Supplemental Video

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Files in this Data Supplement:

• Locomotor Training of a Nonambulatory Child With a Severe Cervical SCI - This video shows the progression of locomotor training in a nonambulatory 4½-year-old child with a severe, incomplete cervical spinal cord injury. Before training, he was nonambulatory and only crawled using arms for propulson. At his baseline overground assessment, therapists supplied full assistance and facilitation throughout the step cycle, with no contribution from the child. At session 3 (of 76), the child remained dependent in all components of stepping and postural control. By session 39, stimulation of the tibialis anterior muscle allowed the child to take his first unassisted steps. By session 33, the child was able to take his first independent steps, without physical cues or manual assistance. By session 65, the child was able to initiate stepping and coordinated arm swing independently. After session 76, he was able to walk independently using a rolling walker. One month after the completion of training, he maintained his walking ability. Running time 3:28. Please note this is a very large file (43 MB).