Effect of lesion level on the orthotic gait performance in individuals with complete paraplegia
Cross-sectional, experimental research. To clarify the effect of lesion level on cardio-respiratory responses and biomechanical characteristics of walking with a reciprocating gait orthosis in complete paraplegia with spinal cord injury (SCI). National Rehabilitation Center for Persons with Disabili...
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| Veröffentlicht in: | Spinal cord 2006-08, Vol.44 (8), p.487-494 |
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| creator | KAWASHIMA, N TAGUCHI, D NAKAZAWA, K AKAI, M |
| description | Cross-sectional, experimental research.
To clarify the effect of lesion level on cardio-respiratory responses and biomechanical characteristics of walking with a reciprocating gait orthosis in complete paraplegia with spinal cord injury (SCI).
National Rehabilitation Center for Persons with Disabilities, Japan.
Ten SCI individuals (age: 20-34 years, injured level: Th5-12) who experienced orthotic gait training at least for 10 weeks participated in two experiments: (1) measurement of the cardiorespiratory responses during 20 min of orthotic gait exercise; and (2) three-dimensional motion analysis and ground reaction force measurement using the VICON system. We calculated the following parameters: pulmonary ventilation, oxygen consumption (VO(2)), heart rate (HR), gait speed, cadence, stride length, crutch force (CF), hip range of motion (ROM), and hip angular velocity (VEL). Further, energy consumption and energy cost were calculated using the steady-state value of VO(2) and gait speed.
The steady-state value of the VO(2) (18.2 +/- 3.80 ml/kg) and HR (133.0 +/- 21.63 b/min) tended to be larger in higher thoracic SCI subjects. There were strong positive correlations between the lesion level and walking speed (r = 0.74), energy cost (r = 0.85), and hip ROM (r = 0.78). On the other hand, negative correlation between the lesion level and peak CF (r = -0.78) was clarified.
The physiological intensity of the orthotic gait strongly depended on the level of lesion. It seems likely that a limited hip range of motion and excess upper limb load result in the low energy cost of orthotic gait for the higher thoracic level of paraplegic patients. |
| doi_str_mv | 10.1038/sj.sc.3101916 |
| format | Article |
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To clarify the effect of lesion level on cardio-respiratory responses and biomechanical characteristics of walking with a reciprocating gait orthosis in complete paraplegia with spinal cord injury (SCI).
National Rehabilitation Center for Persons with Disabilities, Japan.
Ten SCI individuals (age: 20-34 years, injured level: Th5-12) who experienced orthotic gait training at least for 10 weeks participated in two experiments: (1) measurement of the cardiorespiratory responses during 20 min of orthotic gait exercise; and (2) three-dimensional motion analysis and ground reaction force measurement using the VICON system. We calculated the following parameters: pulmonary ventilation, oxygen consumption (VO(2)), heart rate (HR), gait speed, cadence, stride length, crutch force (CF), hip range of motion (ROM), and hip angular velocity (VEL). Further, energy consumption and energy cost were calculated using the steady-state value of VO(2) and gait speed.
The steady-state value of the VO(2) (18.2 +/- 3.80 ml/kg) and HR (133.0 +/- 21.63 b/min) tended to be larger in higher thoracic SCI subjects. There were strong positive correlations between the lesion level and walking speed (r = 0.74), energy cost (r = 0.85), and hip ROM (r = 0.78). On the other hand, negative correlation between the lesion level and peak CF (r = -0.78) was clarified.
The physiological intensity of the orthotic gait strongly depended on the level of lesion. It seems likely that a limited hip range of motion and excess upper limb load result in the low energy cost of orthotic gait for the higher thoracic level of paraplegic patients.</description><identifier>ISSN: 1362-4393</identifier><identifier>EISSN: 1476-5624</identifier><identifier>DOI: 10.1038/sj.sc.3101916</identifier><identifier>PMID: 16550216</identifier><identifier>CODEN: SPCOFM</identifier><language>eng</language><publisher>London: Nature Publishing</publisher><subject>Adult ; Biological and medical sciences ; Cerebrospinal fluid. Meninges. Spinal cord ; Female ; Gait ; Gait Disorders, Neurologic - etiology ; Gait Disorders, Neurologic - physiopathology ; Gait Disorders, Neurologic - rehabilitation ; Heart Rate ; Humans ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Male ; Medical sciences ; Nervous system (semeiology, syndromes) ; Neurology ; Neuropharmacology ; Neuroprotective agent ; Orthotic Devices ; Oxygen Consumption ; Pharmacology. Drug treatments ; Severity of Illness Index ; Spinal Cord Injuries - complications ; Spinal Cord Injuries - diagnosis ; Spinal Cord Injuries - physiopathology ; Spinal Cord Injuries - rehabilitation ; Traumas. Diseases due to physical agents ; Treatment Outcome</subject><ispartof>Spinal cord, 2006-08, Vol.44 (8), p.487-494</ispartof><rights>2006 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Aug 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-1992ee35f298f5c0e685ae37ff35008b161a61a774f842bad8e6d1e11b93cbd23</citedby><cites>FETCH-LOGICAL-c441t-1992ee35f298f5c0e685ae37ff35008b161a61a774f842bad8e6d1e11b93cbd23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,27933,27934</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18032757$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16550216$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>KAWASHIMA, N</creatorcontrib><creatorcontrib>TAGUCHI, D</creatorcontrib><creatorcontrib>NAKAZAWA, K</creatorcontrib><creatorcontrib>AKAI, M</creatorcontrib><title>Effect of lesion level on the orthotic gait performance in individuals with complete paraplegia</title><title>Spinal cord</title><addtitle>Spinal Cord</addtitle><description>Cross-sectional, experimental research.
To clarify the effect of lesion level on cardio-respiratory responses and biomechanical characteristics of walking with a reciprocating gait orthosis in complete paraplegia with spinal cord injury (SCI).
National Rehabilitation Center for Persons with Disabilities, Japan.
Ten SCI individuals (age: 20-34 years, injured level: Th5-12) who experienced orthotic gait training at least for 10 weeks participated in two experiments: (1) measurement of the cardiorespiratory responses during 20 min of orthotic gait exercise; and (2) three-dimensional motion analysis and ground reaction force measurement using the VICON system. We calculated the following parameters: pulmonary ventilation, oxygen consumption (VO(2)), heart rate (HR), gait speed, cadence, stride length, crutch force (CF), hip range of motion (ROM), and hip angular velocity (VEL). Further, energy consumption and energy cost were calculated using the steady-state value of VO(2) and gait speed.
The steady-state value of the VO(2) (18.2 +/- 3.80 ml/kg) and HR (133.0 +/- 21.63 b/min) tended to be larger in higher thoracic SCI subjects. There were strong positive correlations between the lesion level and walking speed (r = 0.74), energy cost (r = 0.85), and hip ROM (r = 0.78). On the other hand, negative correlation between the lesion level and peak CF (r = -0.78) was clarified.
The physiological intensity of the orthotic gait strongly depended on the level of lesion. It seems likely that a limited hip range of motion and excess upper limb load result in the low energy cost of orthotic gait for the higher thoracic level of paraplegic patients.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Female</subject><subject>Gait</subject><subject>Gait Disorders, Neurologic - etiology</subject><subject>Gait Disorders, Neurologic - physiopathology</subject><subject>Gait Disorders, Neurologic - rehabilitation</subject><subject>Heart Rate</subject><subject>Humans</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Neuropharmacology</subject><subject>Neuroprotective agent</subject><subject>Orthotic Devices</subject><subject>Oxygen Consumption</subject><subject>Pharmacology. Drug treatments</subject><subject>Severity of Illness Index</subject><subject>Spinal Cord Injuries - complications</subject><subject>Spinal Cord Injuries - diagnosis</subject><subject>Spinal Cord Injuries - physiopathology</subject><subject>Spinal Cord Injuries - rehabilitation</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Treatment Outcome</subject><issn>1362-4393</issn><issn>1476-5624</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp90c9rFTEQB_BFFFurR49KENTTPjP5tcmxlPoDCl70HLLZSV8eu5tnslvxvzflrRY8CAMzkA8Tkm_TvAS6A8r1h3LYFb_jQMGAetScg-hUKxUTj-vMFWsFN_yseVbKgVJqwOinzRkoKSkDdd7Y6xDQLyQFMmKJaa7tDkdSh2WPJOVln5boya2LCzliDilPbvZI4lxriHdxWN1YyM-47IlP03HEBcnRZVen2-ieN09CPccXW79ovn-8_nb1ub35-unL1eVN64WApQVjGCKXgRkdpKeotHTIuxC4pFT3oMDV6joRtGC9GzSqARCgN9z3A-MXzfvT3mNOP1Ysi51i8TiObsa0FmuoEIopfS_f_Vcq3QFIISp88w88pDXP9RWWMcO1kWAqak_I51RKxmCPOU4u_7JA7X1Athxs8XYLqPrX29K1n3B40FsiFbzdgCvejSHX347lwWnKWSe76l6d3OyWNeNf8Oei39VpopY</recordid><startdate>20060801</startdate><enddate>20060801</enddate><creator>KAWASHIMA, N</creator><creator>TAGUCHI, D</creator><creator>NAKAZAWA, K</creator><creator>AKAI, M</creator><general>Nature Publishing</general><general>Nature Publishing Group</general><scope>IQODW</scope><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>7QL</scope><scope>7RV</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20060801</creationdate><title>Effect of lesion level on the orthotic gait performance in individuals with complete paraplegia</title><author>KAWASHIMA, N ; TAGUCHI, D ; NAKAZAWA, K ; AKAI, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-1992ee35f298f5c0e685ae37ff35008b161a61a774f842bad8e6d1e11b93cbd23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cerebrospinal fluid. Meninges. Spinal cord</topic><topic>Female</topic><topic>Gait</topic><topic>Gait Disorders, Neurologic - etiology</topic><topic>Gait Disorders, Neurologic - physiopathology</topic><topic>Gait Disorders, Neurologic - rehabilitation</topic><topic>Heart Rate</topic><topic>Humans</topic><topic>Injuries of the nervous system and the skull. Diseases due to physical agents</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Neuropharmacology</topic><topic>Neuroprotective agent</topic><topic>Orthotic Devices</topic><topic>Oxygen Consumption</topic><topic>Pharmacology. Drug treatments</topic><topic>Severity of Illness Index</topic><topic>Spinal Cord Injuries - complications</topic><topic>Spinal Cord Injuries - diagnosis</topic><topic>Spinal Cord Injuries - physiopathology</topic><topic>Spinal Cord Injuries - rehabilitation</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>KAWASHIMA, N</creatorcontrib><creatorcontrib>TAGUCHI, D</creatorcontrib><creatorcontrib>NAKAZAWA, K</creatorcontrib><creatorcontrib>AKAI, M</creatorcontrib><collection>Pascal-Francis</collection><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>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</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 Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</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</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KAWASHIMA, N</au><au>TAGUCHI, D</au><au>NAKAZAWA, K</au><au>AKAI, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of lesion level on the orthotic gait performance in individuals with complete paraplegia</atitle><jtitle>Spinal cord</jtitle><addtitle>Spinal Cord</addtitle><date>2006-08-01</date><risdate>2006</risdate><volume>44</volume><issue>8</issue><spage>487</spage><epage>494</epage><pages>487-494</pages><issn>1362-4393</issn><eissn>1476-5624</eissn><coden>SPCOFM</coden><abstract>Cross-sectional, experimental research.
To clarify the effect of lesion level on cardio-respiratory responses and biomechanical characteristics of walking with a reciprocating gait orthosis in complete paraplegia with spinal cord injury (SCI).
National Rehabilitation Center for Persons with Disabilities, Japan.
Ten SCI individuals (age: 20-34 years, injured level: Th5-12) who experienced orthotic gait training at least for 10 weeks participated in two experiments: (1) measurement of the cardiorespiratory responses during 20 min of orthotic gait exercise; and (2) three-dimensional motion analysis and ground reaction force measurement using the VICON system. We calculated the following parameters: pulmonary ventilation, oxygen consumption (VO(2)), heart rate (HR), gait speed, cadence, stride length, crutch force (CF), hip range of motion (ROM), and hip angular velocity (VEL). Further, energy consumption and energy cost were calculated using the steady-state value of VO(2) and gait speed.
The steady-state value of the VO(2) (18.2 +/- 3.80 ml/kg) and HR (133.0 +/- 21.63 b/min) tended to be larger in higher thoracic SCI subjects. There were strong positive correlations between the lesion level and walking speed (r = 0.74), energy cost (r = 0.85), and hip ROM (r = 0.78). On the other hand, negative correlation between the lesion level and peak CF (r = -0.78) was clarified.
The physiological intensity of the orthotic gait strongly depended on the level of lesion. It seems likely that a limited hip range of motion and excess upper limb load result in the low energy cost of orthotic gait for the higher thoracic level of paraplegic patients.</abstract><cop>London</cop><pub>Nature Publishing</pub><pmid>16550216</pmid><doi>10.1038/sj.sc.3101916</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Biological and medical sciences Cerebrospinal fluid. Meninges. Spinal cord Female Gait Gait Disorders, Neurologic - etiology Gait Disorders, Neurologic - physiopathology Gait Disorders, Neurologic - rehabilitation Heart Rate Humans Injuries of the nervous system and the skull. Diseases due to physical agents Male Medical sciences Nervous system (semeiology, syndromes) Neurology Neuropharmacology Neuroprotective agent Orthotic Devices Oxygen Consumption Pharmacology. Drug treatments Severity of Illness Index Spinal Cord Injuries - complications Spinal Cord Injuries - diagnosis Spinal Cord Injuries - physiopathology Spinal Cord Injuries - rehabilitation Traumas. Diseases due to physical agents Treatment Outcome |
| title | Effect of lesion level on the orthotic gait performance in individuals with complete paraplegia |
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