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  4. Effects of Wearable Powered Exoskeletal Training on Functional Mobility, Physiological Health and Quality of Life in Non-ambulatory Spinal Cord Injury Patients

Effects of Wearable Powered Exoskeletal Training on Functional Mobility, Physiological Health and Quality of Life in Non-ambulatory Spinal Cord Injury Patients

J Korean Med Sci, 2021 · DOI: 10.3346/jkms.2021.36.e80 · Published: March 29, 2021

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study investigated the use of a new wearable exoskeleton (H-MEX) to help people with spinal cord injuries (SCI) walk. The study aimed to see if the exoskeleton could improve their mobility, health, and quality of life. Participants trained with the H-MEX for 10 weeks, and researchers measured their walking ability, physiological health (like lung function and bone density), and quality of life through questionnaires. The results showed that the exoskeleton is safe and helps SCI patients walk better. Some improvements in health and quality of life were also seen, suggesting the H-MEX could be a useful tool for rehabilitation.

Study Duration
10 weeks
Participants
10 non-ambulatory SCI patients
Evidence Level
Pilot study

Key Findings

  • 1
    Participants significantly improved their walking distance in the 6-minute walking test (6MWT) after training with the H-MEX.
  • 2
    The time required to stand up, walk 3 meters, and sit down in the timed-up-and-go test (TUGT) also showed significant improvement after the training.
  • 3
    Although not statistically significant, some participants showed clinically meaningful improvements in spasticity, pulmonary function, bone mineral density, and bowel function.

Research Summary

This pilot study evaluated the effects of training with a newly developed powered wearable exoskeleton (H-MEX) on functional mobility, physiological health, and quality of life in non-ambulatory SCI patients. Ten participants finished 30 sessions of training and could ambulate independently. No severe adverse events were reported during the study. After training, the mean distance walked in the 6MWT (49.13 m) was significantly enhanced compared with baseline (20.65 m). This study demonstrated that the newly developed wearable exoskeleton, H-MEX is safe and feasible for non-ambulatory SCI patients, and may have potential to improve quality of life of patients by assisting bipedal ambulation.

Practical Implications

Improved Mobility

The H-MEX exoskeleton can help non-ambulatory SCI patients improve their walking ability and functional mobility.

Potential Health Benefits

Exoskeleton-assisted walking may lead to improvements in physiological health, such as reduced spasticity, improved pulmonary function, increased bone mineral density, and better bowel function.

Enhanced Quality of Life

The H-MEX may improve the quality of life and psychological condition of SCI patients by enabling bipedal ambulation and increasing independence.

Study Limitations

  • 1
    Small sample size
  • 2
    Heterogeneous participant characteristics (varying levels of injury)
  • 3
    Lack of a control group

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