Can-SCIP Coach App
  1. Can-SCIP
  2. Recommendations
  3. Guidelines
  4. Section 2 - MANAGEMENT OF SCI COMPLICATIONS

W - MOBILITY AND WALKING




Individuals with incomplete tetraplegia and some retained volitional motor function in the lower extremities can benefit from overground body weight supported, or bodyweight supported treadmill gait training as part of their rehabilitation program. (CAN-SCIP 2020; Level A)
Clinicians should consider progressively increasing the challenge level of a community-based ambulation program to enhance functional ambulation outcomes. (CAN-SCIP 2020; Level C)
Body support (e.g., treadmill, overground, hydrotherapy) can be used for those with motor recovery who cannot yet support their own weight or are limited by muscle fatigue to promote early active rehab. (CAN-SCIP 2020; Level B)
Gait training is recommended for individuals with motor incomplete SCI. The mode of training needs to be active, and the choice of modality is less important. (CAN-SCIP 2020; Level B)
Functional electrical stimulation, if available and there are no contraindications, can be a positive adjunct to this in individuals with incomplete SCI with upper motor neuron pattern in their lower extremities. (CAN-SCIP 2020; Level B)
Ankle-foot orthoses may be used in individuals who have lower limb weakness to enhance their walking. (CAN-SCIP 2020; Level B)