Recovery of walking in nonambulatory children with chronic spinal cord injuries : case series

Howland, Dena R.; Trimble, Shelley A.; Fox, Emily J.; Tester, Nicole J.; Spiess, Martina R.; Senesac, Claudia R.; Kleim, Jeffrey A.; Spierre, Louise Z.; Rose, Dorian K.; Johns, Jeffery S.; Ugiliweneza, Beatrice; Reier, Paul J.; Behrman, Andrea L.

doi:10.1002/jnr.25162

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Recovery of walking in nonambulatory children with chronic spinal cord injuries : case series
Authors:	Howland, Dena R. Trimble, Shelley A. Fox, Emily J. Tester, Nicole J. Spiess, Martina R. Senesac, Claudia R. Kleim, Jeffrey A. Spierre, Louise Z. Rose, Dorian K. Johns, Jeffery S. Ugiliweneza, Beatrice Reier, Paul J. Behrman, Andrea L.
et. al:	No
DOI:	10.1002/jnr.25162
Published in:	Journal of Neuroscience Research
Volume(Issue):	101
Issue:	6
Page(s):	826
Pages to:	842
Issue Date:	2023
Publisher / Ed. Institution:	Wiley
ISSN:	0360-4012 1097-4547
Language:	English
Subjects:	Activity-based; Corticospinal tract; Locomotor training; Pediatrics; Plasticity; Rehabilitation; Reticulospinal tract
Subject (DDC):	616.8: Neurology, diseases of nervous system 618.92: Pediatrics
Abstract:	The immature central nervous system is recognized as having substantial neuroplastic capacity. In this study, we explored the hypothesis that rehabilitation can exploit that potential and elicit reciprocal walking in nonambulatory children with chronic, severe (i.e., lower extremity motor score < 10/50) spinal cord injuries (SCIs). Seven male subjects (3-12 years of age) who were at least 1-year post-SCI and incapable of discrete leg movements believed to be required for walking, enrolled in activity-based locomotor training (ABLT; clinicaltrials.gov NCT00488280). Six children completed the study. Following a minimum of 49 sessions of ABLT, three of the six children achieved walking with reverse rolling walkers. Stepping development, however, was not accompanied by improvement in discrete leg movements as underscored by the persistence of synergistic movements and little change in lower extremity motor scores. Interestingly, acoustic startle responses exhibited by the three responding children suggested preserved reticulospinal inputs to circuitry below the level of injury capable of mediating leg movements. On the other hand, no indication of corticospinal integrity was obtained with transcranial magnetic stimulation evoked responses in the same individuals. These findings suggest some children who are not predicted to improve motor and locomotor function may have a reserve of adaptive plasticity that can emerge in response to rehabilitative strategies such as ABLT. Further studies are warranted to determine whether a critical need exists to re-examine rehabilitation approaches for pediatric SCI with poor prognosis for any ambulatory recovery.
URI:	https://digitalcollection.zhaw.ch/handle/11475/27152
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	School of Health Sciences
Organisational Unit:	Institute of Occupational Therapy (IER)
Appears in collections:	Publikationen Gesundheit

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Howland, D. R., Trimble, S. A., Fox, E. J., Tester, N. J., Spiess, M. R., Senesac, C. R., Kleim, J. A., Spierre, L. Z., Rose, D. K., Johns, J. S., Ugiliweneza, B., Reier, P. J., & Behrman, A. L. (2023). Recovery of walking in nonambulatory children with chronic spinal cord injuries : case series. Journal of Neuroscience Research, 101(6), 826–842. https://doi.org/10.1002/jnr.25162

Howland, D.R. et al. (2023) ‘Recovery of walking in nonambulatory children with chronic spinal cord injuries : case series’, Journal of Neuroscience Research, 101(6), pp. 826–842. Available at: https://doi.org/10.1002/jnr.25162.

D. R. Howland et al., “Recovery of walking in nonambulatory children with chronic spinal cord injuries : case series,” Journal of Neuroscience Research, vol. 101, no. 6, pp. 826–842, 2023, doi: 10.1002/jnr.25162.

HOWLAND, Dena R., Shelley A. TRIMBLE, Emily J. FOX, Nicole J. TESTER, Martina R. SPIESS, Claudia R. SENESAC, Jeffrey A. KLEIM, Louise Z. SPIERRE, Dorian K. ROSE, Jeffery S. JOHNS, Beatrice UGILIWENEZA, Paul J. REIER und Andrea L. BEHRMAN, 2023. Recovery of walking in nonambulatory children with chronic spinal cord injuries : case series. Journal of Neuroscience Research. 2023. Bd. 101, Nr. 6, S. 826–842. DOI 10.1002/jnr.25162

Howland, Dena R., Shelley A. Trimble, Emily J. Fox, Nicole J. Tester, Martina R. Spiess, Claudia R. Senesac, Jeffrey A. Kleim, et al. 2023. “Recovery of Walking in Nonambulatory Children with Chronic Spinal Cord Injuries : Case Series.” Journal of Neuroscience Research 101 (6): 826–42. https://doi.org/10.1002/jnr.25162.

Howland, Dena R., et al. “Recovery of Walking in Nonambulatory Children with Chronic Spinal Cord Injuries : Case Series.” Journal of Neuroscience Research, vol. 101, no. 6, 2023, pp. 826–42, https://doi.org/10.1002/jnr.25162.