Wellness with Spinal Cord Injury: Impact of an Outpatient Ambulation Program

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Abstract

Establishing and providing effective interventions for individuals with spinal cord injury (SCI) is vital, however, the majority of rehabilitation research has been performed in research laboratories. Sample: Single-subject case study involving an individual with SCI, enrolled in an outpatient rehabilitation program of orthotic assisted ambulating. Methods: Ambulation for a total of 30 minutes, 3 times a week for 2 - 6 week treatment intervals. Intervals were separated by a 6 week layover phase where participant did not exercise or stand. Before intervention and after completion of 6 week treatment phases, calcaneal bone mineral density (BMD), and blood glucose were measured. Findings: A trend demonstrating decreased fructosamine levels during intervention phases and increased levels during lay off period were seen. Increases in BMD were demonstrated in both lower extremities. Conclusion: Interventions conducted in an outpatient setting, can facilitate wellness in individuals with SCI.