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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE
A Journal on Physical Medicine and Rehabilitation after Pathological Events
Official Journal of the , , , ,
In association with
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063
Europa Medicophysica 1999 September;35(3):129-34
Training program and walking with an ARGO in SCI. Clinical case report
Massucci M. 1, Brunetti G. 1, Franceschini M. 2
1 Azienda USL n. 3 - Trevi (Perugia, Italy), Unità Organica di Riabilitazione Intensiva Neuromotoria;
2 Azienda Ospedaliera - Parma, Unità Organica di Recupero e Rieducazione Funzionale
BACKGROUND: The purpose of this study was to determine the efficacy of a personalised walking training program (WTP) on Thoracic paraplegics subjects walking with an Advanced Reciprocating Gait Orthosis (ARGO).
METHODS: Three volunteer male paraplegic subjects, T6-12 with complete spinal cord injury, 24-31 year old, participated to an standard rehabilitation program (SRP) prior to the completion of the full ARGO walking training program (AWTP). The time elapse from the completion of the SRP and the initiation of the AWTP was 11-31 months. The AWTP was finalised to improve: 1) muscular strength and cardiorespiratory condition; 2) balance control and postural reactions. Speed, energy cost, energy consumption and main cardiorespiratory parameters were registered during ARGO walking with crutches at a self chosen speed, before and after training.
RESULTS: Walking test after the AWTP revealed a decrease in energy cost and an increase in free walking speed.
CONCLUSIONS: These results suggest that an intensive and specific walking training program on thoracic paraplegios subjects deambulating with an ARGO is well tolerated and can provide further improvement in the walking efficiency compared to the standard treatment.