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Lokomat-Applied Resistance Training in Motor-Incomplete Spinal Cord Injury: Feasibility and Efficacy

This pilot study by Tania Lam, PhD, and team explores Lokomat-applied resistance training's impact on ambulation in chronic motor-incomplete SCI. Results show improved skilled walking following Loko-R sessions compared to conventional training. The study indicates feasibility and efficacy of Loko-R in m-iSCI patients.

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Lokomat-Applied Resistance Training in Motor-Incomplete Spinal Cord Injury: Feasibility and Efficacy

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  1. Training with robot-applied resistance in people with motor-incomplete spinal cord injury: Pilot study Tania Lam, PhD; Katherine Pauhl, MSc; Amanda Ferguson, BScPT; Raza N. Malik, BKin; Andrei Krassioukov, MD, PhD; Janice J. Eng, PhD

  2. Aim • Determine feasibility and efficacy of Lokomat-applied resistance (Loko-R) training on functional ambulation in people with chronic motor-incomplete spinal cord injury (m-iSCI) . • Relevance • People with m-iSCI can recover basic walking function but still have difficulty performing skilled walking required for everyday environments.

  3. Method • 15 individuals with m-iSCI received either: • Body weight-supported treadmill training (BWSTT) with Loko-R. • Conventional Lokomat-assisted BWSTT (Control). • 45 min training sessions, 3 times/wk for 3 mo. • Measures at baseline, posttraining, 1 and 6 mo: • Overground skilled walking capacity (Spinal Cord Injury-Functional Ambulation Profile [SCI-FAP]). • Walking speed and distance.

  4. Results • Loko-R training was feasible for people with m-iSCI. • Participants in Loko-R group: • Performed significantly better on SCI-FAP than controls at posttraining and follow-up assessments. • Tended to reported higher perceived exertion during training.

  5. Conclusion • This study provides evidence that Loko-R training: • Is feasible in people with m-iSCI. • May help improve performance in skilled overground walking tasks.

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