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  4. Comparison of new medial linkage reciprocating gait orthosis and isocentric reciprocating gait orthosis on energy consumption in paraplegic patients: a case series

Comparison of new medial linkage reciprocating gait orthosis and isocentric reciprocating gait orthosis on energy consumption in paraplegic patients: a case series

Spinal Cord Series and Cases, 2015 · DOI: 10.1038/scsandc.2015.12 · Published: October 8, 2015

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study compares a new medial linkage orthosis (MLO) with an isocentric reciprocating gait orthosis (IRGO) to see which one helps paraplegic patients use less energy while walking. The new MLO uses pelvis motion to help move the legs, while providing trunk support with a flexible brace. The study found that patients using the new MLO had faster walking speeds, longer walking distances, and lower energy consumption compared to the IRGO, though the differences were not statistically significant.

Study Duration
8 weeks
Participants
4 people with motor incomplete SCI
Evidence Level
Level IV: Case Series

Key Findings

  • 1
    Walking with the new MLO resulted in faster walking speeds compared to the IRGO.
  • 2
    Subjects walked longer distances when using the new MLO compared to the IRGO.
  • 3
    The physiological cost index (PCI), an indicator of energy consumption, was lower with the new MLO compared to the IRGO.

Research Summary

The study compared a new medial linkage orthosis (MLO) to a conventional isocentric reciprocating gait orthosis (IRGO) in four paraplegic patients to assess energy consumption during walking. The results indicated that the new MLO was associated with faster walking speeds, longer walking distances, and reduced energy consumption compared to the IRGO, although these differences were not statistically significant in this small case series. The researchers suggest that the design of the new MLO, which uses pelvis motion for leg movement and provides flexible trunk support, may contribute to the observed improvements.

Practical Implications

Potential for Improved Mobility

The new MLO may offer a more efficient and less energy-demanding option for paraplegic patients seeking to ambulate with orthotic devices.

Design Considerations for Orthotics

The study highlights the importance of orthotic design in minimizing energy expenditure, particularly the use of pelvic motion and flexible trunk support.

Further Research Needed

The authors recommend further research with a larger sample size to confirm these findings and evaluate functional independence and patient acceptance of the new MLO.

Study Limitations

  • 1
    Small sample size (case series)
  • 2
    Lack of blinding for subjects and assessors
  • 3
    Heterogeneity of lesion levels among participants

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