AA

Overground Training for Gait Rehabilitation

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While overground training is often utilized as a control group for other types of treatment (e.g. treadmill training) and are described in those respective sections, there is one study that assessed a progressive approach to overground training.

Table 4: Overground Training for Gait Rehabilitation

Discussion

Overground training can only be undertaken with higher functioning individuals with incomplete SCI.  However, overground training provides an important mode of exercise for improving walking function, and likely other physical and mental functions (e.g. muscle strength, balance, bone health, cardiovascular function, depressive symptoms) shown to be positively affected by exercise in the general population. Oh and Park (2013) found that an intensive 6X/week, 4 week training program resulted in effects at 1 year follow-up and demonstrate the positive benefits of exercise.

Conclusion

There is level 4 evidence (Oh and Park 2013) that community-based ambulation training that is progressively challenged may result in long-lasting benefits in incomplete SCI.

  • Community-based ambulation training that is progressively challenged may result in long-lasting benefits in incomplete SCI.