2009-2015 ©
Journal Publication
Title of Article Various surfaces challenge gait characteristics of ambulatory patients with spinal cord injury 
Date of Acceptance 18 March 2019 
     Title of Journal Spinal Cord 
     Standard ISI 
     Institute of Journal The international spinal cord society 
     Volume 57 
     Month -
     Year of Publication 2019 
     Page 805-813 
     Abstract Abstract Study Design A cross-sectional study. Objective To assess the influence of various surfaces on the gait characteristics of ambulatory participants with incomplete spinal cord injury (SCI) as compared to data from able-bodied participants. Setting A tertiary rehabilitation center and communities. Methods Seventy participants (35 ambulatory individuals with incomplete SCI and 35 able-bodied individuals with genderand age-matched) were assessed for their spatiotemporal gait variables while walking over a 10-m walkway of different surfaces (including hard, artificial grass, soft, and pebble surfaces) at a self-selected and fastest speed. The findings were analyzed using the method of manual digitization. The data among the surfaces were compared using Kruskal–Wallis test and Mann–Whitney U test, with a level of statistical significance at P < 0.05. Results Participants with incomplete SCI could safely walk over every surface without any adverse events. Their average stride length, cadence, and walking speed, but not percent step length symmetry, were significantly decreased while walking on the artificial grass, soft, and particularly pebble surfaces as compared to those found on a hard surface. These changes were found particularly in those with SCI, resulting in a walking speed decreased from 0.11 to 0.35 m/s, whereas the reduction of walking speed of able-bodied participants ranged from 0.04 to 0.20 m/s. Conclusions The spatiotemporal characteristics of ambulatory participants with SCI were dramatically affected by the surfaces as compared to the data found in able-bodied participants. The findings have potential clinical implications for the incorporation of various surfaces to promote the functional outcomes and safety for ambulatory individuals with SCI. 
     Keyword spinal cord injury (SCI), Surfaces, Walking 
577090013-8 Miss DONLAYA PROMKEAW [Main Author]
Associated Medical Sciences Doctoral Degree

Reviewing Status มีผู้ประเมินอิสระ 
Status ตีพิมพ์แล้ว 
Level of Publication นานาชาติ 
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