Clinical Benefit of Rehabilitation Training in Spinal Cord Injury

A Systematic Review and Meta-Analysis

Ruimeng Duan, MS; Mingjia Qu, MS; Yashuai Yuan, MS; Miaoman Lin, MS; Tao Liu, MS; Wei Huang, MS; Junxiao Gao, MS; Meng Zhang, MS; Xiaobing Yu, MD


Spine. 2021;46(6):E398-E410. 

In This Article


In conclusion, our meta-analysis showed that repetitive transcranial magnetic stimulation benefited to the walking speed and distance; functional electrical stimulation benefited functional upper extremity independence; robotic-assisted treadmill training benefited to functional lower extremity independence. However, massed practice and treadmill training did not affect the walking capacity and functional rehabilitation in patients with spinal cord injury. We assumed that the robotic-assisted treadmill training combined with repetitive transcranial magnetic stimulation might have unimaginable effects surpassing aforementioned interventions. More clinical randomized controlled trials and controlled trials with larger cohorts and consistent intervention strategies might support or offer different opinions on the efficacy of these four different interventions in patients with spinal cord injury.