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  4. Effects and Safety of Wearable Exoskeleton for Robot-Assisted Gait Training: A Retrospective Preliminary Study

Effects and Safety of Wearable Exoskeleton for Robot-Assisted Gait Training: A Retrospective Preliminary Study

J. Pers. Med., 2023 · DOI: 10.3390/jpm13040676 · Published: April 18, 2023

Assistive TechnologyNeurologyRehabilitation

Simple Explanation

This study explores the use of wearable exoskeletons in robot-assisted gait training (RAGT) for individuals with neurological impairments. RAGT aims to provide overground gait training to rehabilitate those with neurological injuries. The research involved analyzing data from 28 patients who underwent overground RAGT using a wearable exoskeletal robot. The study looked at the effectiveness and safety of this type of training. The results showed improvements in muscle strength, balance, and gait function after the RAGT. The study also found that the training was safe, with only minor adverse events reported.

Study Duration
1 November 2020 and 30 April 2022
Participants
28 patients with neurologic deficit
Evidence Level
Retrospective preliminary study

Key Findings

  • 1
    Significant improvements were observed in muscle strength, balance (Berg Balance Scale), and gait function (Functional Ambulation Category) after overground RAGT.
  • 2
    The familiarization process with the wearable exoskeleton was typically completed within six sessions of RAGT.
  • 3
    Only two mild adverse events, both related to skin tenderness from the straps, were reported during the study.

Research Summary

The study evaluated the effectiveness and safety of overground RAGT using wearable exoskeletons in patients with neurologic injuries. Significant improvements were observed in muscle strength, balance, and gait function after RAGT. The familiarization process was completed within six sessions, and only minor adverse events were reported, indicating the feasibility and safety of this approach. The findings suggest that wearable RAGT can be a valuable tool for rehabilitation, especially for patients with brain injuries, although further studies are needed to validate these results in a larger and more diverse population.

Practical Implications

Rehabilitation Tool

Wearable RAGT can be used as a rehabilitation tool to improve muscle strength, balance, and gait function.

Early Familiarization

Patients can typically adapt to wearable RAGT within a few sessions.

Safe Application

Wearable RAGT is a safe method for gait training in patients with neurologic deficits, provided appropriate precautions are taken.

Study Limitations

  • 1
    Small and heterogenous sample size
  • 2
    Retrospective study design
  • 3
    Absence of a control group

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