Enhancing balance and mobility in incomplete spinal cord injury with an overground gait trainer
Study design Prospective intervention study. Objectives The study aimed to assess the effect of Andago on balance, overground walking speed, independence levels, fear of falling, and quality of life in patients with acute motor incomplete Spinal Cord Injury. Setting The study was conducted in Ankara...
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| Veröffentlicht in: | Spinal cord series and cases 2024-07, Vol.10 (1), p.52, Article 52 |
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| creator | Şipal, Meriç Selim Yıldırım, Sinem Akıncı, Meltem Güneş Dincer, Sezen Akyüz, Müfit |
| description | Study design
Prospective intervention study.
Objectives
The study aimed to assess the effect of Andago on balance, overground walking speed, independence levels, fear of falling, and quality of life in patients with acute motor incomplete Spinal Cord Injury.
Setting
The study was conducted in Ankara/Türkiye.
Methods
Five participants, classified as AIS D, underwent an eight-week treatment regimen, including three days a week of Andago-assisted walking and balance exercises, supplemented by two days a week of 40-minute sessions of conventional in-bed exercises.
Results
Berg Balance Scale scores increased significantly by 129% (p = 0.043). Overground walking speed calculated from 10MWT improved by 33% (p = 0.042). WISCI II levels improved significantly compared to baseline scores (p = 0.041). In the mobility subscale of SCIM III, the total SCIM III scores increased significantly (p = 0.042, p = 0.043, respectively). However, there was no significant improvement in WHOQOL-BREF scores (p = 0.080).
Conclusions
The use of Andago facilitated functional progress in patients with acute incomplete SCI, emphasizing the importance of challenging balance and walking activities in triggering motor learning. |
| doi_str_mv | 10.1038/s41394-024-00668-9 |
| format | Article |
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Prospective intervention study.
Objectives
The study aimed to assess the effect of Andago on balance, overground walking speed, independence levels, fear of falling, and quality of life in patients with acute motor incomplete Spinal Cord Injury.
Setting
The study was conducted in Ankara/Türkiye.
Methods
Five participants, classified as AIS D, underwent an eight-week treatment regimen, including three days a week of Andago-assisted walking and balance exercises, supplemented by two days a week of 40-minute sessions of conventional in-bed exercises.
Results
Berg Balance Scale scores increased significantly by 129% (p = 0.043). Overground walking speed calculated from 10MWT improved by 33% (p = 0.042). WISCI II levels improved significantly compared to baseline scores (p = 0.041). In the mobility subscale of SCIM III, the total SCIM III scores increased significantly (p = 0.042, p = 0.043, respectively). However, there was no significant improvement in WHOQOL-BREF scores (p = 0.080).
Conclusions
The use of Andago facilitated functional progress in patients with acute incomplete SCI, emphasizing the importance of challenging balance and walking activities in triggering motor learning.</description><identifier>ISSN: 2058-6124</identifier><identifier>EISSN: 2058-6124</identifier><identifier>DOI: 10.1038/s41394-024-00668-9</identifier><identifier>PMID: 39075059</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/308/409 ; 692/700/565/491 ; Adult ; Anatomy ; Balance ; Biomedical and Life Sciences ; Biomedicine ; Exercise Therapy - methods ; Female ; Gait - physiology ; Human Physiology ; Humans ; Male ; Middle Aged ; Neurochemistry ; Neuropsychology ; Neurosciences ; Postural Balance - physiology ; Prospective Studies ; Quality of Life ; Spinal cord injuries ; Spinal Cord Injuries - complications ; Spinal Cord Injuries - physiopathology ; Spinal Cord Injuries - rehabilitation ; Walking - physiology</subject><ispartof>Spinal cord series and cases, 2024-07, Vol.10 (1), p.52, Article 52</ispartof><rights>The Author(s), under exclusive licence to International Spinal Cord Society 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to International Spinal Cord Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-a3bde70db04acbe90ebb139f1237ca00af2435ac9a45c07566bd342fcd814a4c3</cites><orcidid>0000-0001-5590-5075 ; 0000-0002-5500-0206</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39075059$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Şipal, Meriç Selim</creatorcontrib><creatorcontrib>Yıldırım, Sinem</creatorcontrib><creatorcontrib>Akıncı, Meltem Güneş</creatorcontrib><creatorcontrib>Dincer, Sezen</creatorcontrib><creatorcontrib>Akyüz, Müfit</creatorcontrib><title>Enhancing balance and mobility in incomplete spinal cord injury with an overground gait trainer</title><title>Spinal cord series and cases</title><addtitle>Spinal Cord Ser Cases</addtitle><addtitle>Spinal Cord Ser Cases</addtitle><description>Study design
Prospective intervention study.
Objectives
The study aimed to assess the effect of Andago on balance, overground walking speed, independence levels, fear of falling, and quality of life in patients with acute motor incomplete Spinal Cord Injury.
Setting
The study was conducted in Ankara/Türkiye.
Methods
Five participants, classified as AIS D, underwent an eight-week treatment regimen, including three days a week of Andago-assisted walking and balance exercises, supplemented by two days a week of 40-minute sessions of conventional in-bed exercises.
Results
Berg Balance Scale scores increased significantly by 129% (p = 0.043). Overground walking speed calculated from 10MWT improved by 33% (p = 0.042). WISCI II levels improved significantly compared to baseline scores (p = 0.041). In the mobility subscale of SCIM III, the total SCIM III scores increased significantly (p = 0.042, p = 0.043, respectively). However, there was no significant improvement in WHOQOL-BREF scores (p = 0.080).
Conclusions
The use of Andago facilitated functional progress in patients with acute incomplete SCI, emphasizing the importance of challenging balance and walking activities in triggering motor learning.</description><subject>692/308/409</subject><subject>692/700/565/491</subject><subject>Adult</subject><subject>Anatomy</subject><subject>Balance</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Gait - physiology</subject><subject>Human Physiology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neurochemistry</subject><subject>Neuropsychology</subject><subject>Neurosciences</subject><subject>Postural Balance - physiology</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Spinal cord injuries</subject><subject>Spinal Cord Injuries - complications</subject><subject>Spinal Cord Injuries - physiopathology</subject><subject>Spinal Cord Injuries - rehabilitation</subject><subject>Walking - physiology</subject><issn>2058-6124</issn><issn>2058-6124</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kUtPxCAUhYnROGacP-DCkLhxU70UStulmYyPZBI3uiZA6QyTtozQaubfyzx8xIUJhBv4zoHLQeiCwA0BWtwGRmjJEkjjBM6LpDxCZylkRcJJyo5_1SM0CWEFAITnpMyzUzSiJeQZZOUZErNuKTttuwVWsomVwbKrcOuUbWy_wbaLQ7t23Zje4LC2nWywdr6K26vBb_CH7ZdRgt278QvvhiheSNvj3kvbGX-OTmrZBDM5rGP0ej97mT4m8-eHp-ndPNFpxvtEUlWZHCoFTGplSjBKxf5qktJcSwBZp4xmUpeSZTq-nXNVUZbWuioIk0zTMbre-669extM6EVrgzZNbMm4IQgKBQdOCigjevUHXbnBx752VJYzzimJVLqntHcheFOLtbet9BtBQGwTEPsERExA7BIQW-vLg_WgWlN9S77-OwJ0D4R41C2M_7n7H9tPbuWRqQ</recordid><startdate>20240729</startdate><enddate>20240729</enddate><creator>Şipal, Meriç Selim</creator><creator>Yıldırım, Sinem</creator><creator>Akıncı, Meltem Güneş</creator><creator>Dincer, Sezen</creator><creator>Akyüz, Müfit</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5590-5075</orcidid><orcidid>https://orcid.org/0000-0002-5500-0206</orcidid></search><sort><creationdate>20240729</creationdate><title>Enhancing balance and mobility in incomplete spinal cord injury with an overground gait trainer</title><author>Şipal, Meriç Selim ; Yıldırım, Sinem ; Akıncı, Meltem Güneş ; Dincer, Sezen ; Akyüz, Müfit</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-a3bde70db04acbe90ebb139f1237ca00af2435ac9a45c07566bd342fcd814a4c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>692/308/409</topic><topic>692/700/565/491</topic><topic>Adult</topic><topic>Anatomy</topic><topic>Balance</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Gait - physiology</topic><topic>Human Physiology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neurochemistry</topic><topic>Neuropsychology</topic><topic>Neurosciences</topic><topic>Postural Balance - physiology</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>Spinal cord injuries</topic><topic>Spinal Cord Injuries - complications</topic><topic>Spinal Cord Injuries - physiopathology</topic><topic>Spinal Cord Injuries - rehabilitation</topic><topic>Walking - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Şipal, Meriç Selim</creatorcontrib><creatorcontrib>Yıldırım, Sinem</creatorcontrib><creatorcontrib>Akıncı, Meltem Güneş</creatorcontrib><creatorcontrib>Dincer, Sezen</creatorcontrib><creatorcontrib>Akyüz, Müfit</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health Medical collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Spinal cord series and cases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Şipal, Meriç Selim</au><au>Yıldırım, Sinem</au><au>Akıncı, Meltem Güneş</au><au>Dincer, Sezen</au><au>Akyüz, Müfit</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Enhancing balance and mobility in incomplete spinal cord injury with an overground gait trainer</atitle><jtitle>Spinal cord series and cases</jtitle><stitle>Spinal Cord Ser Cases</stitle><addtitle>Spinal Cord Ser Cases</addtitle><date>2024-07-29</date><risdate>2024</risdate><volume>10</volume><issue>1</issue><spage>52</spage><pages>52-</pages><artnum>52</artnum><issn>2058-6124</issn><eissn>2058-6124</eissn><abstract>Study design
Prospective intervention study.
Objectives
The study aimed to assess the effect of Andago on balance, overground walking speed, independence levels, fear of falling, and quality of life in patients with acute motor incomplete Spinal Cord Injury.
Setting
The study was conducted in Ankara/Türkiye.
Methods
Five participants, classified as AIS D, underwent an eight-week treatment regimen, including three days a week of Andago-assisted walking and balance exercises, supplemented by two days a week of 40-minute sessions of conventional in-bed exercises.
Results
Berg Balance Scale scores increased significantly by 129% (p = 0.043). Overground walking speed calculated from 10MWT improved by 33% (p = 0.042). WISCI II levels improved significantly compared to baseline scores (p = 0.041). In the mobility subscale of SCIM III, the total SCIM III scores increased significantly (p = 0.042, p = 0.043, respectively). However, there was no significant improvement in WHOQOL-BREF scores (p = 0.080).
Conclusions
The use of Andago facilitated functional progress in patients with acute incomplete SCI, emphasizing the importance of challenging balance and walking activities in triggering motor learning.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>39075059</pmid><doi>10.1038/s41394-024-00668-9</doi><orcidid>https://orcid.org/0000-0001-5590-5075</orcidid><orcidid>https://orcid.org/0000-0002-5500-0206</orcidid></addata></record> |
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| ispartof | Spinal cord series and cases, 2024-07, Vol.10 (1), p.52, Article 52 |
| issn | 2058-6124 2058-6124 |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | 692/308/409 692/700/565/491 Adult Anatomy Balance Biomedical and Life Sciences Biomedicine Exercise Therapy - methods Female Gait - physiology Human Physiology Humans Male Middle Aged Neurochemistry Neuropsychology Neurosciences Postural Balance - physiology Prospective Studies Quality of Life Spinal cord injuries Spinal Cord Injuries - complications Spinal Cord Injuries - physiopathology Spinal Cord Injuries - rehabilitation Walking - physiology |
| title | Enhancing balance and mobility in incomplete spinal cord injury with an overground gait trainer |
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