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  4. Hybrid Assistive Limb Functional Treatment for a Patient with Chronic Incomplete Cervical Spinal Cord Injury

Hybrid Assistive Limb Functional Treatment for a Patient with Chronic Incomplete Cervical Spinal Cord Injury

International Medical Case Reports Journal, 2021 · DOI: https://doi.org/10.2147/IMCRJ.S306558 · Published: January 1, 2021

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

The hybrid assistive limb (HAL) is a wearable exoskeleton that helps people walk by using sensors to detect the wearer’s muscle signals. This report is about a man with an incomplete spinal cord injury who had trouble walking. After using the HAL robot for gait training, he showed improvement in his walking ability. The HAL robot may help people with spinal cord injuries improve their walking ability, even if they have been injured for a long time.

Study Duration
2 months
Participants
1 patient with chronic incomplete cervical spinal cord injury
Evidence Level
Level 4, Case Report

Key Findings

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    The patient's gait speed significantly improved from 0.12 m/sec to 0.45 m/sec after HAL training.
  • 2
    Step length increased from 0.30 m to 0.45 m following HAL intervention.
  • 3
    The patient's WISCI-II score improved from 1 to 6, indicating a better walking ability with less assistance.

Research Summary

This case report describes the improvement in walking ability in a patient with chronic incomplete tetraplegic SCI following HAL gait training. HAL gait training improved gait speed, step length, cadence, ISNCSCI motor score, and WISCI II score in the patient. The study suggests that HAL training has the potential to improve walking ability in patients with chronic severe incomplete tetraplegic SCI.

Practical Implications

Rehabilitation Tool

HAL can be used as a rehabilitation tool to improve walking ability in patients with chronic incomplete tetraplegic SCI.

Improved Motor Learning

Active participation in robot-driven gait therapy using HAL could lead to possible gains in motor learning.

Neural Recovery

HAL motion assistive technologies could contribute to improvement in patient walking ability by facilitating proper joint motion and loading and unloading muscle movement.

Study Limitations

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