Article: Locomotor training restores walking in a nonambulatory child with chronic, severe, incomplete cervical spinal cord injury.(Research Report)(Case study)

Locomotor training (LT) is a promising experimental approach that has been translated to humans to promote the recovery of walking after incomplete spinal cord injury (SCI). (1,2) By using a treadmill as the environment in which to stimulate and practice stepping, this physiologically based strategy is believed to trigger and enhance intrinsic plasticity of the spinal cord central pattern generators for locomotion (SPGL). (1,3-5) The clinical literature suggests that substantial lower-extremity (LE) isolated movements, as assessed by Lower Extremity Motor Score (LEMS) of the American Spinal Injury Association Impairment Scale (AIS), (6) are required for recovery of walking. ...

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