Treadmill walking in incomplete spinal-cord-injured subjects: 2. Factors limiting the maximal speed

Abstract

Neuroscience Network of the Canadian Centre of Excellence.

Body weight-supported treadmill training in chronic incomplete spinal cord injury: a pilot study evaluating functional health status and quality of life

“…9 Up to now, the effectiveness of TT combined with BWS in patients with an ISCI has been almost exclusively evaluated at the level of body functions, 10 mostly by electromyography or measuring speed and BWS on the treadmill. [3][4][5][6][7][8]11,12 A couple of studies have also measured walking over ground, 3,4,7,13 but only a few have measured walking-related activities. 3,13 While results are generally positive, 3,4,7,13 little is known about the effect of TT on the functional health status (FHS) and quality of life (QoL) of patients with an ISCI, even though changes of FHS are considered an important aspect of rehabilitation.…”

The Ability to Walk After a Spinal Cord Injury with Emphasis on Exoskeletons: A Review

“…The slower walking speed of SCI patients has been shown to be associated with an increased duration of the double-support phase [30]. Balance requirements are lower during the double-support compared with the single-support phase of walking [28].…”

Análisis de la marcha: evaluación de un exoesqueleto aplicado a la marcha asistida

“…Pacientes con hemiplejia tras accidente cerebrovascular (Bohannon, 1987;Onley, & Richards, 1996), pacientes con osteoartritis (Bejek, Paróczai, Illyés, & Kiss, 2006) o personas de avanzada edad (Bohannon, Andrews, & Thomas, 1996) eligen velocidades lentas, en torno a 0,40 y 0,80 m/s. Pacientes con lesión medular incompleta que mantienen una función motora y sensitiva residual que les permite caminar eligen velocidades extremadamente lentas, entre 0.20 y 0.30 m/s dependiendo del nivel de discapacidad (Krawetz, & Nance, 1996;Melis, Torres-Moreno, Barbeau, & Lemaire, 1999;Nymark et al, 2005;Pépin, Norman, & Barbeau, 2003;Pépin et al, 2003b;Waters, Yakura, Adkins, & Barnes, 1989).…”

“…En otras ocasiones, la elección viene determinada por aspectos anatómicos que condicionan la cinemática de las articulaciones y la imposibilidad de aumentar la longitud de paso y la cadencia y, por tanto, la velocidad (Pépin et al, 2003b).…”

“…Numerosos autores han estudiado la influencia de la velocidad en los parámetros espaciotemporales y cinemáticos, determinando cuáles son los cambios que se producen en la marcha humana durante una velocidad lenta (Beauchet et al, 2009;Bejek et al, 2006;Chiu, Wu, & Chang, 2013;Chung, & Wang, 2010;Den Otter, Geurts, Mulder, & Duysens, 2004;Hirasaki, Moore, Raphan, & Cohen., 1999;Jordan, Challis, & Newell, 2007;Kang, & Dingwell, 2007;Kavanagh, 2009;Nymark et al, 2005;Orendurff et al, 2004;Pépin et al, 2003a;Pépin et al, 2003b;Shemmell, Johansson, Portra, Gottlieb, Thomas, & Corcos, 2007;Swinnen et al, 2013;Tanawongsuwan, & Bobick, 2003;Tesio et al, 1998;Thomas, De Vito, & Macaluso, 2007;Yoon, Park, & Damiano, 2012). La cadencia y longitud de paso o longitud de zancada, directamente relacionados con la velocidad, disminuyen de forma paralela a la velocidad (Bejek et al, 2006;Kirtley, 2006;Riley et al, 2001;Shemmell et al, 2007;Tanawongsuwan, & Bobick, 2003), mientras que el ancho de paso se incrementa para dar mayor base de sustentación (Ordendurff et al, 2004).…”