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  4. Cardiopulmonary function after robotic exoskeleton-assisted over-ground walking training of a patient with an incomplete spinal cord injury

Cardiopulmonary function after robotic exoskeleton-assisted over-ground walking training of a patient with an incomplete spinal cord injury

Medicine, 2019 · DOI: http://dx.doi.org/10.1097/MD.0000000000018286 · Published: December 1, 2019

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This case report explores the impact of powered exoskeleton training on a patient with an incomplete spinal cord injury (SCI). The study focused on improvements in gait patterns and cardiopulmonary function after a 6-week training program using the Angelegs exoskeleton. The patient, a 57-year-old male with SCI at C3-C4, underwent training involving sit-to-stand movements, balance maintenance, and walking exercises. The study tracked changes in gait speed and cardiopulmonary function using various tests and measurements. The results indicated improvements in gait speed and cardiac function, suggesting that powered exoskeleton training can be an effective rehabilitation strategy for patients with chronic SCIs or strokes. These findings support the use of exoskeletons to aid in rehabilitation.

Study Duration
6 weeks
Participants
A 57-year-old male with incomplete SCI
Evidence Level
Clinical Case Report

Key Findings

  • 1
    Gait speed improved in the timed up-and-go test after 6 weeks of training with the powered exoskeleton.
  • 2
    Cardiac function, as measured by the metabolic equivalent (MET) and VO2 tests, was enhanced after the exoskeleton training program.
  • 3
    The improvements in cardiopulmonary function were maintained for at least 6 weeks after the completion of the exoskeleton training program.

Research Summary

This case report investigated the effects of robotic exoskeleton-assisted walking training on a patient with an incomplete spinal cord injury. The study aimed to determine whether such training could improve gait and cardiopulmonary function. The patient underwent a 6-week training program using the Angelegs exoskeleton, focusing on sit-to-stand movements, balance, and walking. Functional outcomes and cardiopulmonary function were assessed before, immediately after, and 6 weeks after the training. The findings showed that gait speed and cardiopulmonary function improved after the training, and these improvements were maintained 6 weeks later. This suggests that robotic exoskeleton training can be a beneficial rehabilitation strategy for patients with incomplete SCIs.

Practical Implications

Rehabilitation Strategy

Powered exoskeletons can be used as a rehabilitation tool to improve gait speed and cardiopulmonary function in patients with incomplete SCIs.

Personalized Training

The exoskeleton should provide appropriate force based on the patient's gait phase and muscle strength, particularly for patients with incomplete SCIs who have some voluntary muscle control.

Application to Hemiplegic Patterns

The study suggests that patients with chronic incomplete paraplegic patterns, similar to hemiplegic patterns, can benefit from exoskeleton training.

Study Limitations

  • 1
    Single case report limits generalizability.
  • 2
    Further studies are needed to validate the findings in a larger population.
  • 3
    Long-term effects beyond 6 weeks post-training were not assessed.

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