scholarly journals Ambulatory assistive devices and walking performance in patients with incomplete spinal cord injury

Spinal Cord ◽  
2013 ◽  
Vol 52 (3) ◽  
pp. 216-219 ◽  
Author(s):  
W Saensook ◽  
S Phonthee ◽  
K Srisim ◽  
L Mato ◽  
P Wattanapan ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Assistive Devices ◽  
Incomplete Spinal Cord Injury ◽  
Cord Injury ◽  
Walking Performance

Using a saddle-assistive device equipped with mechanical orthosis for walking of the person with incomplete spinal cord injury

2021 ◽  
pp. 095441192110201
Author(s):  
Akbar Hojjati Najafabadi ◽  
Saeid Amini ◽  
Farzam Farahmand
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Reaction Force ◽  
Assistive Devices ◽  
Assistive Device ◽  
Walking Ability ◽  
Vertical Force ◽  
Incomplete Spinal Cord Injury ◽  
Combined Application ◽  
Cord Injury

The majority of the people with incomplete spinal cord injury lose their walking ability, due to the weakness of their muscle motors in providing torque. As a result, developing assistive devices to improve their conditionis of great importance. In this study, a combined application of the saddle-assistive device (S-AD) and mechanical medial linkage or thosis was evaluated to improve the walking ability in patients with spinal cord injury in the gait laboratory. This mobile assistive device is called the saddle-assistive device equipped with medial linkage or thosis (S-ADEM). In this device, a mechanical orthosis was used in a wheeled walker as previously done in the literature. Initially, for evaluation of the proposed assistive device, the experimental results related to the forces and torques exerted on the feet and upper limbs of a person with the incomplete Spinal Cord Injury (SCI) during walking usingthe standard walker were compared with an those obtained from using the S-ADEM on an able-bodied subject. It was found that using this combination of assistive devices decreases the vertical force and torque on the foot at the time of walking by 53% and 48%, respectively compared to a standard walker. Moreover, the hand-reaction force on the upper limb was negligible instanding and walking positions usingthe introduced device. The findings of this study revealed that the walking ability of the patients with incomplete SCI was improved using the proposed device, which is due to the bodyweight support and the motion technology used in it.

scholarly journals Role of Assistive Devices on Gait in Patients with Incomplete Spinal Cord Injury: Systematic Review

2021 ◽  
Vol 85 (2) ◽  
pp. 4075-4084
Author(s):  
Wessam A. Alrefaie ◽  
Nahed A. Salem ◽  
Mahmoud S. El fakharany ◽  
Mahmoud Y. El Zanaty
Keyword(s):  
Systematic Review ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Assistive Devices ◽  
Incomplete Spinal Cord Injury ◽  
Cord Injury

scholarly journals Daily Stepping in Individuals With Motor Incomplete Spinal Cord Injury

2010 ◽  
Vol 90 (2) ◽  
pp. 224-235 ◽  
Author(s):  
Poonam Saraf ◽  
Miriam R. Rafferty ◽  
Jennifer L. Moore ◽  
Jennifer H. Kahn ◽  
Kathryn Hendron ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Knee Extension ◽  
Small Sample ◽  
Substantial Contribution ◽  
Activity Limitations ◽  
Incomplete Spinal Cord Injury ◽  
Knee Extension Strength ◽  
Cord Injury ◽  
Walking Performance

BackgroundIn individuals with motor incomplete spinal cord injury (SCI), ambulatory function determined in the clinical setting is related to specific measures of body structure and function and activity limitations, although few studies have quantified the relationship of these variables with daily stepping (steps/day).ObjectiveThe aim of this study was to quantify daily stepping in ambulatory individuals with SCI and its relationship with clinical walking performance measures and specific demographics, impairments, and activity limitations.DesignA cross-sectional study was performed to estimate relationships among clinical variables to daily stepping in self-identified community versus non–community (household) walkers.MethodsAverage daily stepping was determined in 50 people with chronic, motor incomplete SCI. Data for clinical and self-report measures of walking performance also were collected, and their associations with daily stepping were analyzed using correlation and receiver operating characteristic (ROC) analyses. Relationships between daily stepping and the measures of demographics, impairments, and activity limitations were identified using correlation and regression analyses.ResultsThe ROC analyses revealed a significant discriminative ability between self-reported community and non–community walkers using clinical gait measures and daily stepping. Stepping activity generally was low throughout the sample tested, however, with an average of approximately 2,600 steps/day. Knee extension strength (force-generating capacity) and static balance were the primary variables related to daily stepping, with metabolic efficiency and capacity and balance confidence contributing to a lesser extent.LimitationsThe small sample size and use of specific impairment-related measures were potential limitations of the study.ConclusionsDaily stepping is extremely limited in individuals with incomplete SCI, with a potentially substantial contribution of impairments in knee extension strength and balance.

Sign in / Sign up

Export Citation Format

Share Document