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| Name | Class |
|---|---|
| Mahidol University | OTHER |
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Until now, there's still no any strong evidence supported "which is the best way to restoration walking ability" in spinal cord injury. Most of the evidence suggest that, there is somehow better after gait rehabilitation for ASIA classification C and D but not improved walking ability for ASIA classification A and B. There is an RCT showed the evidence of repetitive locomotor training and physiotherapy could be improved walking and basic activities of daily living after stroke, these might be also really effect in SCI patients.
This study aim to study the effectiveness of conventional rehabilitation compare with robotic gait training machine in subacute SCI patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| robotic gait training | Experimental | conventional physical therapy plus robot gait training program for SCI patients. |
|
| control | No Intervention | Conventional physical therapy program for 60 minute per day for 5 working day per week. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Robot gait training | Device | Robotic gait training for 20 minute include preparing and rest time for 10 minute plus conventional physical therapy program for 30 minute, totally 60 minute per day for 5 working day per week. |
| Measure | Description | Time Frame |
|---|---|---|
| Wernig scale | Walking ability classification in spinal cord injury patients. | 4 weeks. |
| Barthel index | Measure activity of daily living | 4 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Repas | Spasticity measurement | 4 weeks. |
| Manual muscle testing | Measure muscle power in each key muscle according to ASIA classification. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ratanapat Chanubol, MD. | PM&R department, Prasat Neurological Institute, Bangkok, Thailand. 10400 | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ratanapat Chanubol | Bangkok | Bangkok | 10400 | Thailand |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 21625239 | Background | Schwartz I, Sajina A, Neeb M, Fisher I, Katz-Luerer M, Meiner Z. Locomotor training using a robotic device in patients with subacute spinal cord injury. Spinal Cord. 2011 Oct;49(10):1062-7. doi: 10.1038/sc.2011.59. Epub 2011 May 31. | |
| 17213237 | Result | Pohl M, Werner C, Holzgraefe M, Kroczek G, Mehrholz J, Wingendorf I, Hoolig G, Koch R, Hesse S. Repetitive locomotor training and physiotherapy improve walking and basic activities of daily living after stroke: a single-blind, randomized multicentre trial (DEutsche GAngtrainerStudie, DEGAS). Clin Rehabil. 2007 Jan;21(1):17-27. doi: 10.1177/0269215506071281. |
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| ID | Term |
|---|---|
| D013119 | Spinal Cord Injuries |
| ID | Term |
|---|---|
| D013118 | Spinal Cord Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D020196 | Trauma, Nervous System |
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|
| control | Other | Conventional physical therapy program for 60 minute per day for 5 working day per week. |
|
| 4 weeks |
| 10 meter walking test | If patients can walk, measure speed of walking with step length. | 4 weeks. |
| 6 minute walking test | If patient can walk, measure endurance. | 4 weeks |
| 21674390 | Result | Tefertiller C, Pharo B, Evans N, Winchester P. Efficacy of rehabilitation robotics for walking training in neurological disorders: a review. J Rehabil Res Dev. 2011;48(4):387-416. doi: 10.1682/jrrd.2010.04.0055. |
| 21675354 | Result | Taylor-Schroeder S, LaBarbera J, McDowell S, Zanca JM, Natale A, Mumma S, Gassaway J, Backus D. The SCIRehab project: treatment time spent in SCI rehabilitation. Physical therapy treatment time during inpatient spinal cord injury rehabilitation. J Spinal Cord Med. 2011;34(2):149-61. doi: 10.1179/107902611X12971826988057. |
| D014947 | Wounds and Injuries |