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conferenceseries.com
Volume 08 Journal of Novel Physiotherapies Rehabilitation Medicine 2018
May 18-19, 2018
May 18-19, 2018 Osaka, Japan
7th World Congress on
Physical Medicine and Rehabilitation
Dual and single task obstacle crossing training could similarly improve functional ability in ambulatory
patients with spinal cord injury
Kitiyawadee Srisim1, 2, Sugalya Amatachaya1, Pipatana Amatachaya1, 3, Preeda Arrayawichanon1, Thiwabhorn Thaweewannakij1 and Lugkana Mato1
1Khon Kaen University, Thailand
2Thailand Research Fund, Thailand
3Rajamangala University of Technology, Thailand
Ambulatory patients with spinal cord injury (SCI) face with a high risk of falls due to stumble over a small obstacle.
Common walking rehabilitation for these patients likely involves single-task over-ground training, but the effects cannot
ensure their functional walking and risk of fall of the patients. Dual-task training has been widely used in patients with
cognitive impairments. However, little evidence is known for patients with SCI who had intact brain functions but suffer
from sensorimotor deteriorations. Therefore, this study investigated immediate effects of single-task and dual-task obstacle
crossing training (STOC and DTOC) in twenty-two ambulatory subjects with SCI. Subjects were randomly assigned to train
using STOC or DTOC training for 30 minutes, with two-day washout period. The findings showed significant improvement
in single-task and dual-task 10-meter walk test, timed up and go test (TUGT), and five time sit-to-stand test following both
training programs (P<0.05). However, the levels of changes were not significantly different between the training programs
(P>0.05), except for the TUGT that had a tendency toward significant differences between the programs (P=0.06). The findings
may suggest benefit of STOC and DTOC for ambulatory individuals with SCI. However, the nearly significant improvement
in the TUGT may suggest the benefit of DTOC on the improvement of a complex functional task test needed in daily activity.
However, outcomes were immediately assessed; a further intervention study in subjects with various SCI characteristics would
confirm the effectiveness of STOC and DTOC training for these individuals.
Biography
Kitiyawadee Srisim is currently pursuing her PhD in the Human Movement Sciences program, Faculty of Associated Medical Sciences, Khon Kaen University, Khon
Kaen, Thailand. She is a Physiotherapist and interested in patients with neurological disorders.
Kitiyawadee Srisim ., J Nov Physiother 2018, Volume 8
DOI: 10.4172/2165-7025-C2-027