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  4. Exoskeleton use in acute rehabilitation post spinal cord injury: A qualitative study exploring patients’ experiences

Exoskeleton use in acute rehabilitation post spinal cord injury: A qualitative study exploring patients’ experiences

The Journal of Spinal Cord Medicine, 2022 · DOI: 10.1080/10790268.2021.1983314 · Published: January 1, 2022

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study explores how patients with spinal cord injuries (SCI) experience using robotic exoskeletons during their early rehabilitation. The goal was to understand the good and bad aspects of this new technology. Researchers interviewed nine patients who used exoskeletons as part of their rehabilitation. The interviews focused on their feelings, challenges, and perceived benefits of using the exoskeleton. The study found that exoskeletons can offer psychological benefits like improved mood and hope, along with potential physical benefits such as increased strength. However, challenges like fatigue and concerns about incontinence were also reported.

Study Duration
Not specified
Participants
Nine participants with SCI
Evidence Level
Qualitative descriptive study

Key Findings

  • 1
    Participants experienced psychological benefits such as improved mood, increased hope, and the joy of eye-level contact while using the exoskeleton.
  • 2
    Some participants reported potential physiological benefits, including increased strength, decreased spasticity, and reduced pain.
  • 3
    Challenges to exoskeleton use included weakness and fatigue, blood pressure changes, transfer difficulties and a fear of incontinence.

Research Summary

This qualitative study explored the experiences of patients with acute spinal cord injuries (SCI) using robotic exoskeletons as part of their inpatient rehabilitation. The study aimed to understand the benefits and challenges of exoskeleton-assisted walking (EAW) during this early stage of recovery. The study found that EAW offered psychological benefits such as improved mood, motivation, and hope, as well as potential physical benefits like increased strength and reduced pain. Participants also valued the opportunity to contribute to research and experience a novel therapeutic option. Challenges to EAW included physical demands, blood pressure changes, and concerns about incontinence. The limited duration of the intervention was also a source of frustration for some participants.

Practical Implications

Implement EAW in acute SCI rehab

Consider incorporating EAW into acute SCI rehabilitation programs to foster hope and improve psychological well-being.

Address physical and psychological challenges

Address potential challenges such as fatigue, orthostatic hypotension, and anxiety about incontinence to optimize the EAW experience for patients.

Extend duration of EAW interventions

Consider extending the duration and frequency of EAW sessions to maximize potential benefits and address participant frustration.

Study Limitations

  • 1
    Small sample size
  • 2
    Lack of participant diversity
  • 3
    Findings may not be transferable to chronic SCI population

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