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  • Title: Body weight supported treadmill training at very low treatment frequency for a young adult with incomplete cervical spinal cord injury.
    Author: Young DL, Wallmann HW, Poole I, Threlkeld AJ.
    Journal: NeuroRehabilitation; 2009; 25(4):261-70. PubMed ID: 20037219.
    Abstract:
    INTRODUCTION: Body weight supported treadmill training (BWSTT) using high treatment frequency has been shown to improve gait after spinal cord injury (SCI). This case report describes the use of BWSTT at a very low treatment frequency. SUBJECT: The subject was a 19 y.o. female with an incomplete C6 SCI, one year post-injury, with multiple gait deficits. INTERVENTION: BWSTT was combined with conventional rehabilitation. Mean treatment frequency was 1.16 days/wk over 28.5 wks. A BWSTT progression algorithm based on observational gait analysis guided progressive changes in support levels, treadmill speed, and session length. OUTCOMES: During the first 3 sessions, the subject tolerated an average of 15.7 minutes of BWSTT with 26% BWS at 0.8 m/s, improving to an average of 28 minutes of BWSTT with 10% BWS at 1.6 m/s in the last 3 sessions. Following 28.5 wks of very low frequency BWSTT, the subject displayed improved kinematics, walking speed, endurance, and distance during overground gait. CONCLUSION: Very low frequency BWSTT combined with conventional treatment improved quality and endurance of walking for a person with incomplete cervical SCI. Further work is needed to evaluate the long-term outcome of very low frequency BWSTT and the interaction of BWSTT with other interventions.
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