Walking in Water and on Land After an Incomplete Spinal Cord Injury

Tamburella, Federica; Scivoletto, Giorgio; Cosentino, Elena; Molinari, Marco

doi:10.1097/phm.0b013e3182a1e6c3

Cited by 18 publications

(22 citation statements)

References 36 publications

(50 reference statements)

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“…After KT treatment, there was better control of balance, as confirmed by the decline in V and L COP parameters (Cortesi et al, 2011; Tamburella et al, 2013a), as well as an improvement in kinematic gait parameters. Decreases in STANCE and DTS reflect improved dynamic postural stability (Tamburella et al, 2013b), which has been suggested to specifically improve gait in subjects with chronic motor incomplete SCI (Tamburella et al, 2013a). …”

Section: Discussionmentioning

confidence: 99%

“…Locomotion kinematic gait data were recorded and analyzed using the bidimensional KineView Motion System ® (Kineview, Hafnarfjordur, Iceland) per the protocol for chronic SCI subjects in Tamburella et al (2013a,b), based on 3 strides at a self-determined velocity. Spatial movements of the lower extremity segments were monitored, based on the position of passive markers that were placed per the Helen Hayes biomechanical model (Kadaba et al, 1990).…”

Section: Methodsmentioning

confidence: 99%

“…STRIDE was defined as the event between 2 successive instances of foot-ground contact. STANCE was defined as the event from foot-ground contact to liftoff, and DTS was the time during which both feet were in contact with the ground (Huxham et al, 2006; Tamburella et al, 2013a,b). Foot-ground contact was determined manually from video recordings (Tamburella et al, 2013a,b).…”

Section: Methodsmentioning

confidence: 99%

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Somatosensory inputs by application of KinesioTaping: effects on spasticity, balance, and gait in chronic spinal cord injury

Tamburella

Scivoletto

Molinari

2014

Front. Hum. Neurosci.

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Introduction: Leg paralysis, spasticity, reduced interlimb coordination, and impaired balance are the chief limitations to overground ambulation in subjects with incomplete spinal cord injury (SCI). In recent years, the application of KinesioTaping (KT) has been proposed to enhance sensory inputs, decreasing spasticity by proprioception feedback and relieving abnormal muscle tension. Because no studies have examined KT-based techniques in SCI subjects, our goal was to analyze the effects of ankle joint KT on spasticity, balance, and gait.Materials and Methods: A randomized crossover case control design was used to compare the effects of KT and conventional nonelastic silk tape (ST) in 11 chronic SCI subjects, AIS level D, with soleus/gastrocnemius (S/G) muscle spasticity and balance and gait impairments. Treatment: 48 h of treatment with KT or ST was followed by 48 h with the other technique after 1 week. A single Y-strip of Cure© tape (KT) and ST was to the S and G muscles with 0% stretch. Before and 48 h after of application of KT and ST, clinical data on the range of motion (ROM), spasticity, clonus, pain, balance, and gait were collected. Stabilometric platform assessment of center of pressure (COP) movements; bidimensional gait analysis; and recording of electromyographic (EMG) activity of the S, G, and tibialis anterior and extensor hallucis lungus muscles were also performed.Results: Only KT had significant effects on spasticity (p < 0.05), clonus (p < 0.001) and COP movements (p < 0.05), kinematic gait parameters (p < 0.001), and EMG activity (p < 0.001). Comparison between ST and KT improvements pointed out significant differences as concerns ROM (p < 0.001), spasticity (p < 0.001), clonus (p < 0.001), pain (p < 0.001), COP parameters (p < 0.05), and most kinematic gait data (p < 0.05).Discussion: Short-term application of KT reduces spasticity and pain and improves balance and gait in chronic SCI subjects. Although these data are promising, they require confirmation in a larger cohort of patients.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Somatosensory inputs by application of KinesioTaping: effects on spasticity, balance, and gait in chronic spinal cord injury

Tamburella

Scivoletto

Molinari

2014

Front. Hum. Neurosci.

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“…Traditionally, methods for the collection of quantitative information about movement in UW settings are video-based [7,8,9,10,11]. Cameras positioned above and/or below the level of water acquire images to obtain speed, position, and other biomechanical variables of the anatomical landmarks of interest [12].…”

Section: Introductionmentioning

confidence: 99%

The Use of IMMUs in a Water Environment: Instrument Validation and Application of 3D Multi-Body Kinematic Analysis in Medicine and Sport

Mangia

Cortesi

Fantozzi

et al. 2017

Sensors

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The aims of the present study were the instrumental validation of inertial-magnetic measurements units (IMMUs) in water, and the description of their use in clinical and sports aquatic applications applying customized 3D multi-body models. Firstly, several tests were performed to map the magnetic field in the swimming pool and to identify the best volume for experimental test acquisition with a mean dynamic orientation error lower than 5°. Successively, the gait and the swimming analyses were explored in terms of spatiotemporal and joint kinematics variables. The extraction of only spatiotemporal parameters highlighted several critical issues and the joint kinematic information has shown to be an added value for both rehabilitative and sport training purposes. Furthermore, 3D joint kinematics applied using the IMMUs provided similar quantitative information than that of more expensive and bulky systems but with a simpler and faster setup preparation, a lower time consuming processing phase, as well as the possibility to record and analyze a higher number of strides/strokes without limitations imposed by the cameras.

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“…Tamburella et al 5 analyze the influence of inwater environment in gait characteristics of subjects with incomplete spinal cord injury and matched healthy controls compared with on-land data. This article reports kinematic data describing the characteristics of walking in an aquatic environment, frequently used in the treatment of gait disorders in spinal cord injury.…”

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confidence: 99%

Clinical Use of Emerging Technologies for Neurorehabilitation

Pajaro-Blázquez

Miangolarra‐Page

2013

American Journal of Physical Medicine &Amp; Rehabilitation

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Pajaro-Blázquez M, Miangolarra-Page JC: Clinical use of emerging technologies for neurorehabilitation. Am J Phys Med Rehabil 2013;92(Suppl):e1Ye3.Neurorehabi litation is a multidisciplinary field that gathers the efforts of researchers in disciplines such as clinical medicine, neurophysiology, biomechanics, and biomedical engineering. Recent clinical advances have contributed to a better understanding of the mechanisms of neurologic functions. Simultaneously, attractive technological innovations have been developed in the technological sector, including new human-machine interfaces, sensors, actuators, and human-oriented devices. These advances show a great potential for neurorehabilitation applications. 1 Neurorehabilitation is at the verge of a paradigm shift for the use of technology and technical knowledge in medicine. However, it is still in the first stage of this process in clinical practice, and there is the need to keep generating scientific knowledge in this area. 2 Time is ripe to fortify the technological-clinical symbiosis and to push forward an increased understanding of the neuromusculoskeletal system and the transfer of these advances into clinical practice. Clinicians are in a place of privilege to identify and transmit medical necessities that may benefit from this emerging technology. It is crucial to transmit to bioengineers and researchers the realistic possibilities of the patients in terms of applicability and adaptability to the devices. Neurologic patients frequently present, in addition to motor and sensory deficits, impaired cognitive skills that represent a barrier to understand and control complex devices that often require specific and coordinated actions. Therefore, it is important that clinicians take an active part in a multidisciplinary team throughout the development process. All too often, clinicians' contributions are limited to the evaluation phase. Their absence in the design and the development process has, in the past, led to devices optimized to target a specific condition, disregarding associated disorders. This sequence leads to the patients having to adapt to the technology rather than the technology being adaptive to the patients' condition. Ideally, new devices should be adaptable to patient capabilities and not the contrary. 3 Currently, the pace of technological innovation and clinical breakthroughs is lopsided, favoring basic development of knowledge and technology. Efforts to promote communication between clinicians, bioengineers, and researchers could remedy the limited transfer to clinical applications. Interdisciplinary teams should

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Walking in Water and on Land After an Incomplete Spinal Cord Injury

Abstract: Gait in water of the SCI subjects is associated with kinematic parameters more similar to those of the CTRLs, particularly regarding speed, stride length, and stance phase, supporting the idea that walking in a water environment may be of rehabilitative significance for SCI subjects.

Cited by 18 publications

References 36 publications

Somatosensory inputs by application of KinesioTaping: effects on spasticity, balance, and gait in chronic spinal cord injury

Somatosensory inputs by application of KinesioTaping: effects on spasticity, balance, and gait in chronic spinal cord injury

The Use of IMMUs in a Water Environment: Instrument Validation and Application of 3D Multi-Body Kinematic Analysis in Medicine and Sport

Clinical Use of Emerging Technologies for Neurorehabilitation

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