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  4. Effects of robotic-assisted gait training on the central vascular health of individuals with spinal cord injury: A pilot study

Effects of robotic-assisted gait training on the central vascular health of individuals with spinal cord injury: A pilot study

The Journal of Spinal Cord Medicine, 2021 · DOI: 10.1080/10790268.2019.1656849 · Published: January 1, 2021

Spinal Cord InjuryCardiovascular ScienceRehabilitation

Simple Explanation

This study looked at how robotic-assisted walking training affects the heart and blood vessels of people with spinal cord injuries. They found that a short training program improved some measures of heart health. The participants were split into two groups: one that did robotic-assisted walking training in addition to physiotherapy, and another that just did regular physiotherapy. The robotic-assisted training group showed improvements in blood vessel function. These findings suggest that robotic-assisted walking could be a good way to improve heart health in people with spinal cord injuries. More research is needed to confirm these results and see how long the benefits last.

Study Duration
5 days
Participants
12 individuals with SCI (ASI A to C)
Evidence Level
Parallel group, non-randomized trial

Key Findings

  • 1
    Robotic-assisted gait training (RGT) significantly reduced arterial wave reflection (AIx) in individuals with spinal cord injury (SCI).
  • 2
    RGT also led to a significant decrease in mean arterial pressure (MAP) in the SCI participants.
  • 3
    The time spent upright, walking, and the number of steps taken increased significantly during the RGT program.

Research Summary

This pilot study investigated the effects of a short-term robotic-assisted gait training (RGT) program on central and peripheral hemodynamic measures in individuals with spinal cord injury (SCI). The results indicated a significant reduction in arterial wave reflection (AIx) and mean arterial pressure (MAP) following the RGT program, suggesting improved cardiovascular health. The study concludes that RGT is a promising therapy for improving cardiovascular health in patients with SCI and supports the need for larger randomized controlled trials.

Practical Implications

Clinical Practice

RGT programs can be incorporated into rehabilitation to potentially improve cardiovascular health in SCI patients.

Future Research

Larger randomized controlled trials are needed to confirm these findings and assess long-term benefits.

Rehabilitation Strategies

This study may inform the optimal timing, intensity and duration of short-term RGT programs to be implemented into longer term rehabilitation strategies.

Study Limitations

  • 1
    Small sample size (n=6 in each group).
  • 2
    Participants had different ASI classifications.
  • 3
    Lack of objective assessment of home-based rehabilitation for the control group.

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