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Published on: August 23, 2017
Locomotor training: experiencing the changing body.
Elizabeth M Hannold1, Mary Ellen Young, Maude R Rittman
1VA Rehabilitation Outcomes Research Center, North Florida/South Georgia Veterans Health System, 1601 SW Archer Road, Mail Stop 151B, Gainesville, FL 32608, USA. Lisa.Hannold@med.va.gov
Loco-motor training (LT) helps individuals with spinal cord injuries regain walking function. Participants experienced bodily changes, with some sensations indicating positive recovery and boosting motivation.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Physical Therapy
Background:
- Loco-motor training (LT) is an emerging rehabilitation intervention for individuals with central nervous system disorders.
- Spinal cord injury (SCI) often results in impaired walking ability and altered bodily experiences.
- Understanding patient experiences is crucial for optimizing rehabilitation strategies.
Purpose of the Study:
- To explore the lived experiences of individuals with incomplete spinal cord injury undergoing loco-motor training.
- To identify key themes related to bodily changes and their impact on recovery.
Main Methods:
- Qualitative study utilizing multiple interviews and field observations.
- Eight participants with incomplete spinal cord injury, including four veterans, were included.
- Data analysis focused on identifying recurring themes in participants' experiences.
Main Results:
- Participants frequently experienced significant bodily changes.
- Key themes included impaired proprioception, challenges with bodily control, and emergent bodily sensations.
- Bodily disruption from SCI presented challenges in self-reconnection during LT.
- Emergent sensations like burning and soreness were perceived as positive recovery signs, fostering hope and motivation.
Conclusions:
- Loco-motor training elicits profound bodily changes in individuals with incomplete SCI.
- Positive bodily sensations during LT can enhance motivation and hope for recovery.
- Understanding these subjective experiences can inform the development of more participant-centered LT interventions.
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