Independent community walking after a short protocol of repetitive transcranial magnetic stimulation associated with body weight-support treadmill training in a patient with chronic spinal cord injury: a case report

Author(s):  
Fernanda Nogueira ◽  
Lívia Shirahige ◽  
Rodrigo Brito ◽  
Katia Monte-Silva
2017 ◽  
Vol 42 (1) ◽  
pp. 57-64 ◽  
Author(s):  
Felipe Covarrubias-Escudero ◽  
Gonzalo Rivera-Lillo ◽  
Rodrigo Torres-Castro ◽  
Gonzalo Varas-Díaz

2013 ◽  
Vol 189 (3) ◽  
pp. 491-497 ◽  
Author(s):  
Daniela Terson de Paleville ◽  
William McKay ◽  
Sevda Aslan ◽  
Rodney Folz ◽  
Dimitry Sayenko ◽  
...  

2001 ◽  
Vol 19 (4) ◽  
pp. 702-710
Author(s):  
Renata Teles Vieira ◽  
Rafaela Machado de Gusmão Oliveira ◽  
Camila Alves Nogueira Barros ◽  
Leonardo Caixeta

Objetivo. O objetivo deste trabalho foi realizar uma revisão de literatura sobre o uso do treino locomotor em pacientes portadores de lesão medular incompleta, a fim de verificar os seus efeitos para a marcha destes pacientes. Método. Foi realizada uma busca utilizando os bancos de dados medline, scielo e bvs a partir dos descritores: body weight-support treadmill training (suporte parcial de peso com treinamento em esteira), locomotor training (treino locomotor), spinal cord injury (lesão medular), gait (marcha). Todos os artigos coletados nos últimos 18 anos foram analisados. Discussão. A lesão medular é uma grave síndrome neurológica que causa diversos comprometimentos, inclusive da marcha. Para aperfeiçoar este processo, deu-se início à prática de reabilitação na esteira com suporte de peso corporal. A ampla utilização desta técnica de reabilitação deve-se a maior facilidade para o treino da marcha, a satisfação dos pacientes durante o tratamento e, principalmente, aos bons resultados gerados. Conclusão. Um número significante de estudos mostrou que o treino de marcha com suporte de peso corporal é um meio seguro e confiável, e que surgiu para inovar a reabilitação funcional da marcha. Não há evidência científica para afirmar que o treino locomotor com suporte de peso seja um método superior a outras terapias.


2017 ◽  
Vol 49 (5S) ◽  
pp. 803-804
Author(s):  
Lloyd P. Ruiz ◽  
Erika J. Hinahon ◽  
Emanuel Ruiz ◽  
Christina A. Estrada ◽  
Silvia Villanueva ◽  
...  

Spinal Cord ◽  
2014 ◽  
Vol 53 (3) ◽  
pp. 176-181 ◽  
Author(s):  
C C do Espírito Santo ◽  
A Swarowsky ◽  
T L Recchia ◽  
A P F Lopes ◽  
J Ilha

2002 ◽  
Vol 82 (7) ◽  
pp. 707-715 ◽  
Author(s):  
Edelle Carmen Field-Fote ◽  
Dejan Tepavac

Abstract Background and Purpose. Limb coordination is an element of motor control that is frequently disrupted following spinal cord injury (SCI). The authors assessed intralimb coordination in subjects with SCI following a 12-week program combining body weight support, electrical stimulation, and treadmill training. Subjects. Fourteen subjects with long-standing (mean time post-SCI=70 months, range=12–171 months), incomplete SCI participated. Three subjects without SCI provided data for comparison. Methods. A vector-based technique was used to assign values to the frame-by-frame changes in hip/knee angle, and vector analysis techniques were used to assess how closely the hip/knee angles of each step cycle resembled those of every other step cycle. Overground and treadmill walking speeds also were measured. Results. Following training, 9 of the 14 subjects with SCI demonstrated greater intercycle agreement. Mean overground and treadmill walking speeds improved (84% and 158%, respectively). Discussion and Conclusion. The intervention used in this study is based on our current understanding of the role of afferent input in the production of walking. Although the study sample was small and there was no control group, results suggest that training may improve intralimb coordination in people with SCI.


2018 ◽  
Vol 31 (0) ◽  
Author(s):  
Jéssica Saccol Borin ◽  
Tânia Valdameri Capelari ◽  
Melissa Grigol Goldhardt ◽  
Márcia Cristina Issa ◽  
Diego Antônio Pereira Bica dos Santos ◽  
...  

Abstract Introduction: The locomotor training with body weight support has been proposed as an alternative for the rehabilitation of people with spinal cord injury, in order to develop most of the residual potential of the body. Objective: To compare the levels of muscle activation of the main muscle involved in gait during body weight-supported treadmill training and body weight-supported overground training in incomplete spinal cord injured patients. Methods: It was a prospective cross-sectional study, in which 11 incomplete injured patients were submitted to two modalities of gait with body weight support, the first one on the treadmill (two different speeds: 1 and 4km/h), and the second one with the walker on fixed floor. The electromyographical acquisition was done in the rectus femoris (RF), vastus medialis (VM), vastus lateralis (VL) and gluteus maximus (GM). Results: There was a greater muscle activation of all muscles analyzed in the treadmill training as compared to the over groundtraining, both at 4 km/h (RF: p=0.00), (VM: p=0.00), (VL: p=0.00) e (GM: p=0.00) and at 1km/h (RF: p=0.00), (VM: p=0.00), (VL: p=0.00) e (GM: p=0.00). When comparing the two modalities of treadmill training, at 4 and 1km/h, there was no statically significant difference between them (RF: p=0.36), (VM: p=1.00), (VL: p=1.00) e (GM: p=0.16). Conclusion: The gait training with body weight support is more effective in activating the muscles involved in the gait training on treadmill compared to overground training in patients with incomplete spinal cord injury.


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