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  4. Gait Training with Robotic Exoskeleton Assisted Rehabilitation System in Patients with Incomplete Traumatic and Non‑Traumatic Spinal Cord Injury: A Pilot Study and Review of Literature

Gait Training with Robotic Exoskeleton Assisted Rehabilitation System in Patients with Incomplete Traumatic and Non‑Traumatic Spinal Cord Injury: A Pilot Study and Review of Literature

Annals of Indian Academy of Neurology, 2023 · DOI: 10.4103/aian.aian_1075_21 · Published: November 21, 2022

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

Traumatic and non‑traumatic spinal cord injuries (SCI) or dysfunction cause sensory and motor function impairments in affected patients and result in long‑term disability. Gait training involves repeated movements based on the principles of motor learning and may lead to better motor control and coordination in the limbs with walking. Robotic gait training with REARS is safe and feasible. Such training may lead to an improvement in balance and walking capacity.

Study Duration
24 sessions
Participants
7 SCI patients with incomplete motor spinal cord injury (AIS C and AIS D)
Evidence Level
Pilot Study

Key Findings

  • 1
    Participants in G1 were able to complete the 10MWT, 6MWT, and TUG, and the mean (SD) scores were 0.2 m/s (0.2), 66.3 m (61.2) and 113.3 s (117.4), respectively.
  • 2
    Participants in G2 could perform the TUG test 13.5 s faster at the end of the study (11.9 s vs 25.4 s).
  • 3
    The mean total SCIM scores increased by 27 and 7 points after training with REARS in G1 and G2 groups, respectively, in our study.

Research Summary

This pilot study aimed to assess the safety and feasibility of robotic gait training and its’ effects on gait parameters in individuals with incomplete motor spinal cord injury‑SCI (AIS C and AIS D). Robotic gait training with REARS is safe and feasible. Training with REARS may lead to an improvement in balance and walking capacity as observed in gait parameters, namely, walking distance and walking speed during the pilot phase. There is an improvement in independence, as assessed by SCIM, and reduction in the need for assistive devices, as assessed by WISCI.

Practical Implications

Improved Mobility

Robotic gait training with REARS can lead to improvements in walking capacity and balance, potentially enhancing mobility for individuals with incomplete SCI.

Increased Independence

The study suggests that REARS may contribute to greater independence in SCI patients, reducing their reliance on assistive devices.

Safe Rehabilitation

The findings indicate that robotic gait training with REARS is a safe and feasible rehabilitation approach for patients with incomplete SCI.

Study Limitations

  • 1
    Small sample size
  • 2
    Findings cannot be generalized to the SCI population
  • 3
    Lack of a randomized, controlled study with a longitudinal design

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