CASE STUDY 3

Case Study 3

Case Study 3

Study design

A probable study was performed to examine the gait training of seven successive spinal cord injured patients and 10 controls on a treadmill using instrumented gait examination and video documentation.

Objectives

To determine the possibility to maintain gait motion in physiological limits alongwith treadmill training.

Using a treadmill in case of spinal cord injury after a number of research and test Gait training was developed during the past few years. It uses two basic principles of treatment. According to Dietz ET AL1 and AL2 Nicola ET is assumed that the spinal cord has its own model of movement of the generators, which can induce the main gait patterns of motion, when fed with the necessary sensory input. Treadmill during the preparation of the patient presented an upright position, supported by the use of Harness (weight reduction, if necessary). Depending on the competence of the remaining engine, the patient is on a treadmill with therapists guiding gait movements manually, or the patient moves his / her own. It is suggested that the model generator can be activated even in the absence of voluntary control of motor segments, such as complete cervical spinal cord.

The second principle of treatment of treadmill walking exercise is repeated gait proposal to increase strength, coordination and endurance. Gait training is nothing in treating acute spinal cord injury. However, the usage after a number of treatments of these patients was introduced by Guttmann. Physiotherapists begin gait training as soon as the patient recovers enough strength to balance the body with long straw and leg bars or crutches. In most cases, this type of therapy can not be used in the early period after injury and is only possible with patients who have sufficient command of his upper extremities. (Guttmann et al.2001)

As a result, gait ...