Efficacy of Underwater Treadmill Training As a Complimentary Gait Restorative Therapy For Spinal Cord Injured Individual: A Case Report

Document Type

Article

Publication Date

Summer 6-1-2016

Department

Kinesiology

School

Kinesiology and Nutrition

Abstract

Background: Walking on an underwater treadmill has been shown to improve balance, strength, cardiac performance, and overall mobility in individuals with incomplete spinal cord injury (iSCI). However, little is known about the extent to which an individual with iSCI can regain stepping ability when using underwater treadmill training (UTT). This case report examines the functional effects of a combined UTT exercise protocol and supplemental overground exercise training program on the recovery of independent stepping ability in an individual with iSCI.

Methods: A twenty-four year old male with C4-C5 motor and sensory incomplete tetraplegia completed two separate progressive UTT protocols of twelve and thirteen weeks, respectively. Steps taken with the aid of a trainer (aided) and steps taken without trainer assistance (unaided) were recorded.

Results: Over the course of both UTT protocols, the subject regained the ability to walk in an aquatic environment. After only six weeks of inability to complete an unaided step, the participant regained independent stepping ability and was able to average over 1100 unaided steps underwater per UTT session by the end of the training.

Conclusion: The present case study suggests that underwater treadmill training may be a safe and effective therapy for the re-elicitation of independent stepping ability for individuals with iSCI, and play a complimentary role as part of a more comprehensive therapy program.

Publication Title

Clinical Kinesiology

Volume

70

Issue

2

First Page

9

Last Page

15

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