Locomotor training: experiencing the changing body.
نویسندگان
چکیده
This study examined the experiences of persons with incomplete spinal cord injury who participated in loco-motor training (LT). LT is an emerging rehabilitation intervention for enhancing the recovery of walking in persons with central nervous system disorders. Multiple interviews and field observations provided data from eight participants, including four veterans. Findings indicate that experiences of bodily changes were prevalent among participants. Themes included (1) experiencing impaired or absent proprioception, (2) struggling for bodily control, and (3) experiencing emergent bodily sensations. Themes 1 and 2 reflected bodily disruption as a result of spinal cord injury and were challenging to participants as they attempted to reconnect the body and self through LT. Theme 3 reflected bodily sensations (burning, soreness) that were seen as positive signs of recovery and resulted in hope and motivation. Understanding how LT participants experience bodily changes may enable therapists to develop improved participant-centered intervention approaches.
منابع مشابه
Body weight supported gait training: from laboratory to clinical setting.
After spinal cord injury (SCI) of the cat or rat neuronal centres below the level of lesion exhibit plasticity that can be exploited by specific training paradigms. In individuals with complete or incomplete SCI, human spinal locomotor centers can be activated by appropriate afferent input. This includes to facilitate and assist stepping movements of the legs and to provide body weight support ...
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BACKGROUND Locomotor training, including the use of body-weight support in treadmill stepping, is a physical therapy intervention used to improve recovery of the ability to walk after stroke. The effectiveness and appropriate timing of this intervention have not been established. METHODS We stratified 408 participants who had had a stroke 2 months earlier according to the extent of walking im...
متن کاملInvited Review HIGHLIGHTED TOPIC Neural Control of Movement Locomotor activity in spinal cord-injured persons
Dietz, V., and Susan J. Harkema. Locomotor activity in spinal cord-injured persons. J Appl Physiol 96: 1954–1960, 2004; 10.1152/japplphysiol.00942.2003.— After a spinal cord injury (SCI) of the cat or rat, neuronal centers below the level of lesion exhibit plasticity that can be exploited by specific training paradigms. In individuals with complete or incomplete SCI, human spinal locomotor cent...
متن کاملLocomotor activity in spinal cord-injured persons.
After a spinal cord injury (SCI) of the cat or rat, neuronal centers below the level of lesion exhibit plasticity that can be exploited by specific training paradigms. In individuals with complete or incomplete SCI, human spinal locomotor centers can be activated and modulated by locomotor training (facilitating stepping movements of the legs using body weight support on a treadmill to provide ...
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Objective: To determine whether automated locomotor raining with a driven-gait orthosis (DGO) can increase funcional mobility in people with chronic, motor incomplete spinal ord injury (SCI). Design: Repeated assessment of the same patients or singlease experimental A-B design. Setting: Research units of rehabilitation hospitals in Chicago; eidelberg, Germany; and Basel and Zurich, Switzerland....
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ورودعنوان ژورنال:
- Journal of rehabilitation research and development
دوره 43 7 شماره
صفحات -
تاریخ انتشار 2006