Article

OBJECTIVE: To compare a walking reeducation program with robotic locomotor
training plus overground therapy (LKOGT) to conventional overground training
(OGT) in individuals with incomplete upper motor neuron (UMN) or lower motor
neuron (LMN) injuries having either traumatic or nontraumatic nonprogressive
etiology. DESIGN: Randomized open controlled trial with blind evaluation by an
independent observer. SETTING: An inpatient spinal cord injury rehabilitation
center. PARTICIPANTS: A total of 88 adults within 6 months of spinal cord injury
onset (group A, 44 with UMN injury, and group B, 44 with LMN injury) were graded
on the American Spinal Injury Association Impairment Scale as C or D. Each of
these groups was then randomly allocated to conditions 1 or 2. INTERVENTIONS:
Condition 1: Subgroups A1 and B1 were treated with LKOGT for 60 minutes.
Condition 2: Subgroups A2 and B2 received 60 minutes of conventional OGT 5 days
per week for 8 weeks. Subjects with UMN and LMN were randomized into 2 training
groups. MAIN OUTCOME MEASURES: Ten-meter walk test and 6-minute walk test (6MWT).
Walking Index for Spinal Cord Injury II, lower extremity motor score (LEMS), and
the FIM-Locomotor were secondary outcome measures. RESULTS: By using the LKOGT
program compared with OGT,
we found significant differences in the 6MWT for
groups A1 and B1. LKOGT also provided higher scores than did OGT in secondary
outcomes such as the LEMS and the FIM-Locomotor. CONCLUSIONS: Robotic-assisted
step training yielded better results in the 6MWT and the LEMS in patients with
UMN and LMN.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS