Artificial gait in complete spinal cord injured subjects: how to assess clinical performance

Arq Neuropsiquiatr. 2015 Feb;73(2):111-4. doi: 10.1590/0004-282X20140205.

Abstract

Objective: Adapt the 6 minutes walking test (6MWT) to artificial gait in complete spinal cord injured (SCI) patients aided by neuromuscular electrical stimulation.

Method: Nine male individuals with paraplegia (AIS A) participated in this study. Lesion levels varied between T4 and T12 and time post injured from 4 to 13 years. Patients performed 6MWT 1 and 6MWT 2. They used neuromuscular electrical stimulation, and were aided by a walker. The differences between two 6MWT were assessed by using a paired t test. Multiple r-squared was also calculated.

Results: The 6MWT 1 and 6MWT 2 were not statistically different for heart rate, distance, mean speed and blood pressure. Multiple r-squared (r2 = 0.96) explained 96% of the variation in the distance walked.

Conclusion: The use of 6MWT in artificial gait towards assessing exercise walking capacity is reproducible and easy to apply. It can be used to assess SCI artificial gait clinical performance.

Publication types

  • Evaluation Study

MeSH terms

  • Adult
  • Electric Stimulation Therapy / methods*
  • Exercise Test / methods*
  • Gait / physiology*
  • Heart Rate / physiology
  • Humans
  • Male
  • Paraplegia / physiopathology
  • Paraplegia / rehabilitation*
  • Reproducibility of Results
  • Spinal Cord Injuries / physiopathology
  • Spinal Cord Injuries / rehabilitation*
  • Time Factors
  • Treatment Outcome
  • Walking / physiology*
  • Young Adult