Strong For Recommendation
Walking training should be provided to people with SCI who have lower limb motor function.
Walking training can include:
Overground gait training
Treadmill gait training (with and without body weight support)
Treadmill gait training with electrical stimulation (+/- body weight support)
Overground gait training and electrical stimulation
Robotic overground gait training
Robotic treadmill gait training
Conventional therapy (package of interventions including gait training)
Gait training with orthotics
| Walking training (v no intervention) on ability to walk in people who have lower limb motor function | |||||||
|---|---|---|---|---|---|---|---|
| P | People with SCI who have lower limb motor function | Evidence recommendation Reason: No RCTs | Strong opinion statement FOR Walking training should be provided to people with SCI who have lower limb motor function. Walking training can include: • Overground gait training (100%) • Treadmill gait training (with and without body weight support) (100%) • Treadmill gait training with electrical stimulation (+/- body weight support) (100%) • Overground gait training and electrical stimulation (100%) • Robotic overground gait training (92%) • Robotic treadmill gait training (75%) • Conventional therapy (package of interventions including gait training) (85%) • Gait training with orthotics (100%) |
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| I | Walking training | ||||||
| C | No intervention | Consensus-based opinion statement Strong for (75% - 100%) |
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| O | Walking ability | ||||||
The Australian and NZ SCI Physiotherapy guideline committee recommends walking training to improve walking in people with SCI who have lower limb motor function.
This is a consensus-based opinion statement supported by the opinions of the experts. There are no randomized controlled trials that compare walking training to no intervention. The guideline states:
Walking training should be provided to people with SCI who have lower limb motor function.
Walking training can include:
Overground gait training
Treadmill gait training (with and without body weight support)
Treadmill gait training with electrical stimulation (+/- body weight support)
Overground gait training and electrical stimulation
Robotic overground gait training
Robotic treadmill gait training
Conventional therapy (package of interventions including gait training)
Gait training with orthotics
This statement was formed by considering the opinions of the experts alongside other factors. The other factors that were considered were benefits and harms, values and preferences, resource use, equity, accessibility, and feasibility. This is a consensus-based opinion statement. Consensus-based opinion statements are less robust than evidence-based recommendations. They can be strong or weak.
This is a strong consensus-based opinion statement which means that the guideline panel is confident they can recommend walking training to improve walking based on opinion. To learn more about the research related to this intervention go to the clinicians tab on this website.