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Assessing and Training Reactive Step...

Unger, Janelle.

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Assessing and Training Reactive Stepping for Individuals with Incomplete Spinal Cord Injury or Disease.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Assessing and Training Reactive Stepping for Individuals with Incomplete Spinal Cord Injury or Disease./
作者:	Unger, Janelle.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2020,
面頁冊數:	162 p.
附註:	Source: Dissertations Abstracts International, Volume: 82-06, Section: B.
Contained By:	Dissertations Abstracts International82-06B.
標題:	Physical therapy. -
電子資源:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28026852
ISBN:	9798698567141

Assessing and Training Reactive Stepping for Individuals with Incomplete Spinal Cord Injury or Disease.
Unger, Janelle.

Assessing and Training Reactive Stepping for Individuals with Incomplete Spinal Cord Injury or Disease. - Ann Arbor : ProQuest Dissertations & Theses, 2020 - 162 p.

Source: Dissertations Abstracts International, Volume: 82-06, Section: B.

Thesis (Ph.D.)--University of Toronto (Canada), 2020.

This item must not be sold to any third party vendors.

Individuals with incomplete spinal cord injury or disease (iSCI/D) experience more falls than people with other neurological conditions, and one of the leading causes of these falls is impaired balance. The objective of this work was to determine how reactive stepping, a strategy used to recover from balance perturbations and therefore prevent falls, can be assessed and trained in this population. The first study found that behaviour measures from the Lean-and-Release test, a safe and standardized measure of reactive stepping ability, were reliable and valid among 26 individuals with chronic iSCI/D. The second and third studies report the findings from a randomized clinical trial involving 20 individuals with chronic iSCI/D. The second study found that Perturbation-based Balance Training (PBT), a method of training reactive stepping using repeated unexpected perturbations, did not result in greater improvements on the behavioural response of the Lean-and-Release test compared to Conventional Intensive Balance Training (CIBT), although both groups improved over time. The third study found that the PBT group may have experienced fewer falls and had a longer time to first fall than the CIBT group during the six months following training. The fourth qualitative study explored the perspectives of the participants in both balance training programs. Through a conventional content analysis four themes were identified: 1) benefits of participating, both psychological and physical, 2) increased awareness of how body, behaviour, and environment play a role in balance control, self-management strategies and fall avoidance, 3) desire for challenge and continual progress towards goals, and 4) unique aspects of PBT. These findings indicate that reactive stepping is feasible to assess and train as part of iSCI/D rehabilitation, and that while PBT may not improve reactive stepping ability beyond conventional approaches, using perturbations may reduce fall rates for individuals with iSCI/D.

ISBN: 9798698567141Subjects--Topical Terms:

588713
Physical therapy.
Subjects--Index Terms:

Physical therapy

Assessing and Training Reactive Stepping for Individuals with Incomplete Spinal Cord Injury or Disease.
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