Usefulness of robotic gait training plus neuromodulation in chronic spinal cord injury: a case report

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Abstract

Context: Spinal cord injury (SCI) affects more than 2.5 million people worldwide, often leading to severe disability. Thus, a proper management of individuals with SCI is required either in the acute or in the post-acute rehabilitative phase. Findings: A 31-year-old man, affected by chronic SCI, underwent two different intensive rehabilitation treatments, including either LokomatPro or a paired LokomatPro-rTMS training. We evaluated the clinical, kinetic, and electrophysiological parameters before and after each training session. In particular, the intensive robotic training was articulated in a total of 40 one-hour training sessions (i.e. 5 times a week for 8 weeks), whereas the rTMS sessions were delivered 3 days per week for 3 consecutive weeks, just before the LokomatPro session. Only at the end of the experimental treatment, we observed an important improvement in nearly all parameters we investigated. Clinical relevance: The combined LokomatPro-rTMS rehabilitation may be a valuable approach in improving the motor function in patients affected by SCI, even in the chronic phase.

Original languageEnglish
Pages (from-to)1-4
Number of pages4
JournalJournal of Spinal Cord Medicine
DOIs
Publication statusAccepted/In press - Mar 3 2016

Keywords

  • LokomatPro
  • Repetitive transcranial magnetic stimulation
  • Robot-assisted gait therapy
  • Spinal cord injury
  • Spinal plasticity

ASJC Scopus subject areas

  • Clinical Neurology

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