Factors Related to Obstacle Crossing in Independent Ambulatory Patients With Spinal Cord Injury

J Spinal Cord Med, 2010 · DOI: · Published: April 1, 2010

Spinal Cord Injury Rehabilitation Biomechanics

Simple Explanation

This study investigates the ability of people with spinal cord injuries (SCI) to walk over small obstacles, which are commonly found in homes and communities. The researchers were interested in how factors like using a walking device, the level of SCI (tetraparesis or paraparesis), and the stage of injury (acute or chronic) affected their ability to navigate these obstacles. The findings highlight the importance of incorporating real-world challenges into rehabilitation programs to help patients with SCI improve their walking safety and independence.

Study Duration

Not specified

Participants

34 patients with SCI (ASIA impairment scale [AIS] D)

Evidence Level

Cross-sectional study

Key Findings

1
A significant proportion (44%) of independent ambulatory participants with SCI failed to walk over obstacles in at least one condition.
2
The use of walking devices was associated with a greater chance of failing to walk over obstacles.
3
Fails in participants who required walking devices were mostly due to leg contact with obstacles.

Research Summary

This study evaluated factors related to the ability of ambulatory patients with spinal cord injury (SCI) to walk over small obstacles. The results showed that a considerable number of participants failed to adequately clear obstacles, and the use of walking devices significantly increased the likelihood of failure. The authors concluded that rehabilitation programs should include contextual conditions to better prepare patients for real-world ambulation challenges and minimize the risk of injury.

Practical Implications

Rehabilitation Strategies

Rehabilitation programs should incorporate obstacle crossing tasks to improve gait safety.

Assistive Device Training

Training should focus on the safe and effective use of walking devices when navigating obstacles.

Environmental Considerations

Therapists should simulate real-world environments to prepare patients for challenges at home and in the community.

Study Limitations

1
Small sample size with a variety of participant characteristics.
2
Lack of information on the relationship between obstacle-crossing failure and fall history.
3
Limited investigation of other factors related to obstacle-crossing ability (e.g., age, spasticity, muscle strength).

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