Postural adaptation to walking on inclined surfaces: II. Strategies following spinal cord injury

Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology
A LerouxH Barbeau

Abstract

To investigate the postural adaptations to inclined walking in spinal cord injured (SCI) subjects. Eight subjects with an incomplete spinal cord injury and eight age- and sex-matched healthy control subjects walked on a treadmill at five different grades (from -10 to 10%) without any assistance. The movements of the trunk and pelvis were recorded with four high-resolution cameras. The SCI subjects walked with greater forward tilt of both trunk and pelvic segments during level or inclined walking and could not adapt their body orientation to the inclination of the support surface as observed in healthy control subjects. Trunk and pelvic rotations as well as lateral excursions were maintained constant during inclined walking in both groups of subjects but total excursions were always greater in the SCI subjects. We argue that the forward bending posture observed in SCI subjects at any treadmill grade is adopted to compensate for a certain degree of instability due to lower-limb deficits and is a postural adaptation to the daily use of ambulatory assistive devices. The bent posture adopted by SCI subjects is not adequate when performing level or downhill walking and can lead to a loss of balance or a fall in these subjects.

Associated Clinical Trials

References

Sep 1, 1992·Journal of Biomechanics·R C Wagenaar, W J Beek
May 1, 1984·Acta Physiologica Scandinavica·A ThorstenssonM R Zomlefer
Mar 1, 1983·Spine·A J Thurston, J D Harris
Mar 1, 1997·Journal of Medical Engineering & Technology·P DabnichkiD Tsirakos
Jan 24, 1998·Archives of Physical Medicine and Rehabilitation·A CurtV Dietz
Nov 27, 1999·Gait & Posture·L Vogt, W Banzer
Jan 26, 2002·Gait & Posture·Alain LerouxHugues Barbeau
Sep 25, 2004·Movement Disorders : Official Journal of the Movement Disorder Society·Antonio CurràAlfredo Berardelli
Nov 9, 2004·Gait & Posture·Stephen D PrenticeJames S Frank
Jul 6, 2005·The Spine Journal : Official Journal of the North American Spine Society·Philippe MahaudensChristine Detrembleur
Aug 2, 2005·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·R AgostinoA Berardelli

❮ Previous
Next ❯

Citations

May 7, 2013·Research in Developmental Disabilities·Thayse L M RodenbuschAna R Lindquist
May 9, 2014·Clinical Biomechanics·Emilie DesrosiersSylvie Nadeau
Jun 10, 2014·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Jean-François LemayÉmilie Desrosiers
Oct 18, 2011·Clinical Biomechanics·Kristin V DayAndrea L Behrman
Jun 5, 2007·Physical Medicine and Rehabilitation Clinics of North America·Andrea L Behrman, Susan J Harkema
Oct 4, 2011·Archives of Physical Medicine and Rehabilitation·Cinthia C MorenoAna R Lindquist
Sep 6, 2014·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·N S StottP McNair
May 26, 2012·Journal of Geriatric Physical Therapy·Richard A FerraroMaryAnn Clark

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

ALS: Transposon de-silencing

Transposon silencing is a form of transcriptional gene silencing. These gene silencing mechanisms are impaired in Amyotrophic lateral sclerosis (ALS). Here are the latest discoveries pertaining to transposon silencing and this disease.

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.