Locomotor Training: As a Treatment of Spinal Cord Injury and in the Progression of Neurologic Rehabilitation

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• 作者：Susan J. Harkema ; PhD^a ; ^b ; ^{susan.harkema@jhsmh.org" class="auth_mail" title="E-mail the corresponding author} ; Jessica Hillyer ; PhD^a ; ^b ; Mary Schmidt-Read ; MS ; DPT^c ; Elizabeth Ardolino ; PhD ; PT^d ; Sue Ann Sisto ; PT ; PhD^e ; Andrea L. Behrman ; PhD ; PT^f
• 关键词：Clinical trial ; Locomotion ; Rehabilitation ; Spinal cord injuries
• 刊名：Archives of Physical Medicine and Rehabilitation
• 出版年：2012
• 出版时间：September 2012
• 年：2012
• 卷：93
• 期：9
• 页码：1588-1597
• 全文大小：323 K

文摘

Harkema SJ, Hillyer J, Schmidt-Read M, Ardolino E, Sisto SA, Behrman AL. Locomotor training: as a treatment of spinal cord injury and in the progression of neurologic rehabilitation.

Scientists, clinicians, administrators, individuals with spinal cord injury (SCI), and caregivers seek a common goal: to improve the outlook and general expectations of the adults and children living with neurologic injury. Important strides have already been accomplished; in fact, some have labeled the changes in neurologic rehabilitation a “paradigm shift.” Not only do we recognize the potential of the damaged nervous system, but we also see that “recovery” can and should be valued and defined broadly. Quality-of-life measures and the individual's sense of accomplishment and well-being are now considered important factors. The ongoing challenge from research to clinical translation is the fine line between scientific uncertainty (ie, the tenet that nothing is ever proven) and the necessary burden of proof required by the clinical community. We review the current state of a specific SCI rehabilitation intervention (locomotor training), which has been shown to be efficacious although thoroughly debated, and summarize the findings from a multicenter collaboration, the Christopher and Dana Reeve Foundation's NeuroRecovery Network.