Dual-task Obstacle Crossing Training in Ambulatory Subjects With Spinal Cord Injury

Dual Task Obstacle Crossing: Effects on Walking and Balance Ability, and Relationship With Falls in Independent Ambulatory Patients With Spinal Cord Injury

Is dual-task obstacle crossing training more efficiently than single-task obstacle crossing training on the improvement of walking ability, balance ability, and lower extremity muscle strength in ambulatory subjects with spinal cord injury

To compare immediate effects of dual-task and single-task obstacle crossing training in ambulatory subjects with spinal cord injury

Inclusion Criteria:

• independent ambulatory subjects with
• traumatic causes or non-progressive diseases
• sub-acute and chronic stage of injury (at least 3 month after injury)
• body mass index (BMI) between 18.5-29.9 kg/m2
• walk independently for at least 17 meters with or without assistive devices (Functional Independence Measure Locomotor (FIM-L) scores 5-7)
• able to read Thai

Exclusion Criteria:

• pain in the musculoskeletal system with a pain scale more than 5 out of 10 on a the visual analog scale (VAS)
• deformity in the joints that affect ambulatory ability
• unable to understand the commands and tests used in the study