Advantage in muscle activation in gait with support of body weight in spinal cord injury

Authors

  • Jéssica Saccol Borin Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA
  • Tânia Valdameri Capelari Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA
  • Melissa Grigol Goldhardt Clínica de Reabilitação Neurofuncional Melissa Grigol
  • Márcia Cristina Issa Clínica de Reabilitação Neurofuncional Melissa Grigol
  • Diego Antônio Pereira Bica dos Santos Clínica de Reabilitação Neurofuncional Melissa Grigol
  • Fernanda Cechetti Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA)

DOI:

https://doi.org/10.1590/1980-5918.031.AO29

Abstract

Introduction: The locomotor training with body weight support has been proposed as an alternative for the rehabilitation of people with spinal cord injury, in order to develop most of the residual potential of the body. Objective: To compare the levels of muscle activation of the main muscle involved in gait during body weight-supported treadmill training and body weight-supported overground training in incomplete spinal cord injured patients. Methods: It was a prospective cross-sectional study, in which 11 incomplete injured patients were submitted to two modalities of gait with body weight support, the first one on the treadmill (two different speeds: 1 and 4km/h), and the second one with the walker on fixed floor. The electromyographical acquisition was done in the rectus femoris (RF), vastus medialis (VM), vastus lateralis (VL) and gluteus maximus (GM). Results: There was a greater muscle activation of all muscles analyzed in the treadmill training as compared to the over groundtraining, both at 4 km/h (RF: p=0.00), (VM: p=0.00), (VL: p=0.00) e (GM: p=0.00) and at 1km/h (RF: p=0.00), (VM: p=0.00), (VL: p=0.00) e (GM: p=0.00). When comparing the two modalities of treadmill training, at 4 and 1km/h, there was no statically significant difference between them (RF: p=0.36), (VM: p=1.00), (VL: p=1.00) e (GM: p=0.16). Conclusion: The gait training with body weight support is more effective in activating the muscles involved in the gait training on treadmill compared to overground training in patients with incomplete spinal cord injury.

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How to Cite

Saccol Borin, J., Valdameri Capelari, T., Grigol Goldhardt, M., Issa, M. C., Pereira Bica dos Santos, D. A., & Cechetti, F. (2018). Advantage in muscle activation in gait with support of body weight in spinal cord injury. Fisioterapia Em Movimento (Physical Therapy in Movement), 31, 1–10. https://doi.org/10.1590/1980-5918.031.AO29

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