ddd Spasticity and pain and the improvement of muscle strength in athletes with partial spinal cord injury

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11510%2F25%3A10496868" target="_blank" >RIV/00216208:11510/25:10496868 - isvavai.cz</a>

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=VQYxOWLYhn" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=VQYxOWLYhn</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.29359/BJHPA.17.1.10" target="_blank" >10.29359/BJHPA.17.1.10</a>

Jazyk výsledku

angličtina

Název v původním jazyce

ddd Spasticity and pain and the improvement of muscle strength in athletes with partial spinal cord injury

Popis výsledku v původním jazyce

Spasticity and chronic pain are common secondary complications following spinal cord injury (SCI), significantly impacting functional recovery and quality of life. Robot-assisted gait training (RAGT) using the Lokomat has been proposed as an effective rehabilitation method to improve motor function and reduce these symptoms. However, the impact of training frequency on rehabilitation outcomes remains unclear, particularly in athletes and physically active individuals. This study aimed to evaluate the effects of Lokomat training on spasticity reduction, pain alleviation, and improvements in gait function and lower limb muscle strength in athletes and physically active individuals with partial SCI. A total of 45 participants (AIS B-D, chronic SCI) were randomly assigned to three groups: group A (n = 15): Lokomat training once per week, group B (n = 15): Lokomat training twice per week, and group C (n = 15): conventional rehabilitation (control group). Spasticity (SCI-SET), pain (VAS), gait function (WISCI II), and muscle strength (LEMS) were assessed at baseline, week 6, and week 12. Group B (2x/week) demonstrated the greatest improvements, with spasticity and pain reductions of similar to 50% (p &lt; 0.01, large effect sizes). Gait function (WISCI II) and muscle strength (LEMS) significantly improved compared to Group A (1x/week) and Group C (p &lt; 0.05). Group A showed moderate improvements, while Group C exhibited minimal, non-significant changes. Higher Lokomat training frequency (2x/week) significantly enhances spasticity reduction, pain relief, gait function, and muscle strength recovery. These findings support intensive RAGT protocols for SCI rehabilitation, particularly in athletes seeking optimal functional recovery. A minimum of 2 sessions per week is recommended for maximal neuroplasticity-driven recovery, reinforcing the importance of training intensity and consistency in SCI rehabilitation.

Název v anglickém jazyce

ddd Spasticity and pain and the improvement of muscle strength in athletes with partial spinal cord injury

Popis výsledku anglicky

Spasticity and chronic pain are common secondary complications following spinal cord injury (SCI), significantly impacting functional recovery and quality of life. Robot-assisted gait training (RAGT) using the Lokomat has been proposed as an effective rehabilitation method to improve motor function and reduce these symptoms. However, the impact of training frequency on rehabilitation outcomes remains unclear, particularly in athletes and physically active individuals. This study aimed to evaluate the effects of Lokomat training on spasticity reduction, pain alleviation, and improvements in gait function and lower limb muscle strength in athletes and physically active individuals with partial SCI. A total of 45 participants (AIS B-D, chronic SCI) were randomly assigned to three groups: group A (n = 15): Lokomat training once per week, group B (n = 15): Lokomat training twice per week, and group C (n = 15): conventional rehabilitation (control group). Spasticity (SCI-SET), pain (VAS), gait function (WISCI II), and muscle strength (LEMS) were assessed at baseline, week 6, and week 12. Group B (2x/week) demonstrated the greatest improvements, with spasticity and pain reductions of similar to 50% (p &lt; 0.01, large effect sizes). Gait function (WISCI II) and muscle strength (LEMS) significantly improved compared to Group A (1x/week) and Group C (p &lt; 0.05). Group A showed moderate improvements, while Group C exhibited minimal, non-significant changes. Higher Lokomat training frequency (2x/week) significantly enhances spasticity reduction, pain relief, gait function, and muscle strength recovery. These findings support intensive RAGT protocols for SCI rehabilitation, particularly in athletes seeking optimal functional recovery. A minimum of 2 sessions per week is recommended for maximal neuroplasticity-driven recovery, reinforcing the importance of training intensity and consistency in SCI rehabilitation.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30306 - Sport and fitness sciences

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Baltic Journal of Health and Physical Activity

ISSN

2080-1297

e-ISSN

2080-9999

Svazek periodika

17

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

PL - Polská republika

Počet stran výsledku

17

Strana od-do

10

Kód UT WoS článku

001450991300002

EID výsledku v databázi Scopus

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