| Publication type: | Book part |
| Type of review: | Editorial review |
| Title: | Balance, gait, and falls in spinal cord injury |
| Authors: | Wirz, Markus van Hedel, Hubertus |
| Published in: | Balance, gait, and falls |
| Editors of the parent work: | Day, Brian L. Lord, Stephen R. |
| Page(s): | 367 |
| Pages to: | 384 |
| Issue Date: | 2018 |
| Series: | Handbook of clinical neurology |
| Series volume: | 159 |
| Publisher / Ed. Institution: | Elsevier |
| ISBN: | 978-0-444-63916-5 0-444-63916-0 |
| Language: | English |
| Subject (DDC): | 617: Surgery |
| Abstract: | This chapter covers balance, gait, and falls in individuals with spinal cord injury (SCI) from a clinical perspective. First, the consequences of an SCI on functioning are explained, including etiology, clinical presentation, classification, and epidemiologic data. Then, the specific aspects of balance disorders, gait disorders, and falls are discussed with respect to motor complete (cSCI) and incomplete (iSCI) SCI. Typically, these activities are affected by impaired afferent and efferent nerves, but not by central nervous processing. Performance of daily life activities in cSCI depends on the ability to control the interaction between the center of mass and the base of support or limits of stability. In iSCI, impaired proprioception and muscle strength are important factors for completing balancing tasks and for walking. Falls are common in patients with SCI. Subsequent sections describe therapy approaches aimed at modifying balance, gait, and the risk for falls by means of therapeutic exercises, assistive devices like robots or functional electric stimulation, and environmental adaptations. The last part covers recent developments and future directions. These encompass interventions for maximizing residual neural function and regeneration of axons, as well as technical solutions like epidural or intraspinal electric stimulation, powered exoskeletons, and brain computer interfaces. |
| URI: | https://digitalcollection.zhaw.ch/handle/11475/14326 |
| Fulltext version: | Published version |
| License (according to publishing contract): | Licence according to publishing contract |
| Departement: | School of Health Sciences |
| Organisational Unit: | Institute of Physiotherapy (IPT) |
| Appears in collections: | Publikationen Gesundheit |
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Wirz, M., & van Hedel, H. (2018). Balance, gait, and falls in spinal cord injury. In B. L. Day & S. R. Lord (Eds.), Balance, gait, and falls (pp. 367–384). Elsevier.
Wirz, M. and van Hedel, H. (2018) ‘Balance, gait, and falls in spinal cord injury’, in B.L. Day and S.R. Lord (eds) Balance, gait, and falls. Elsevier, pp. 367–384.
M. Wirz and H. van Hedel, “Balance, gait, and falls in spinal cord injury,” in Balance, gait, and falls, B. L. Day and S. R. Lord, Eds. Elsevier, 2018, pp. 367–384.
WIRZ, Markus und Hubertus VAN HEDEL, 2018. Balance, gait, and falls in spinal cord injury. In: Brian L. DAY und Stephen R. LORD (Hrsg.), Balance, gait, and falls. Elsevier. S. 367–384. ISBN 978-0-444-63916-5
Wirz, Markus, and Hubertus van Hedel. 2018. “Balance, Gait, and Falls in Spinal Cord Injury.” In Balance, Gait, and Falls, edited by Brian L. Day and Stephen R. Lord, 367–84. Elsevier.
Wirz, Markus, and Hubertus van Hedel. “Balance, Gait, and Falls in Spinal Cord Injury.” Balance, Gait, and Falls, edited by Brian L. Day and Stephen R. Lord, Elsevier, 2018, pp. 367–84.
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