Document Type : Research Paper



The aim of this study was to compare the effects of traditional exercises and body weight supported training (BWSTT) exercises on  functional ambulation profile in paraplegic spinal cord injured people. 17 individuals with paraplegic spinal cord injury (ASIA B,C classification) having average of SCI history 14 months, age 32.53 ± 1.793 years, height 175.71 ± 1.658 cm, weight 71.59  ± 2.442 kg, and body mass index (BMI) 23.18 ± 0.828 kg/m2 were selected. The subjects were randomly assigned to BWSTT group (N=10) and Traditional exercises group (N=7). The subjects trained for 12 weeks, four times per week and 60 min per session. BWSTT included 15 min warm-up on fixed gear bike, 45 min BWSTT with 50% body weight and 10 min cold-down finally. 10% load was added each week. Traditional exercises included 15 min warm-up plus 45 min stretch and resistance exercises, walking with parallel and 10 min cold-down finally. data showed that there were significant differences in serum Alkanline phosphatase, Osteocalcine, Bone mineral content (BMC) of the femoral neck,  Bone mineral density (BMD) at femoral neck,  Bone mineral content (BMC) at the lumbar spine,  Bone mineral density (BMD) at the lumbar spine between BWSTT and traditional groups. BWSTT training may reduce bone loss in paraplegic persons and may be prescribed as an effective intervention for treatment of osteoporosis.


1. اسلامی م، گندمکار ا، حسینی‌نژاد ا، جاهدی و گندمکار ا. 1392. تأثیر نوع کفش بر متغیرهای مرتبط با آسیب شکستگی استرسی درشت نی حین دویدن در مردان جوان سالم. پژوهش در علوم توان‌بخشی. 9(6): 1037 ـ 1029.
2. Bacarin T A, Canettieri M G, Akashi P M H, Sacco I C N. 2006. Plantar pressure distribution differences between flat and normal feet in healthy subjects. J Biomech. 39(1): 111.
3. Boyer K, Anderiacchi T. 2009. Changs in running kinematics and kinetics in response to a rockerd shoe intervention. Clin biomech. 24‌(10): 872-876.
4. Cacace L A, Hillstrom H J, Dufour A B, Hannan M T. 2013. The association between pes planus foot type and the prevalence of foot disorders: The framingham foot study. Osteoarthritihr Cartilage. 21:166-167.
5. Chen Y C, Lou S Z, Huang C Y, Su F C. 2010. Effects of foot orthoses on gait patterns of flat feet patients. Clin Biomech. 25(3): 265.
6. Cote K P, Brunet M E, II B M G, Shultz S J. 2005. Effects of pronated and supinated foot postures on static and dynamic postural stability. J Athl Training. 40(1):41.
7. Chuckpaiwong B, Nunley A, Mall A, Queen R. 2008. The effect of foot type on in-shoe plantar pressure during walking and running. Gait Posture. 28: 405-411.
8. Han J, Koo H, Jung J, Kim Y, Lee J. 2011. Differnce in plantar foot pressure and COP between flat and normal feet during walking. J Phys Ther Sci. 23: 683-685.
9. Kulcu D G, Yavuzer G, Sarmer S, Ergin S. 2007. Immediate effects of silicone insoles on gait pattern in patients with flexible flatfoot. Foot Ankle Int. 28(10): 1053-1056
10. Nigg B. 2010. Biomechanics of sport shoes. First Edition. Topline Printing Inc. Calgary, Alberta.
11. Nigg B M, Emery C, Hiemstra L A. 2006. Unstable shoe construction and reduction of pain in osteoarthritis patients. Med Sci Sports Exerc. 38: 1701–1708.
12. Meng Z, Yuan W, Kang Y. 2007. Plantar pressure distribution during barefoot and shod race walking. J Biomech. 40(2): 534.
13. Milner C E, Ferber R, Pollard D, et al. 2006. Biomechanical factors associated with tibial stress fracture in female runners. Med Sci Sports Exerc. 38(2):323–328.
14. Romkes J, Rudmann C, Brunner R. 2006. Changes in gait and EMG when walking with the Masai barefoot technique. Clin Biomech‌. 21(1): 75-81.
15. Sobhani S, Heuvel E, Bredeweg S, Kluitenberg B, Postema K, Hijmans J, et al. 2014. Effect of rocker shoes on plantar pressure pattern in healthy female runners. Gait Posture. 39: 920-925.
16. Stewart L, Gibson J, Thomson C E. 2007. In-shoe pressure distribution in unstable (MBT) shoes and flat-bottomed training shoes: A comparative study. Gait Posture. 25(4): 648-651.
17. Taniguchi M, Tateuchi H, Takeoka T, Ichihashi N. 2012. Kinematic and kinetic characteristics of Masai barefoot technology footwear. Gait Posture. 35: 567-572.
18. Umar M, Paul A. 2010. Incidence of flat foot and anthropometric comparison between flat and normal foot of the Yoruba Ehtnic group of Nigeria. Res J Appl Sci. 5(6):412-416.
19. Ukoha U, Egwu O A, Okafor I J, Ogugua P C, Igwenagu N V. 2010. Pes planus: Incidence among an adult population in Anambra State, Southest Nigeria. IJBAR. 3(3):166-169.
20. Williams Iii D S, McClay I S, Hamill J. 2001. Arch structure and injury patterns in runners. Clin Biomech (Bristol, Avon). 16(4): 341-347.
21. Zadpoor A, Asadi Nikooyan A. 2011. The relationship between lower-extremity stress fractures and the ground reaction force: A systematic review. Clin Biomech. 26:23–28.
22. Zifchock R A, Davis I. 2008. A comparison of semi-custom and custom foot orthotic devices in high-and low-arched individuals during walking. Clin Biomech (Bristol, Avon). 23(10):1287.