Effect of Overground Training Augmented by Mental Practice on Gait Velocity in Chronic, Incomplete Spinal Cord Injury

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• 作者：Kelli G. Sharp ; DPT^a ; Robert Gramer ; PhD^b ; Laine Butler ; PhD^b ; Steven C. Cramer ; MD^c ; Erinn Hade ; PhD^d ; Stephen J. Page ; PhD ; OTR/L ; FAHA^e ; ^{Stephen.Page@osumc.edu" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Rehabilitation ; Spinal cord injuries
• 刊名：Archives of Physical Medicine and Rehabilitation
• 出版年：2014
• 出版时间：April 2014
• 年：2014
• 卷：95
• 期：4
• 页码：615-621
• 全文大小：377 K

文摘

To compare the efficacy of a regimen combining mental practice (MP) with overground training (OT) with the efficacy of a regimen consisting of OT only on gait velocity and lower extremity motor outcomes in individuals with chronic (>12mo postinjury), incomplete spinal cord injury (SCI).

Design

Randomized, controlled, single-blinded study.

Setting

Outpatient rehabilitation laboratories.

Participants

Subjects with chronic, incomplete SCI (N=18).

Interventions

Subjects were randomly assigned to receive (1) OT only, occurring 3d/wk for 8 weeks; or (2) OT augmented by MP (MP + OT), during which randomly assigned subjects listened to an MP audio recording directly after OT sessions.

Main Outcome Measures

Subjects were administered a test of gait velocity as well as the Tinetti Performance Oriented Mobility Assessment, Spinal Cord Injury Independence Measure, and Satisfaction With Life Scale on 2 occasions before intervention, 1 week after intervention, and 12 weeks after intervention.

Results

A significant increase in gait velocity was exhibited across subjects at both 1 week posttherapy (P=.005) and at 12 weeks posttherapy (P=.006). However, no differences were seen in intervention response at either 1 or 12 weeks postintervention among subjects in the MP + OT group versus the OT-only group.

Conclusions

OT was associated with significant gains in gait velocity, and these gains were not augmented by further addition of MP.