Use of a dynamic gait trainer for a child with thoracic level spinal cord injury

This case study explores the use of a dynamic gait trainer for a child with a complete spinal cord injury. The participant was a 23-month-old who sustained a traumatic thoracic level (T10) SCI due to a falling object, resulting in complete loss of motor and sensory function below the injury site. Despite the severity of the injury, the child was able to make gains in activity and participation through the use of a dynamic gait trainer. This device provided body weight support and allowed her to participate in activities such as dance, which would not have been possible otherwise. The study highlights that even in the absence of neural recovery, assistive technology like dynamic gait trainers can significantly improve the quality of life and participation levels for children with severe spinal cord injuries.

• 1
  A child with a T10 AIS level A injury continued to make gains in activity and participation over 4 years using a dynamic gait trainer, despite no neurological improvement.
• 2
  The dynamic gait trainer allowed the child to participate in activities like dance and community events, improving her overall quality of life.
• 3
  Standing, stepping, or walking with the gait trainer positively affected bowel function, with the participant reporting easier elimination with daily upright activity.