title: Gait characteristics, range of motion, and spasticity changes in response to massage in a person with incomplete spinal cord injury: case report.
abstract: OBJECTIVE
  Our study set out to measure the effect of a specific routine of massage on gait characteristics, range of motion, and spasticity in a person with incomplete spinal cord injury.
  
  
  METHODS
  This descriptive, pre-post case study, conducted at the outpatient program of a rehabilitation facility, used neuromuscular techniques in massage for a 42-year-old man with incomplete chronic C5 spinal cord injury. The massage was applied to the iliopsoas, triceps surae, and hamstring muscle groups for 3 consecutive days.
  
  
  METHODS
  Pre- and post-intervention testing included standard goniometric measurement of joint range of motion in the lower extremities, spasticity evaluation using the modified Ashworth scale, and evaluation of gait characteristics using GAITRite Walkway (CIR Systems, Havertown, PA, USA) pressure mapping for ambulation time, cadence, velocity, stride length, base of support, and single- and double-limb support.
  
  
  RESULTS
  AFTER THE THERAPEUTIC INTERVENTION, THE FOLLOWING GAIT CHANGES WERE DEMONSTRATED: increase in velocity and cadence of gait, decrease in ambulation time, increase in stride length, and improvements in the percentages of the swing and stance phases of the gait cycle.
  
  
  CONCLUSIONS
  Specific application of massage therapy influenced gait speed, stride length, and swing and stance phase percentages in one person with incomplete spinal cord injury. Further study is warranted to determine the extent to which massage may affect musculoskeletal and neural impairments that limit gait in people with incomplete spinal cord injury, and the method or routine whose application will yield the most benefit.
authors: Multiple Sclerosis/Spinal Cord Injury Programs, Shepherd Center, and.
authors: Christine
authors: C
authors: Manella
authors: Deborah
authors: D
authors: Backus
references: Arch Phys Med Rehabil. 2003 Dec;84(12):1774-9
references: 14669182
references: Int J Neurosci. 2002 Feb;112(2):133-42
references: 12325402
references: Br J Sports Med. 2008 Oct;42(10):834-8
references: 18385196
references: Spine (Phila Pa 1976). 2009 Jul 15;34(16):1669-84
references: 19561560
references: Med Hypotheses. 2005;65(2):273-7
references: 15922099
references: Med Sci Sports Exerc. 2009 Jan;41(1):191-7
references: 19092689
references: J Physiol Sci. 2009 May;59(3):191-7
references: 19340540
references: J Am Acad Orthop Surg. 2002 May-Jun;10(3):222-31
references: 12041944
references: Spinal Cord. 2003 May;41(5):257-70
references: 12714988
references: Spinal Cord. 2003 Nov;41(11):600-9
references: 14569261
references: Complement Ther Med. 2004 Dec;12(4):189-97
references: 15649832
references: Ortop Traumatol Rehabil. 2007 Sep-Oct;9(5):467-83
references: 18026067
references: Arch Phys Med Rehabil. 1991 Oct;72(11):915-9
references: 1929811
references: Exp Brain Res. 2001 Dec;141(4):446-59
references: 11810139
references: Muscle Nerve. 2009 Oct;40(4):499-519
references: 19705475
references: Curr Pain Headache Rep. 2008 Oct;12(5):344-9
references: 18765139
references: Neurorehabil Neural Repair. 2007 Jul-Aug;21(4):295-301
references: 17353459
references: Med Sci Monit. 2004 May;10(5):CR173-8
references: 15114265
references: Med Sci Sports Exerc. 2004 Aug;36(8):1308-13
references: 15292737
references: J Physiol. 2006 Nov 15;577(Pt 1):339-52
references: 16931550
references: Eur J Neurol. 2002 May;9 Suppl 1:3-9; dicussion 53-61
references: 11918643
references: J Am Osteopath Assoc. 2008 Aug;108(8):379-90
references: 18723456
references: Med Sci Sports Exerc. 2003 Jun;35(6):901-7
references: 12783036
references: Spinal Cord. 2010 Mar;48(3):202-6
references: 19721452
references: J Altern Complement Med. 2005 Dec;11(6):1093-101
references: 16398602
references: J Electromyogr Kinesiol. 2007 Dec;17(6):708-24
references: 17383897
references: J Spinal Cord Med. 2001 Spring;24(1):54-62
references: 11587436
references: Spinal Cord. 1996 Sep;34(9):560-4
references: 8883191
references: Spinal Cord. 2005 Oct;43(10):577-86
references: 15838527
references: Clin J Sport Med. 2008 Sep;18(5):446-60
references: 18806553
references: Med Hypotheses. 2006;66(1):66-71
references: 16209907
references: Lancet Neurol. 2007 Aug;6(8):725-33
references: 17638613
references: Electromyogr Clin Neurophysiol. 1999 Oct-Dec;39(7):441-7
references: 10546081
references: Orthop Nurs. 2004 Sep-Oct;23(5):327-32; quiz 333-4
references: 15554470
references: Muscle Nerve. 2005 May;31(5):535-51
references: 15714510
references: Phys Ther. 1992 Jun;72(6):449-57
references: 1589464
references: Spinal Cord. 2004 Mar;42(3):156-62
references: 15001980
references: Arch Phys Med Rehabil. 1998 Jul;79(7):863-72
references: 9685106
references: Phys Ther. 1991 Aug;71(8):555-60
references: 1852794
references: Med Sci Monit. 2007 Jul;13(7):CR323-9
references: 17599027
references: Artif Organs. 2005 Jan;29(1):8-14
references: 15644078
references: Dev Med Child Neurol. 2007 Mar;49(3):187-91
references: 17355474
references: Spinal Cord. 2003 May;41(5):271-9
references: 12714989
references: Arch Phys Med Rehabil. 2007 Sep;88(9):1185-92
references: 17826466
references: Br J Sports Med. 2005 Sep;39(9):594-8; discussion 598
references: 16118294
references: J Bodyw Mov Ther. 2009 Apr;13(2):164-70
references: 19329052
references: Phys Ther. 1994 Aug;74(8):728-37
references: 8047561
references: Spinal Cord. 2010 Mar;48(3):207-13
references: 19786977
references: Exerc Sport Sci Rev. 2003 Oct;31(4):167-75
references: 14571955
references: Int J Ther Massage Bodywork. 2009 Dec 07;2(4):9-23
references: 21589740
references: Neurorehabil Neural Repair. 2009 May;23(4):343-50
references: 19036717
references: Spinal Cord. 2002 Dec;40(12):639-45
references: 12483497