Novel spatiotemporal analysis of gait changes in body weight supported treadmill trained rats following cervical spinal cord injury.
Nathan D Neckel
PMID 28903771WHAT IT FOUND
In rats after cervical spinal cord injury, body-weight-supported treadmill training made the more impaired hindlimb look better only while support was on.
When support was removed, trained rats stepped worse than untrained rats, and the less impaired hindlimb also worsened.
Key findings
01During body-weight-supported treadmill training, the more impaired right hindlimb had less relative error than untrained injured rats, and at 75% support it was no different from pre-injury (relative error 1.93).
02When support was removed for weekly assessments, the right hindlimb of trained rats had worse stepping than untrained injured rats from post-injury weeks 3 through 5.
03The left hindlimb of trained rats performed much worse than untrained injured rats from week 2 onward.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
This was a rat study, not a human trial, so it does not show what body-weight-supported treadmill training does for patients. The paper did not describe randomisation or blinding for assigning rats to trained or untrained groups. The trained and untrained groups were small. Some animals were part of ongoing studies and had been reported previously. The new analysis compares whole steps and cannot say which single gait feature caused a difference. The device recorded only hindlimb ankle position, not forelimb stepping or interlimb coordination. The significance threshold came from the authors' healthy rat model, not from patient-level standards.
Declared interests
Funding came from the Eunice Kennedy Shriver National Institute of Child Health and Human Development, the National Institute of Neurological Disorders and Stroke, and the National Institute on Disability and Rehabilitation Research. The paper does not report competing interests.
The easy way to misread this
Do not conclude that body-weight-supported treadmill training improves walking after spinal cord injury. In rats, the more impaired hindlimb looked better only while body weight support was on, and trained rats stepped worse than untrained rats when support was removed.