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  4. Biomechanical differences between able-bodied and spinal cord injured individuals walking in an overground robotic exoskeleton

Biomechanical differences between able-bodied and spinal cord injured individuals walking in an overground robotic exoskeleton

PLoS ONE, 2022 · DOI: https://doi.org/10.1371/journal.pone.0262915 · Published: January 27, 2022

Spinal Cord InjuryRehabilitationBiomechanics

Simple Explanation

This study compares how people with and without spinal cord injuries move while using a robotic exoskeleton to walk. The goal was to understand how the device affects their bodies and whether it activates specific movement patterns in the spinal cord. Researchers looked at various aspects of movement, including walking speed, joint angles, and trunk motion, to see if there were differences between the two groups and how they interacted with the exoskeleton. The findings suggest that while there are some differences, the exoskeleton provides similar stimulation to the spinal cord in both groups, potentially offering benefits for rehabilitation.

Study Duration
Not specified
Participants
8 able-bodied and 4 SCI individuals
Evidence Level
Not specified

Key Findings

  • 1
    SCI group exhibited reduced step length and cadence compared to able-bodied individuals, leading to slower walking speeds within the exoskeleton.
  • 2
    The trunk movement patterns differed significantly between the SCI and able-bodied groups, particularly in the sagittal plane, influencing step length and walking speed.
  • 3
    Despite differences in movement strategies, key parameters related to CPG activation (hip extension and lower limb unloading) showed no significant differences between the groups.

Research Summary

This study investigated the biomechanical differences between able-bodied and SCI individuals walking in a ReWalkTM exoskeleton. The results indicated that SCI individuals exhibited reduced step length and cadence, leading to slower walking speeds. Trunk movement patterns differed significantly, with SCI individuals displaying greater sagittal plane ROM. However, parameters related to CPG activation were similar between the groups. The study suggests that the ReWalkTM can offer potential benefits for SCI individuals with injuries of differing severity, as appropriate afferent information was available to elicit a positive response of the CPGs.

Practical Implications

Rehabilitation Potential

The ReWalkTM exoskeleton can offer potential benefits for SCI individuals with injuries of differing severity.

Personalized Settings

Exoskeleton settings may need to be personalized to account for differences in trunk control and movement strategies between user groups.

Energetic Cost Consideration

Future studies should investigate the energetic requirements of overground exoskeleton gait, given the increased posterior braking force observed in SCI individuals.

Study Limitations

  • 1
    Limited sample size of SCI individuals.
  • 2
    Differences in injury level and severity among SCI participants.
  • 3
    Lack of force data from elbow crutches.

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