Aim:The aim of this study was to assess the pattern of voluntary movements in patients with spinal cord injury(SCI)post intensive whole-body training vs.upper body training with brain motor control assessment(BMCA).Me...Aim:The aim of this study was to assess the pattern of voluntary movements in patients with spinal cord injury(SCI)post intensive whole-body training vs.upper body training with brain motor control assessment(BMCA).Methods:Twelve neurologically intact participants and 18 patients with SCI participated in this study as part of a multi-centre randomised controlled trial.All participants received 12 weeks training(three times per week),which comprised trunk,upper and lower limb exercises and locomotor training and functional electrical stimulation-assisted cycling in whole-body training group and an upper body strength and fitness program for upper body training group.Results:Generalised linear model analysis showed significant effect of the main effect of the Task(P<0.001)on the similarity index of voluntary movement patterns but not on the other factors or the interactions between them(P>0.05).Some participants showed significant improvement in muscle strength post 12 weeks training;however,this improvement was not reflected in the pattern of muscle activation which was captured by BMCA.Conclusion:BMCA is a valuable objective assessment tool that could add resolution to the clinical evaluation of patients with SCI post different therapeutic techniques.展开更多
基金The study was funded by the Transport Accident Commission(Victorian Neurotrauma Initiative),and the University of Melbourne
文摘Aim:The aim of this study was to assess the pattern of voluntary movements in patients with spinal cord injury(SCI)post intensive whole-body training vs.upper body training with brain motor control assessment(BMCA).Methods:Twelve neurologically intact participants and 18 patients with SCI participated in this study as part of a multi-centre randomised controlled trial.All participants received 12 weeks training(three times per week),which comprised trunk,upper and lower limb exercises and locomotor training and functional electrical stimulation-assisted cycling in whole-body training group and an upper body strength and fitness program for upper body training group.Results:Generalised linear model analysis showed significant effect of the main effect of the Task(P<0.001)on the similarity index of voluntary movement patterns but not on the other factors or the interactions between them(P>0.05).Some participants showed significant improvement in muscle strength post 12 weeks training;however,this improvement was not reflected in the pattern of muscle activation which was captured by BMCA.Conclusion:BMCA is a valuable objective assessment tool that could add resolution to the clinical evaluation of patients with SCI post different therapeutic techniques.
