Spinal cord control of movement: Implications for locomotor rehabilitation following spinal cord injury

被引:72
作者
Field-Fote, EC
机构
[1] Univ Miami, Sch Med, Div Phys Therapy, Coral Gables, FL 33146 USA
[2] Univ Miami, Sch Med, Miami Project Cure Paralysis, Coral Gables, FL 33146 USA
来源
PHYSICAL THERAPY | 2000年 / 80卷 / 05期
关键词
body weight support; central pattern generator; gait training; locomotion; spinal cord injury;
D O I
10.1093/ptj/80.5.477
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
In recent years, our understanding of the spinal cord's role in movement control has been greatly advanced. Research suggests that body weight support (BWS) walking and functional electrical stimulation (FES), techniques that are used by physical therapists, have potential to improve walking function in individuals with spinal cord injury (SCI), perhaps long after the stage of spontaneous recovery. Walking is one of the most desired goals of people with SCI; however, we are obligated to be judicious in our claims of locomotor recovery. There are few controlled studies that compare outcomes of BWS training or FES with those of conventional interventions, and access to services using BWS training or FES may be restricted under managed care.
引用
收藏
页码:477 / 484
页数:8
相关论文
共 89 条
  • [61] PENROD LE, 1990, ARCH PHYS MED REHAB, V71, P963
  • [62] TASK-SPECIFIC PHYSICAL THERAPY FOR OPTIMIZATION OF GAIT RECOVERY IN ACUTE STROKE PATIENTS
    RICHARDS, CL
    MALOUIN, F
    WOODDAUPHINEE, S
    WILLIAMS, JI
    BOUCHARD, JP
    BRUNET, D
    [J]. ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 1993, 74 (06): : 612 - 620
  • [63] NEW APPROACHES TO LOCOMOTOR REHABILITATION IN SPINAL-CORD INJURY
    ROSSIGNOL, S
    BARBEAU, H
    [J]. ANNALS OF NEUROLOGY, 1995, 37 (05) : 555 - 556
  • [64] OPERANT-CONDITIONING OF SPINAL STRETCH REFLEXES IN PATIENTS WITH SPINAL-CORD INJURIES
    SEGAL, RL
    WOLF, SL
    [J]. EXPERIMENTAL NEUROLOGY, 1994, 130 (02) : 202 - 213
  • [65] Sherrington CS, 1906, J PHYSIOL-LONDON, V34, P1
  • [66] Notes on the scratch-reflex of the cat
    Sherrington, CS
    [J]. QUARTERLY JOURNAL OF EXPERIMENTAL PHYSIOLOGY, 1910, 3 : 213 - 220
  • [67] Sherrington CS, 1917, J PHYSIOL-LONDON, V51, P404
  • [68] HIGH-FREQUENCY OSCILLATIONS AS INDICATORS OF NEURAL CONTROL MECHANISMS IN HUMAN RESPIRATION, MASTICATION, AND SPEECH
    SMITH, A
    DENNY, M
    [J]. JOURNAL OF NEUROPHYSIOLOGY, 1990, 63 (04) : 745 - 758
  • [69] SMITH JL, 1983, BIRTH DEFECTS-ORIG, V19, P357
  • [70] LOCOMOTION IN EXERCISED AND NON-EXERCISED CATS CORDOTOMIZED AT 2 OR 12 WEEKS OF AGE
    SMITH, JL
    SMITH, LA
    ZERNICKE, RF
    HOY, M
    [J]. EXPERIMENTAL NEUROLOGY, 1982, 76 (02) : 393 - 413