BWSTTBody Weight-Supported Treadmill Training
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There is evidence that manually assisted BWSTT can significantly improve functional balance and ambulation [14].
So far, it appears that BWSTT and robot-assisted gait training have fallen short of their promise [20].
Use of BWSTT allows individuals to achieve optimal body and joint positioning so they can potentially run safely without injury.
Tools such as FES and BWSTT were utilized to enhance faster speed practice.
BWSTT and interventions addressing pain and fear may have facilitated an earlier recovery of mobility.
Table of Abbreviations: ATM Acute Transverse Myelitis TMCWG Transverse Myelitis Consortium Working Party MRI Magnetic Resonance Imaging MRC Medical Research Council FIM Functional Independence Measure BBS Berg Balance Scale DGI Dynamic Gait Index CMBS Community Balance and Mobility Scale BWSTT Bodyweight-supported Treadmill Training Table 1.
There is no established protocol for the progression of BWSTT (Dobkin, 1999) although the progression of body weight support (BWS) and speed appears to be important.
Abbreviations: AFO = ankle-foot orthosis, ASIA = American Spinal Injury Association, BWSTT = body-weight-supported treadmill training, CWRU = Case Western Reserve University, FES = functional electrical stimulation, OGT = overground gait training, SCI = spinal cord injury, URS = Usability Rating Scale, VA = Department of Veterans Affairs.
A shortcoming of the combined intervention of FESIM and BWSTT was that early in the gait training practice, close-to-normal swing-phase movements were not always possible to provide.
Therefore, before BWSTT is dismissed as an expensive, but perhaps not superior, alternative to conventional rehabilitation after SCI, we need to consider the potential effect of this therapy on a variety of health-related outcomes.
We conducted this study to develop and evaluate a methodology that would result in more precise and accurate stimulation of the soleus H reflex synchronously with specific points in the gait cycle during robotic BWSTT in subjects with and without SCI.