Spinal Cord Injury
Conditions
Keywords
Rehabilitation, Walking, Robotics, Neuronal Plasticity
Brief summary
Patients with incomplete spinal cord injury
Detailed description
The objective of this project is to verify the effects of suspended robotic gait training (Lokomat) in recovery of functional capacity of the lower limbs patients with incomplete spinal cord injury.
Interventions
OTHERTraining sessions
A group with spinal cord injury will be trained in a 30-minute session 5 times weekly for 6 weeks. Each session will be supervised by qualified staff. Patients will undergo training with gradual increase in load and speed, according to the tolerance of each patient. The body weight support progression will start at 50 % of the patient body weight. It will be changed every 2 weeks and the load will decrease 10%. The progression of speed may be accompanied during the training period.
DEVICELokomat system (Hocoma AG Switzerland)
For the robot locomotion therapy, the Lokomat system (Hocoma AG Switzerland) will be used.
Sponsors
University of Sao Paulo General Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
16 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Clinical and radiological diagnosis of incomplete spinal cord injury of traumatic origin * Injury time from 1 to 36 months * Stability verified in clinical medical evaluation * ASIA C or D * Absence of severe psychiatric amendment requiring psychiatric evaluations * Present functional recovery of the upper limb compatible with stages III and IV of Brunnstrom * Patients cannot use a cardiac pacemaker ; have unstable angina or other decompensated heart disease; have chronic obstructive pulmonary disease; dysreflexia without having autonomic control; have some fracture of the bones of the lower limbs; tracheostomy; presenting deformity and stiffness of the hip joint, knee (20 ° or more of flexion ) and ankle ( 10 or more plantar flexion ) and pressure ulcers. * Absence of illicit drug use * Grant writing the informed consent to participate in the study
Exclusion criteria
* Lack of resistance * Disabling fatigue * Worsening of spasticity which prevents the movement * Body weight in excess of 150Kg * Risk of osteoporosis with pathological fracture * Asymmetry in the lower limbs greater than 2 cm * Skin lesions and / or pressure ulcers in areas where the orthosis Lokomat pressuring
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Walking Index for Spinal Cord Injury II | 6 weeks after treatment |
Countries
Brazil
Outcome results
None listed