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  4. Effect of Gait Training Program with Mechanical Exoskeleton on Body Composition of Paraplegics

Effect of Gait Training Program with Mechanical Exoskeleton on Body Composition of Paraplegics

Journal of Multidisciplinary Healthcare, 2020 · DOI: http://doi.org/10.2147/JMDH.S285682 · Published: January 1, 2020

Spinal Cord InjuryPhysiologyRehabilitation

Simple Explanation

This study investigates the impact of a 52-week gait training program using an exoskeletal body-powered gait orthosis (EBPGO) on the body composition of individuals with paraplegia. Ten participants with spinal cord injuries were divided into exercise and non-exercise groups to compare the effects of the gait training program. The gait training program aims to manage body composition, prevent obesity, and its effects are measured through bioelectrical impedance analysis.

Study Duration
52-weeks
Participants
10 subjects with spinal cord injury
Evidence Level
Not specified

Key Findings

  • 1
    The exercise group showed no significant changes in weight, fat-free mass, lean body mass, and percent fat mass after the 52-week program.
  • 2
    The non-exercise group exhibited significant decreases in fat-free mass and lean body mass, along with a significant increase in percent fat mass.
  • 3
    In the non-exercise group, the upper limbs showed the most significant decrease in lean body mass compared to the trunks and lower limbs.

Research Summary

The study aimed to determine the effect of a 52-week gait training program with an exoskeletal body-powered gait orthosis on the body composition of paraplegics. The gait training program had a positive effect on fat management and lean body mass loss prevention in paraplegics. The gait training program is effective in preventing continuous muscle loss and maintaining health by reducing body fat.

Practical Implications

Fat Management

The gait training program with exoskeletal body-powered gait orthosis has a positive effect on fat management in the whole body.

Muscle Loss Prevention

The program is effective in preventing continuous muscle loss in paraplegics.

Clinical Applications

Body composition measurements with bioelectrical impedance analysis can be applied in various clinical areas.

Study Limitations

  • 1
    Small sample size in each group.
  • 2
    Type of exercise and time of SCI incidence should be considered.
  • 3
    Statistical power might not be sufficient.

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