Exercise program for transfers and gait in spinal cord injured patients/Programa de ejercicios para las transferencias y la marcha en los pacientes lesionados medulares

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Alexander Echemendia del Valle
Armando Sentmanat Belisón
Barbara Yumila Noa Pelier
Reinaldo Gómez Pérez

Abstract

Introduction: Spinal cord injury is considered a trauma that influences all aspects of life, reduces physical abilities and restricts the person in their daily work. One of the main consequences derived from spinal cord injury is the limitation at the level of mobility, which includes walking and transfers.
Objective: To describe how the CIREN physical exercise program influences gait and transfers in spinal cord injured patients.
Materials and methods: According to the methodological design, the type of study is experimental, according to the study method, it is observational taking into account the time of occurrence of the events and the recording of the information. For the development of the research, a sample of 15 patients with injury levels between T1 and T6 who met the inclusion criteria was selected.
Results: Statistically significant changes in gait and transfers were observed in the group; by injury levels, injuries between T1 and T6 did not present changes in stair management and transfers from the floor to the chair; by sex, both men and women did not show statistically significant changes in stair handling and floor-to-chair transfers.
Conclusions: The exercise program used in the rehabilitation of patients is effective in being able to produce changes in the activities related to walking and transfers. Rehabilitation time should be increased for injuries above T6.

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How to Cite
Echemendia del Valle, A., Sentmanat Belisón, A., Noa Pelier, B. Y., & Gómez Pérez, R. (2022). Exercise program for transfers and gait in spinal cord injured patients/Programa de ejercicios para las transferencias y la marcha en los pacientes lesionados medulares. PODIUM - Journal of Science and Technology in Physical Culture, 17(3), 876–891. Retrieved from https://podium.upr.edu.cu/index.php/podium/article/view/1193
Section
ORIGINAL ARTICLES
Author Biographies

Alexander Echemendia del Valle, Centro Internacional de Restauración Neurológica (CIREN)

Ms.C Cultura Física Terapéutica, Investigador agregado de la Academia de Ciencias, Profesor asistente de la Universidad de Ciencias de la Cultura Física y el Deporte, Especialista principal de Rehabilitación Física del CIREN

Armando Sentmanat Belisón, Universidad de las Ciencias de la Cultura Física y el Deporte

Dr. C de la Cultura Física, Profesor titular de la Universidad de las Ciencias de la Cultura Física y el Deporte, Investigador Titular de la Academia de Ciencias, Departamento Cultura Física Terapéutica

 

Barbara Yumila Noa Pelier, Centro Internacional de Restauración Neurológica (CIREN)

Ms.C Cultura Física Terapéutica, Investigadora agregada de la Academia de CienciasProfesor asistente de la Universidad de Ciencias Médicas de la Habana, Jefa del Departamento de Rehabilitación del CIREN

Reinaldo Gómez Pérez, Centro Internacional de Restauración Neurológica (CIREN)

Ms.C Cultura Física Terapéutica, Investigador agregado de la Academia de Ciencias, Especialista principal de la Clínica Raquimedular del CIREN

References

Abualait, T. S., & Ibrahim, A. I. (2020). Spinal direct current stimulation with locomotor training in chronic spinal cord injury. Saudi Medical Journal, 41(1), 88-93. doi:10.15537/smj.2020.1.24818, https://pubmed.ncbi.nlm.nih.gov/31915800/

Albuquerque, P. L., Campêlo, M., Mendonça, T., Fontes, L. A. M., Brito, R. d. M., & Monte-Silva, K. (2018). Effects of repetitive transcranial magnetic stimulation and trans-spinal direct current stimulation associated with treadmill exercise in spinal cord and cortical excitability of healthy subjects: A triple-blind, randomized and sham-controlled study. PloS one, 13(3), e0195-276. doi:10.1371/journal.pone.0195276 ,https://pubmed.ncbi.nlm.nih.gov/29596524/

Bye, E. A., Harvey, L. A., Gambhir, A., Kataria, C., Glinsky, J. V., Bowden, J. L., Gandevia, S. C. (2017). Strength training for partially paralysed muscles in people with recent spinal cord injury: a within-participant randomised controlled trial. Spinal Cord, 55(5), 460-465. doi:10.1038/sc.2016.162 , https://pubmed.ncbi.nlm.nih.gov/27922626/

Chang, F., Zhang, Q., Xie, H., Yang, Y., Shen, C., Shen, X., Lu, J. (2020). The effects of two periods of rehabilitation for people with spinal cord injury from Shanghai, China. Spinal Cord, 58(2), 216-223. doi:10.1038/s41393-019-0349-2 ,https://www.nature.com/articles/s41393-019-0349-2

Ditunno, J. F., Ditunno, P. L., Scivoletto, G., Patrick, M., Dijkers, M., Barbeau, H.,. Schmidt-Read, M. (2013). The Walking Index for Spinal Cord Injury (WISCI/WISCI II): nature, metric properties, use and misuse. Spinal Cord, 51(5), 346-355. doi:10.1038/sc.2013.9 ,https://pubmed.ncbi.nlm.nih.gov/23459122/

Gaspar, R., Padula, N., Freitas, T. B., de Oliveira, J. P. J., & Torriani-Pasin, C. (2019). Physical Exercise for Individuals With Spinal Cord Injury: Systematic Review Based on the International Classification of Functioning, Disability, and Health. Journal of Sport Rehabilitation, 28(5), 505-516. doi:10.1123/jsr.2017-0185, https://pubmed.ncbi.nlm.nih.gov/30300056/

Harvey, L., Elsner, B., Mehrholz, J., & Thomas, S. (2017). Is body-weight-supported treadmill training or robotic-assisted gait training superior to overground gait training and other forms of physiotherapy in people with spinal cord injury? A systematic review. Spinal Cord. doi:10.1038/sc.2017.31, https://pubmed.ncbi.nlm.nih.gov/28398300/

Kim, H. S., Jeong, H. J., & Kim, M. O. (2014). Changes of Functional Outcomes According to the Degree of Completeness of Spinal Cord Injury. Ann Rehabil Med, 38(3), 335-341. doi:10.5535/arm.2014.38.3.335, https://pubmed.ncbi.nlm.nih.gov/25024956/

Liu, H., Li, J., Du, L., Yang, M., Yang, D., Gao, F., & Ma, K. (2019). Short-term effects of core stability training on the balance and ambulation function of individuals with chronic spinal cord injury: a pilot randomized controlled trial. Minerva medica, 110(3), 216-223. doi:10.23736/S0026-4806.19.05952-4, https://pubmed.ncbi.nlm.nih.gov/30809995/

Maher, J. L., Anderson, K. D., Gant, K. L., & Cowan, R. E. (2021). Development and deployment of an at-home strength and conditioning program to support a phase I trial in persons with chronic spinal cord injury. Spinal Cord, 59(1), 44-54. doi:10.1038/s41393-020-0486-7, https://www.nature.com/articles/s41393-020-0486-7

Mardomingo-Medialdea, H., Fernandez-Gonzalez, P., & Molina-Rueda, F. (2018). Usabilidad y aceptabilidad de los exoesqueletos portables para el entrenamiento de la marcha en sujetos con lesión medular: revisión sistemática. Revista de neurologia, 66(2), 35-44. https://neurologia.com/articulo/2017315

Okawara, H., Sawada, T., Matsubayashi, K., Sugai, K., Tsuji, O., Nagoshi, N., Nakamura, M. (2020). Gait ability required to achieve therapeutic effect in gait and balance function with the voluntary driven exoskeleton in patients with chronic spinal cord injury: a clinical study. Spinal Cord, 58(5), 520-527. doi:10.1038/s41393-019-0403-0, https://pubmed.ncbi.nlm.nih.gov/31831847/

Organización Mundial de la Salud. (2001). Clasificación Internacional del Funcionamiento, de la Discapacidad y de la Salud: CIF. Madrid: Ministerio de Trabajo y Asuntos Sociales. Secretaría General de Asuntos Sociales. Instituto de Migraciones y Servicios Sociales (IMSERSO).

Robles Ortiz, J., González Roig, J. L., Saborit Oliva, Y., Machado Moreno, L., & Jacas Prado, D. (2012). Epidemiología de la lesión medular traumática. Revista Cubana de Medicina Física y Rehabilitación, 4(2), 85-94. http://www.revrehabilitacion.sld.cu/index.php/reh/article/download/68/48

Scivoletto, G., Tamburella, F., Laurenza, L., Torre, M., Molinari, M., & Ditunno, J. F. (2014). Walking Index for Spinal Cord Injury version II in acute spinal cord injury: reliability and reproducibility. Spinal Cord, 52(1), 65-69. doi:10.1038/sc.2013.127, https://pubmed.ncbi.nlm.nih.gov/24145685/

You, J.-S., Kim, Y. L., & Lee, S. M. (2017). Effects of a standard transfer exercise program on transfer quality and activities of daily living for transfer-dependent spinal cord injury patients. Journal of Physical Therapy Science, 29(3), 478-483. doi:10.1589/jpts.29.478 , https://pubmed.ncbi.nlm.nih.gov/28356635/

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