Feasibility of visual instrumented movement feedback therapy in individuals with motor incomplete spinal cord injury walking on a treadmill
Identifieur interne : 001214 ( Main/Merge ); précédent : 001213; suivant : 001215Feasibility of visual instrumented movement feedback therapy in individuals with motor incomplete spinal cord injury walking on a treadmill
Auteurs : Daniel Schlie Mann [Allemagne] ; Christian Schuld [Allemagne] ; Matthias Schneiders [Allemagne] ; Steffen Derlien [Allemagne] ; Maria Glöckner [Allemagne] ; Till Gladow [Allemagne] ; Norbert Weidner [Allemagne] ; Rüdiger Rupp [Allemagne]Source :
- Frontiers in Human Neuroscience [ 1662-5161 ] ; 2014.
Abstract
Url:
DOI: 10.3389/fnhum.2014.00416
PubMed: 24987344
PubMed Central: 4060051
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Feasibility of visual instrumented movement feedback therapy in individuals with motor incomplete spinal cord injury walking on a treadmill</title><author><name sortKey="Schlie Mann, Daniel" sort="Schlie Mann, Daniel" uniqKey="Schlie Mann D" first="Daniel" last="Schlie Mann">Daniel Schlie Mann</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Experimental Neurorehabilitation, Spinal Cord Injury Center, Heidelberg University Hospital</institution><country>Heidelberg, Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author><author><name sortKey="Schuld, Christian" sort="Schuld, Christian" uniqKey="Schuld C" first="Christian" last="Schuld">Christian Schuld</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Experimental Neurorehabilitation, Spinal Cord Injury Center, Heidelberg University Hospital</institution><country>Heidelberg, Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author><author><name sortKey="Schneiders, Matthias" sort="Schneiders, Matthias" uniqKey="Schneiders M" first="Matthias" last="Schneiders">Matthias Schneiders</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Experimental Neurorehabilitation, Spinal Cord Injury Center, Heidelberg University Hospital</institution><country>Heidelberg, Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author><author><name sortKey="Derlien, Steffen" sort="Derlien, Steffen" uniqKey="Derlien S" first="Steffen" last="Derlien">Steffen Derlien</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Institut für Physiotherapie, University Hospital Jena</institution><country>Jena, Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author><author><name sortKey="Glockner, Maria" sort="Glockner, Maria" uniqKey="Glockner M" first="Maria" last="Glöckner">Maria Glöckner</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Institut für Physiotherapie, University Hospital Jena</institution><country>Jena, Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author><author><name sortKey="Gladow, Till" sort="Gladow, Till" uniqKey="Gladow T" first="Till" last="Gladow">Till Gladow</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>HASOMED GmbH</institution><country>Magdeburg, Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author><author><name sortKey="Weidner, Norbert" sort="Weidner, Norbert" uniqKey="Weidner N" first="Norbert" last="Weidner">Norbert Weidner</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Experimental Neurorehabilitation, Spinal Cord Injury Center, Heidelberg University Hospital</institution><country>Heidelberg, Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author><author><name sortKey="Rupp, Rudiger" sort="Rupp, Rudiger" uniqKey="Rupp R" first="Rüdiger" last="Rupp">Rüdiger Rupp</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Experimental Neurorehabilitation, Spinal Cord Injury Center, Heidelberg University Hospital</institution><country>Heidelberg, Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24987344</idno><idno type="pmc">4060051</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4060051</idno><idno type="RBID">PMC:4060051</idno><idno type="doi">10.3389/fnhum.2014.00416</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">001D65</idno><idno type="wicri:Area/Pmc/Curation">001D65</idno><idno type="wicri:Area/Pmc/Checkpoint">000C39</idno><idno type="wicri:Area/Ncbi/Merge">003114</idno><idno type="wicri:Area/Ncbi/Curation">003114</idno><idno type="wicri:Area/Ncbi/Checkpoint">003114</idno><idno type="wicri:Area/Main/Merge">001214</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Feasibility of visual instrumented movement feedback therapy in individuals with motor incomplete spinal cord injury walking on a treadmill</title><author><name sortKey="Schlie Mann, Daniel" sort="Schlie Mann, Daniel" uniqKey="Schlie Mann D" first="Daniel" last="Schlie Mann">Daniel Schlie Mann</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Experimental Neurorehabilitation, Spinal Cord Injury Center, Heidelberg University Hospital</institution><country>Heidelberg, Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author><author><name sortKey="Schuld, Christian" sort="Schuld, Christian" uniqKey="Schuld C" first="Christian" last="Schuld">Christian Schuld</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Experimental Neurorehabilitation, Spinal Cord Injury Center, Heidelberg University Hospital</institution><country>Heidelberg, Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author><author><name sortKey="Schneiders, Matthias" sort="Schneiders, Matthias" uniqKey="Schneiders M" first="Matthias" last="Schneiders">Matthias Schneiders</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Experimental Neurorehabilitation, Spinal Cord Injury Center, Heidelberg University Hospital</institution><country>Heidelberg, Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author><author><name sortKey="Derlien, Steffen" sort="Derlien, Steffen" uniqKey="Derlien S" first="Steffen" last="Derlien">Steffen Derlien</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Institut für Physiotherapie, University Hospital Jena</institution><country>Jena, Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author><author><name sortKey="Glockner, Maria" sort="Glockner, Maria" uniqKey="Glockner M" first="Maria" last="Glöckner">Maria Glöckner</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Institut für Physiotherapie, University Hospital Jena</institution><country>Jena, Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author><author><name sortKey="Gladow, Till" sort="Gladow, Till" uniqKey="Gladow T" first="Till" last="Gladow">Till Gladow</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>HASOMED GmbH</institution><country>Magdeburg, Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author><author><name sortKey="Weidner, Norbert" sort="Weidner, Norbert" uniqKey="Weidner N" first="Norbert" last="Weidner">Norbert Weidner</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Experimental Neurorehabilitation, Spinal Cord Injury Center, Heidelberg University Hospital</institution><country>Heidelberg, Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author><author><name sortKey="Rupp, Rudiger" sort="Rupp, Rudiger" uniqKey="Rupp R" first="Rüdiger" last="Rupp">Rüdiger Rupp</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Experimental Neurorehabilitation, Spinal Cord Injury Center, Heidelberg University Hospital</institution><country>Heidelberg, Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author></analytic><series><title level="j">Frontiers in Human Neuroscience</title><idno type="eISSN">1662-5161</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><bold>Background:</bold> Incomplete spinal cord injury (iSCI) leads to motor and sensory deficits. Even in ambulatory persons with good motor function an impaired proprioception may result in an insecure gait. Limited internal afferent feedback (FB) can be compensated by provision of external FB by therapists or technical systems. Progress in computational power of motion analysis systems allows for implementation of instrumented real-time FB. The aim of this study was to test if individuals with iSCI can normalize their gait kinematics during FB and more importantly maintain an improvement after therapy.</p><p><bold>Methods:</bold> Individuals with chronic iSCI had to complete 6 days (1 day per week) of treadmill-based FB training with a 2 weeks pause after 3 days of training. Each day consists of an initial gait analysis followed by 2 blocks with FB/no-FB. During FB the deviation of the mean knee angle during swing from a speed matched reference (norm distance, ND) is visualized as a number. The task consists of lowering the ND, which was updated after every stride. Prior to the tests in patients the in-house developed FB implementation was tested in healthy subjects with an artificial movement task.</p><p><bold>Results:</bold> Four of five study participants benefited from FB in the short and medium term. Decrease of mean ND was highest during the first 3 sessions (from 3.93 ± 1.54 to 2.18 ± 1.04). After the pause mean ND stayed in the same range than before. In the last 3 sessions the mean ND decreased slower (2.40 ± 1.18 to 2.20 ± 0.90). Direct influences of FB ranged from 60 to 15% of reduction in mean ND compared to initial gait analysis and from 20 to 1% compared to no-FB sessions.</p><p><bold>Conclusions:</bold> Instrumented kinematic real-time FB may serve as an effective adjunct to established gait therapies in normalizing the gait pattern after incomplete spinal cord injury. 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