4.5 Article

Effectiveness of Automated Locomotor Training in Patients with Acute Incomplete Spinal Cord Injury: A Randomized, Controlled, Multicenter Trial

Journal

JOURNAL OF NEUROTRAUMA
Volume 34, Issue 10, Pages 1891-1896

Publisher

MARY ANN LIEBERT, INC
DOI: 10.1089/neu.2016.4643

Keywords

exercise therapy; spinal cord injuries; walking

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The aim of this study was to evaluate whether the effect of longer training times (50 instead of 25min per day) using a robotic device results in a better outcome of walking ability of subjects with a subacute motor complete (American Spinal Injury Association Impairment Scale [AIS]-B) and incomplete (AIS-C) spinal cord injury. Twenty-one patients were enrolled in the study, whereof 18 completed, on average, 34 trainings in 8 weeks. Longer training times resulted in better locomotor function. The second important result of the study is that a beneficial effect can be achieved by the application of a robotic device for prolonged training sessions without requiring more personal resources. It has to remain open whether even longer training times (more than 50min) would result in a still better outcome. In any case, the extent of possible recovery in an individual patient is determined by the level and severity of spinal cord damage.

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