Using a digital treadmill can improve the walking ability of patients with an incomplete spinal cord injury better than simple rehabilitation
10.3760/cma.j.issn.0254-1424.2023.11.011
- VernacularTitle:基于数字化跑台的康复训练对不完全性脊髓损伤患者步行能力的影响
- Author:
Zuoxin SONG
1
;
Xin LIU
;
Di TIAN
;
Ninghui QIU
;
Huanqin FU
Author Information
1. 宁波市康复医院骨与关节损伤康复科，宁波 315040
- Keywords:
Spinal cord injury;
Digital treadmills;
Gait parameters
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2023;45(11):1003-1007
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To document the effectiveness of using a digital treadmill in rehabilitating the walking ability of patients with an incomplete spinal cord injury.Methods:Ninety-three patients with an incomplete spinal cord injury were randomly divided into a control group ( n=46) and a treatment group ( n=47). Both groups received routine rehabilitation, but the treatment group was additionally trained using a digital treadmill. Before and after 3 months of the treatment, the quadriceps strength of each patient was graded using Lovett muscle strength grades. Walking ability was quantified using the 10m walk test, the 6min walking endurance test and lower extremity motor scoring (LEMS). Gait parameters were recorded along with the maximum knee flexion and hip flexion angles. Ability in the activities of daily living was assessed using the modified Barthel index (MBI) and the functional independence rating scale (FIM). Results:After treatment, significant improvement was observed in the average quadriceps muscle strength, 10m walking time, 6min walking distance, LEMS score, step length, step speed, step frequency, maximum knee flexion angle, maximum hip flexion angle, MBI score and FIM score of both groups compared with before the treatment. Significantly greater improvement was observed in the treatment group′s average quadriceps muscle strength, 10m walking time, 6min walking distance, LEMS score, step length, walking speed, stride frequency, knee and hip flexion angles, and their average MBI and FIM scores.Conclusions:Rehabilitation training using a digital treadmill can improve the lower limb muscle strength, walking ability and gait parameters of patients with incomplete spinal cord injury, as well as their ability in the activities of daily living.
