Spinal Cord Injury
Conditions
Keywords
SCI, gait, rehabilitation, robotic
Brief summary
Until now, there's still no any strong evidence supported which is the best way to restoration walking ability in spinal cord injury. Most of the evidence suggest that, there is somehow better after gait rehabilitation for ASIA classification C and D but not improved walking ability for ASIA classification A and B. There is an RCT showed the evidence of repetitive locomotor training and physiotherapy could be improved walking and basic activities of daily living after stroke, these might be also really effect in SCI patients.
Detailed description
This study aim to study the effectiveness of conventional rehabilitation compare with robotic gait training machine in subacute SCI patients.
Interventions
Robotic gait training for 20 minute include preparing and rest time for 10 minute plus conventional physical therapy program for 30 minute, totally 60 minute per day for 5 working day per week.
Conventional physical therapy program for 60 minute per day for 5 working day per week.
Sponsors
Study design
Eligibility
Inclusion criteria
* Subacute spinal cord injury ( C5-T12 level) patients. * ASIA classification C and D. * No previous joint contracture. * No severely active medical condition. * Can easily communicate with no obvious cognitive impairment. * Given signed inform consent.
Exclusion criteria
* Previous injury or other neurological condition that related to neurodeficit in key muscles.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Wernig scale | 4 weeks. | Walking ability classification in spinal cord injury patients. |
| Barthel index | 4 weeks. | Measure activity of daily living |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Repas | 4 weeks. | Spasticity measurement |
| Manual muscle testing | 4 weeks | Measure muscle power in each key muscle according to ASIA classification. |
| 10 meter walking test | 4 weeks. | If patients can walk, measure speed of walking with step length. |
| 6 minute walking test | 4 weeks | If patient can walk, measure endurance. |
Countries
Thailand