ArticleProgress in rehabilitation medicine2026
Feasibility and Short-term Functional Outcomes of Early Gait Training within 14 days after Thoracic Myelopathy Surgery: A Retrospective Case Series.
Article in Progress in rehabilitation medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objectives: This study examined the feasibility, short-term safety, and changes in objective mobility measures associated with initiating gait training between postoperative day (POD) 2 and POD 4 and completing it by POD 14 following surgery for thoracic myelopathy. Methods: This retrospective, single-arm cohort study included 11 patients with thoracic myelopathy and preoperative gait impairments. Individualized gait training combined recumbent cycling and treadmill walking (~40 min/session, 3-5 times/week) at a "somewhat hard" intensity on the modified Borg scale (rating: 6). Primary outcomes were walking speed and step length on the 10-m Walk Test. Secondary outcomes included time and step count from the Timed Up-and-Go Test (TUG), the Japan Orthopaedic Association lower-extremity motor function score (JOA-LE), static balance, muscle strength, and sensory function. Assessments were performed preoperatively and on POD 14. Results: Walking speed (median change 0.25 m/s, P = 0.029) and step length (median change 0.05 m, P = 0.009) improved significantly. TUG results also improved for completion time (median change -3.03 s, P = 0.007) and step count (median change -3 steps, P = 0.046). Standing balance improved, with nine patients achieving independence in the Romberg position with eyes closed (P Conclusions: Early, device-assisted gait training initiated within POD 4 was feasible and safe, and it was associated with short-term improvements in objective mobility measures. Controlled trials are warranted to confirm these findings.
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