Neutral), combined categories 1-3 (Very Uncertain, Somewhat Uncertain, and Uncertain) for all items, and further combined certainty categories for two items. Principal components analysis of the residuals indicated a possible second dimension with a first-contrast Eigenvalue of 2.4. However, the contrasted item groups had explained variance <10% and a dis-attenuated correlation = 0.92 indicating they measure the same underlying trait. The small sample size precluded examination of differential item functioning.</p><p><strong>Conclusions: </strong>Exploratory RM analysis of MSES produced a 14-item Rasch version which identified structural and content validity evidence concerns inherent in the original MSES. However, results could be biased by a small sample size and further study should examine the item content and rating scale structure with larger, more diverse samples of persons living with SCI.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"84-92"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11749014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41162527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of spasticity on quality of life of Lebanese individuals with spinal cord injury: Validity and reliability of the Arabic modified patient-reported impact of spasticity measure.","authors":"Nour El Hoda Saleh, Ibrahim Naim, Nada Nakad, Nivin Haidar, Zahra Sadek","doi":"10.1080/10790268.2023.2251207","DOIUrl":"10.1080/10790268.2023.2251207","url":null,"abstract":"<p><strong>Context: </strong>Spasticity is one of the most complicated problems after spinal cord injury (SCI). Different assessment tools are used to assess spasticity and its impact on individuals with SCI. The modified Patient-Reported Impact of Spasticity Measure (mPRISM) is a recommended tool to measure spasticity in spinal cord damage.</p><p><strong>Objective: </strong>To translate and cross-culturally adapt mPRISM to Arabic and examine its validity and reliability in a sample of Lebanese adults with SCI.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Participants: </strong>107 individuals with SCI.</p><p><strong>Outcome measures: </strong>mPRISM.</p><p><strong>Intervention: </strong>mPRISM was translated into Arabic, and pilot testing of the pre-final version was conducted. Exploratory factor analysis, Poisson regression, and Cronbach's alpha were performed to evaluate the construct and convergent validity and reliability of the Arabic version of mPRISM (AR-mPRISM).</p><p><strong>Results: </strong>mPRISM was successfully translated and cross-culturally adapted to Arabic. Results of an exploratory factor analysis conducted on the scale showed a coherent 5-domain structure that explained 69.631% of the total variance. Convergent validity was demonstrated by a significant association with sociodemographic and injury correlates. The five extracted subscales demonstrated high internal consistency with a Cronbach's alpha > 0.8.</p><p><strong>Conclusion: </strong>Results support the construct and convergent validity and reliability of AR-mPRISM for assessing spasticity impact on the quality of life of Arabic Speaking SCI population.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"65-74"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11749285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10536203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosis and management of cardiometabolic disease after spinal cord injury: Identifying gaps in physician training and practices.","authors":"Chinenye Christa Nnoromele, Du Pham, Felicia Skelton, Ryan Solinsky","doi":"10.1080/10790268.2023.2235744","DOIUrl":"10.1080/10790268.2023.2235744","url":null,"abstract":"<p><strong>Context: </strong>Cardiometabolic disease (CMD) frequently occurs in individuals with spinal cord injury (SCI), with growing awareness surrounding the expansive scope of this problem. As CMD has significant morbidity and mortality, early guidelines-based screening and management have been established. However, the extent to which these guidelines have been adopted are unclear.</p><p><strong>Objective: </strong>Describe physicians' screening and management pattern for CMD in patients with SCI, as compared to SCI-specific CMD screening guidelines, and elucidate variables linked to screening and management patterns.</p><p><strong>Methods: </strong>SCI medicine-boarded physicians were surveyed on screening timing for CMD following acute SCI, along with their practice pattern and comfort level managing common CMD risk factors.</p><p><strong>Results: </strong>Of the forty-seven SCI medicine physicians that responded, 62% felt the ideal timing for CMD screening is 6 months after the acute injury. Of these same physicians, few were screening for insulin resistance and lipid dysregulation prior to 6 months after injury. In addition, less than half felt comfortable writing new prescriptions for anti-glycemic and anti-lipid medications. Furthermore, no association was found between the amount of CMD education with screening or management patterns. Finally, VA-based providers were more likely to screen for CMD within 6 months of injury and were more comfortable managing/starting anti-glycemic medications and statins.</p><p><strong>Conclusions: </strong>Despite the presence of SCI-specific CMD guidelines, gaps in screening and management practices still exist, most notably with insulin resistance and lipid dysregulation. VA-based providers generally screen and manage CMD risk factors more effectively, and further CMD education could consider emulating VA training modules.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"39-45"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11749254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9923976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of gait training with weight support feedback walker on walker dependence, lower limb muscle activation, and gait ability in patients with incomplete spinal cord injury: A pilot randomized controlled trial.","authors":"Chang Sune Park, Gku Bin Oh, Ki Hun Cho","doi":"10.1080/10790268.2023.2260532","DOIUrl":"10.1080/10790268.2023.2260532","url":null,"abstract":"<p><strong>Background: </strong>Spinal cord injury (SCI) is a devastating condition affecting an individual's life, particularly through lower extremity paralysis, which limits walking and daily activities.</p><p><strong>Objectives: </strong>This study investigated the effects of weight support feedback walker (WSFW) gait training on walker dependence, lower limb muscle activation, and gait ability in patients with incomplete SCI (ISCI).</p><p><strong>Methods: </strong>Eleven subjects capable of walking > 20 m with and without a walker were randomly assigned to WSFW gait training (n = 6) or conventional walker (CW) gait training groups (n = 5). All subjects underwent standard physical therapy for 4 weeks. Additionally, the WSFW group participated in WSFW gait training, whereas the CW group participated in CW gait training conducted for 30 min per day, thrice per week, for 4 weeks. Walker dependence (the average force pressing WSFW with the user's arm during walker gait), lower extremity muscle activity (rectus femoris, biceps femoris, and medial gastrocnemius), and gait ability (gait elements: velocity, cadence, step length, and step length asymmetry) were measured to investigate the effects of training.</p><p><strong>Results: </strong>The WSFW group showed significant decrease in walker dependence compared to the CW group (<i>P</i> < 0.05). Some lower extremity muscle activation (left side biceps femoris) and velocity of the gait elements were increased in the WSFW group compared with those in the CW group (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>WSFW gait training could help patients with ISCI transfer their body weight to the paralyzed lower extremity. However, a randomized controlled trial with several subjects is essential to verify the effects of WSFW training.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"103-111"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11749283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41156544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}