Kelli G Sharp1, Robert Gramer2, Laine Butler2, Steven C Cramer3, Erinn Hade4, Stephen J Page5. 1. Reeve Irvone Research Center, University of California-Irvine, Orange, CA. 2. Neurorehabilitation Laboratory, University of California-Irvine, Orange, CA. 3. Department of Neurology, University of California-Irvine, Orange, CA. 4. Center for Biostatistics, The Ohio State University Medical Center, Columbus, OH. 5. School of Health and Rehabilitation Sciences, The Ohio State University Medical Center, Columbus, OH. Electronic address: Stephen.Page@osumc.edu.
Abstract
OBJECTIVE: To compare the efficacy of a regimen combining mental practice (MP) with overground training (OT) with the efficacy of a regimen consisting of OT only on gait velocity and lower extremity motor outcomes in individuals with chronic (>12mo postinjury), incomplete spinal cord injury (SCI). DESIGN: Randomized, controlled, single-blinded study. SETTING: Outpatient rehabilitation laboratories. PARTICIPANTS: Subjects with chronic, incomplete SCI (N=18). INTERVENTIONS: Subjects were randomly assigned to receive (1) OT only, occurring 3d/wk for 8 weeks; or (2) OT augmented by MP (MP + OT), during which randomly assigned subjects listened to an MP audio recording directly after OT sessions. MAIN OUTCOME MEASURES: Subjects were administered a test of gait velocity as well as the Tinetti Performance Oriented Mobility Assessment, Spinal Cord Injury Independence Measure, and Satisfaction With Life Scale on 2 occasions before intervention, 1 week after intervention, and 12 weeks after intervention. RESULTS: A significant increase in gait velocity was exhibited across subjects at both 1 week posttherapy (P=.005) and at 12 weeks posttherapy (P=.006). However, no differences were seen in intervention response at either 1 or 12 weeks postintervention among subjects in the MP + OT group versus the OT-only group. CONCLUSIONS:OT was associated with significant gains in gait velocity, and these gains were not augmented by further addition of MP.
RCT Entities:
OBJECTIVE: To compare the efficacy of a regimen combining mental practice (MP) with overground training (OT) with the efficacy of a regimen consisting of OT only on gait velocity and lower extremity motor outcomes in individuals with chronic (>12mo postinjury), incomplete spinal cord injury (SCI). DESIGN: Randomized, controlled, single-blinded study. SETTING:Outpatient rehabilitation laboratories. PARTICIPANTS: Subjects with chronic, incomplete SCI (N=18). INTERVENTIONS: Subjects were randomly assigned to receive (1) OT only, occurring 3d/wk for 8 weeks; or (2) OT augmented by MP (MP + OT), during which randomly assigned subjects listened to an MP audio recording directly after OT sessions. MAIN OUTCOME MEASURES: Subjects were administered a test of gait velocity as well as the Tinetti Performance Oriented Mobility Assessment, Spinal Cord Injury Independence Measure, and Satisfaction With Life Scale on 2 occasions before intervention, 1 week after intervention, and 12 weeks after intervention. RESULTS: A significant increase in gait velocity was exhibited across subjects at both 1 week posttherapy (P=.005) and at 12 weeks posttherapy (P=.006). However, no differences were seen in intervention response at either 1 or 12 weeks postintervention among subjects in the MP + OT group versus the OT-only group. CONCLUSIONS: OT was associated with significant gains in gait velocity, and these gains were not augmented by further addition of MP.
Authors: J D Steeves; D Lammertse; A Curt; J W Fawcett; M H Tuszynski; J F Ditunno; P H Ellaway; M G Fehlings; J D Guest; N Kleitman; P F Bartlett; A R Blight; V Dietz; B H Dobkin; R Grossman; D Short; M Nakamura; W P Coleman; M Gaviria; A Privat Journal: Spinal Cord Date: 2006-12-19 Impact factor: 2.772
Authors: Andrea L Behrman; Anna R Lawless-Dixon; Sandra B Davis; Mark G Bowden; Preeti Nair; Chetan Phadke; Elizabeth M Hannold; Prudence Plummer; Susan J Harkema Journal: Phys Ther Date: 2005-12
Authors: Steven C Kirshblum; Michael M Priebe; Chester H Ho; William M Scelza; Anthony E Chiodo; Lisa-Ann Wuermser Journal: Arch Phys Med Rehabil Date: 2007-03 Impact factor: 3.966
Authors: Michelle S Gittler; William O McKinley; Steven A Stiens; Suzanne L Groah; Steven C Kirshblum Journal: Arch Phys Med Rehabil Date: 2002-03 Impact factor: 3.966
Authors: T Weiss; E Hansen; L Beyer; M L Conradi; F Merten; C Nichelmann; R Rost; C Zippel Journal: Int J Psychophysiol Date: 1994-06 Impact factor: 2.997