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  4. Clinical Delivery of Overground Exoskeleton Gait Training in Persons With Spinal Cord Injury Across the Continuum of Care: A Retrospective Analysis

Clinical Delivery of Overground Exoskeleton Gait Training in Persons With Spinal Cord Injury Across the Continuum of Care: A Retrospective Analysis

Top Spinal Cord Inj Rehabil, 2024 · DOI: 10.46292/sci23-00001 · Published: January 1, 2024

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study looks at how overground exoskeleton gait training (OEGT) is used for spinal cord injury (SCI) patients during both inpatient and outpatient rehabilitation. The study found that patients with motor incomplete SCI showed improvement in walking function when using OEGT across both inpatient and outpatient settings. The research suggests that continuing OEGT from the start of inpatient rehab to outpatient therapy can help maximize recovery for SCI patients.

Study Duration
3 years (2018-2021)
Participants
18 patients with SCI
Evidence Level
Not specified

Key Findings

  • 1
    Patients with motor incomplete SCI experienced clinically meaningful improvements in walking function, particularly in the outpatient setting.
  • 2
    Patients demonstrated improved OEGT session tolerance, with increases in 'walk' time, 'up' time, and step count across therapy settings.
  • 3
    The study highlights the feasibility of delivering a consistent OEGT intervention across the continuum of care, despite potential gaps between inpatient and outpatient therapy.

Research Summary

This retrospective study examined the use of overground exoskeleton gait training (OEGT) for patients with spinal cord injury (SCI) across the continuum of care, from inpatient rehabilitation to outpatient therapy. The results indicated that patients, particularly those with motor incomplete SCI, experienced improvements in walking function and demonstrated progressive tolerance for OEGT across settings. The study suggests that initiating OEGT early in inpatient rehabilitation and continuing it in outpatient therapy can be a valuable strategy for maximizing recovery in individuals with SCI.

Practical Implications

Continuity of Care

OEGT can be effectively delivered across the continuum of care from inpatient to outpatient settings.

Targeted Intervention

Motor incomplete SCI patients may benefit the most from OEGT in terms of walking function improvement.

Dosage Considerations

Future research should focus on optimizing the dosage parameters of OEGT to maximize walking outcomes for persons with SCI.

Study Limitations

  • 1
    Retrospective observational design limits generalizability.
  • 2
    Small sample size and absence of a control group.
  • 3
    Data abstraction limited to information found in the medical record.

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