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  4. Effects of training with the ReWalk exoskeleton on quality of life in incomplete spinal cord injury: a single case study

Effects of training with the ReWalk exoskeleton on quality of life in incomplete spinal cord injury: a single case study

Spinal Cord Series and Cases, 2016 · DOI: 10.1038/scsandc.2015.25 · Published: January 7, 2016

Spinal Cord InjuryParticipationAssistive Technology

Simple Explanation

This study investigates whether using the ReWalk exoskeleton can improve the quality of life for people with spinal cord injuries. The ReWalk system uses electric motors at the knee and hip joints of the exoskeleton replace the step movements of the user. A 22-year-old male with a spinal cord injury at the Th11 level participated in the study for 7 months. The patient had suffered a traumatic SCI after a traffic accident one year earlier. The study found improvements in the patient's quality of life, mobility, balance, and bowel and bladder control. At the end of the studyperiod the patient was able to walk independently supervised by one person.

Study Duration
7 Months
Participants
One patient (male, 22 years) with Th11 spinal cord injury
Evidence Level
Level 4: Single case study

Key Findings

  • 1
    The patient's physical functioning, physical role function, physical pain, general health, vitality and psychical well-being improved after training with the ReWalk exoskeleton.
  • 2
    The ASIA motor function score improved from 52 to 54 points, and the patient regained partial control of bowel and bladder functions.
  • 3
    The patient was able to walk independently (indoors and on level surfaces) supervised by one person, achieving a maximum walking distance of 500 m.

Research Summary

This case study examined the impact of ReWalk exoskeleton training on the quality of life of a patient with an incomplete spinal cord injury. The patient showed improvements in multiple areas, including mobility, balance, and quality of life, as measured by the SF-36 questionnaire. The study suggests that ReWalk training can positively influence the quality of life and motor function in individuals with spinal cord injuries.

Practical Implications

Rehabilitation Potential

ReWalk exoskeleton training may be a valuable tool for improving mobility and quality of life in individuals with incomplete spinal cord injuries.

Functional Gains

The exoskeleton can assist patients in regaining motor control and functional abilities, such as walking and bowel/bladder control.

Improved Well-being

The use of the ReWalk system may lead to enhanced physical and psychological well-being for SCI patients.

Study Limitations

  • 1
    Single case study limits generalizability
  • 2
    Lack of a control group
  • 3
    Short follow-up period

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