Evidence-Based Practice and Activity-Based Therapy for Recovery of Posture, Standing, and Walking
This chapter reviews physical rehabilitation for posture, standing, and walking from an historical perspective, and provides a context for the emergence of locomotor training as an activity-based therapy after spinal cord injury (SCI) and stroke by implementing evidence-based practice. The chapter is not intended to be a comprehensive review of the functional consequences after injury or insult or a review of all the available rehabilitation strategies for SCI or stroke. Rather, it is intended to be a discussion within the framework of introducing locomotor training as a new strategy to augment already successful therapeutic approaches. The review presented is not a discourse of accepted clinical practices but is a summary of evidence from studies in individuals after SCI or stroke related to functional deficits affecting mobility, posture, standing, and walking.
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