Utilisation d'un entrainement locomoteur complexe pour optimiser la récupération de la marche et réduire la douleur suite à une lésion médullaire: une série de cas


Andréanne Blanchette

Centre interdisciplinaire de recherche en réadaptation et intégration sociale de l'IRDPQ (CIRRIS)


Domaine : Neurosciences, santé mentale et toxicomanies

Programme Consortium pour le développement de la recherche en traumatologie - Volet 2

Concours 2016-2017

Walking capacity is often reduced after a spinal cord injury. Conventional gait training has shown some benefits after a spinal cord injury, but improvements in walking function remain limited. Our hypothesis is that using a more challenging approach will lead to a better recovery of walking. Pain is another important issue after spinal cord injury, affecting more than half of these patients. In these patients, it is not clear how gait training is affected by pain, but also how pain is affected by training. However, animal studies suggest that learning a motor task might protect against pain. The research project is an initial step into developing new training approaches with the potential to have a concomitant positive effect on walking deficits and pain.

The objectives of the project will be to study if using challenging gait training is possible in individuals with spinal cord injury and to evaluate the effect of this training on their walking capacity and pain intensity. Six adults with a spinal cord injury will participate in a gait training that consists of trying to step onto targets while they walk at their comfortable speed. We expect that using challenging gait training is possible in individual with a spinal cord lesion with a low risk of adverse events/effects, a high compliance, and an increased total walking duration per session. In addition, we think that challenging locomotor training will lead to improvement in walking capacity and to pain reduction.