Operant conditioning of a spinal reflex can improve locomotion after spinal cord injury in humans

JC15Q2
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Webinar Description

Thompson AK, Pomerantz FR, Wolpaw JR (2013). Operant conditioning of a spinal reflex can improve locomotion after spinal cord injury in humans.Neurosci 33(6):2365-75. Introduction: This study compared walking speed and endurance outcomes as well as functional gross motor outcomes following 8 weeks of either body weight supported treadmill training or over-ground gait training in school-aged children with cerebral palsy (CP). While children who underwent body weight supported treadmill training demonstrated greater walking speed improvements at 4 weeks, there was no difference between groups on any outcome measure at the end of treatment (8 weeks). As the authors did not find a significant difference in any of this study’s outcome measures based on intervention, clinician’s choice of whether to use over-ground or treadmill training would depend on other factors: to maximize amount of practice while minimizing physical exertion of the therapist, body weight supported treadmill training would be preferable. As greater improvement in walking speed was demonstrated in the body weight supported treadmill training participants at the 4-week mark, this intervention might be indicated when restricted to a shorted episode of care. Over-ground training might be indicated when equipment portability/space requirements dominate, or for immediate functional carryover, particularly for populations in which generalization is limited.

CEU Information

Journal Club CEU Approval

Contact Hours: 1

AR | FL CE26-803266 | ID

Webinar Information

Contact Hours: 1

Price: $10

Instructor: Nechama Karman

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