Ability of obstacle crossing is not associated with falls in independent ambulatory patients with spinal cord injury

อ.ดร.วีรยา ประโมทยกุล
ผลงานและผู้ร่วม : Amatachaya,S., Pramodhyakul,W., Wattanapan,P., Eungpinichpong, W.
Approximately 50–95% of patients with incomplete spinal cord injury can regain ambulatory functions by the time of discharge.1 However, the sensorimotor deterioration following spinal cord injury (SCI) likely reduces their ability to modify movements according to the task demands. Therefore, these patients encounter a high risk of falls and subsequent injuries (39–75% of the patients fell during 5–12 months), and most falls occur during walking, frequently due to tripping over an obstacle.1–6 Currently, there is only little evidence on obstacle crossing in patients with SCI. Amatachaya et al.7 found that 44% of independent ambulatory participants with SCI (n=34) failed to walk over small obstacles. The researchers suggest that gait safety of the participants may be threatened and they may encounter a high risk of injury after discharge. Nevertheless, the cross-sectional investigation without gathering fall data might not be able to confirm the relationship between failures on obstacle crossing and falls of these individuals. The present study explored information relating to the ability of obstacle crossing and falls, and their association in independent ambulatory participants with SCI. The researchers hypothesized that a large proportion of independent ambulatory participants with SCI had difficulty in walking over small obstacles, and thus they had a high risk of falls. The researchers further hypothesized that failures on obstacle crossing and falls were associated with poor sensorimotor scores and functional ability.
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