"Trainers in the clinical context provide assistance as needed to promote activation of muscles within the context of the limb trajectories for the stepping pattern, pelvic movement , and trunk control. Proper ergonomic seats for the trainers at the level of the treadmill with back and leg supports are a necessity for the repetitive task of manual training . A more detailed explanation of manual assistance is provided in several case study reports  . "
[Show abstract][Hide abstract] ABSTRACT: The initial level of injury and severity of volitional motor and clinically detectable sensory impairment has been considered the most reliable for predicting neurologic recovery of function after spinal cord injury (SCI). This consensus implies a limited expectation for physical rehabilitation interventions as important in the facilitation of recovery of function. The development of pharmacologic and surgical interventions has always been pursued with the intent of altering the expected trajectory of recovery after SCI, but only recently physical rehabilitation strategies have been considered to improve recovery beyond the initial prognosis. This article reviews the recent literature reporting emerging activity-based therapies that target recovery of standing and walking based on activity-dependent neuroplasticity. A classification scheme for physical rehabilitation interventions is also discussed to aid clinical decision making.
Physical Medicine and Rehabilitation Clinics of North America 06/2007; 18(2):183-202, v. DOI:10.1016/j.pmr.2007.02.002 · 0.93 Impact Factor
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