::Locomotor Training::

Current Locomotor Training

Locomotor training using body weight support on a treadmill (BWST) and manual assistance has emerged as a potential rehabilitation intervention for the recovery of walking following spinal cord injury (SCI). The success of this approach is dependent on providing appropriate sensory cues to the spinal cord by simulating normal kinetics and kinematics of stepping. Subjects are placed on the treadmill in an upright position and suspended in a harness by a cable at the maximum load at which knee buckling and trunk collapse can be avoided. A trainer is positioned behind the subject to aid in pelvis and trunk stabilization, as well appropriate weight shifting and hip rotation during the step cycle. Trainers are also positioned at each limb to provide manual assistance using a customized technique developed by this research team that facilitates knee extension during stance and knee flexion and toe clearance during swing. Trainers promote knee extension by applying posteriorly directed gentle pressure at patellar tendon during stance. Knee flexion and toe clearance is promoted by applying a gentle anteriorly directed force at the medial hamstring tendon during swing.

Related Publications:

Harkema SJ. Locomotor training principles and practice. G. Dejong (ed.), Robomedica, Inc., Los Angeles, 2002.

Behrman AL, Harkema SJ. Locomotor training after human spinal cord injury: A series of case studies. Phys Ther 2000 Jul;80(7):688-700.