Walking rehabilitation and treadmill training

A suspension system supports part of body weight during treadmill walking.

Therapists adjust support and assistance to the person’s abilities and rehabilitation needs. Alternative systems include underwater, robotic and reduced-gravity treadmills, though these are less common in routine clinics.

Unstable medical conditions, fracture risks and difficulty tolerating upright positions can limit suitability.

Equipment costs, staffing needs and limited access can restrict use.

Walking can improve after incomplete SCI, with benefits similar to other intensive walking approaches. Evidence is stronger for recent incomplete injuries than for chronic injuries; combining training with electrical stimulation may also help.

Spinal nerve networks can generate stepping patterns; stepping does not necessarily mean independent walking recovery.