Biomedical Engineering and Bioengineering Commons^™

Stepping Responses To Treadmill Perturbations Vary With Severity Of Motor Deficits In Human Sci, Virginia W. T. Chu, T. George Hornby, Brian Schmit

Biomedical Engineering Faculty Research and Publications

In this study, we investigated the responses to tread perturbations during human stepping on a treadmill. Our approach was to test the effects of perturbations to a single leg using a split-belt treadmill in healthy participants and in participants with varying severity of spinal cord injury (SCI). We recruited 11 people with incomplete SCI and 5 noninjured participants. As participants walked on an instrumented treadmill, the belt on one side was stopped or accelerated briefly during mid to late stance. A majority of participants initiated an unnecessary swing when the treadmill was stopped in mid stance, although the likelihood of …

High-Intensity Variable Stepping Training In Patients With Motor Incomplete Spinal Cord Injury: A Case Series, Carey L. Holleran, Patrick W. Hennessey, Abigail L. Leddy, Gordhan B. Mahtani, Gabrielle Brazg, Brian D. Schmit, T. George Hornby

Biomedical Engineering Faculty Research and Publications

Background and Purpose: Previous data suggest that large amounts of high-intensity stepping training in variable contexts (tasks and environments) may improve locomotor function, aerobic capacity, and treadmill gait kinematics in individuals poststroke. Whether similar training strategies are tolerated and efficacious for patients with other acute-onset neurological diagnoses, such as motor incomplete spinal cord injury (iSCI), is unknown. Individuals with iSCI potentially have greater bilateral impairments. This case series evaluated the feasibility and preliminary short- and long-term efficacy of highintensity variable stepping practice in ambulatory participants for more than 1 year post-iSCI.

Case Series Description: Four participants with iSCI (neurological levels …