Gait Characteristics, Range of Motion, and Spasticity Changes in Response to Massage in a Person with Incomplete Spinal Cord Injury: Case Report

International Journal of Therapeutic Massage and Bodywork, 2011 · DOI: · Published: March 1, 2011

Spinal Cord Injury Alternative Medicine Rehabilitation

Simple Explanation

This case report explores whether massage therapy can improve walking, joint movement, and muscle stiffness in someone with an incomplete spinal cord injury. The study involved a 42-year-old man who received massage on specific muscle groups for three days in a row. The researchers measured his joint range of motion, muscle stiffness, and walking patterns before and after the massage. They found some positive changes in his walking speed, stride length, and the amount of time spent in different phases of walking. The participant also reported that his walking felt easier after the massage. The study suggests that massage therapy might be a helpful addition to rehabilitation for people with incomplete spinal cord injuries, but more research is needed.

Study Duration

Not specified

Participants

One 42-year-old man with incomplete chronic C5 spinal cord injury

Evidence Level

Level 4, Case Report

Key Findings

1
After the massage intervention, the participant demonstrated an increase in velocity and cadence of gait.
2
There was a decrease in ambulation time and an increase in stride length after the massage therapy.
3
The swing and stance phases of the gait cycle improved after the massage therapy sessions.

Research Summary

This case study investigated the effects of massage therapy on gait, range of motion (ROM), and spasticity in a person with incomplete spinal cord injury (SCI). The participant received neuromuscular massage techniques targeting the iliopsoas, triceps surae, and hamstring muscle groups over three consecutive days. The study found improvements in gait speed, stride length, and swing and stance phase percentages, suggesting that massage therapy may positively influence gait characteristics in individuals with incomplete SCI.

Practical Implications

Rehabilitation potential

Massage therapy could be integrated into neurological rehabilitation settings to complement traditional goals, particularly for individuals with incomplete SCI.

Improved Gait

Changes in gait characteristics after massage may lead to improved balance, gait speed, and decreased dependence on assistive devices, enhancing participation in daily life.

Muscle activation

Massage therapy may improve firing patterns or muscle activation, contributing to greater ease of movement and potentially reducing motor neuron activity.

Study Limitations

1
The study involves only one participant, limiting the generalizability of the findings.
2
The Modified Ashworth Scale (MAS) may not be sensitive enough to detect subtle changes in spasticity.
3
Lack of control over stroke pressure and speed during massage application.

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