Improved Gait Speed After Robot-Assisted Gait Training in Patients With Motor Incomplete Spinal Cord Injury: A Preliminary Study

Ann Rehabil Med, 2017 · DOI: https://doi.org/10.5535/arm.2017.41.1.34 · Published: February 1, 2017

Spinal Cord Injury Assistive Technology Rehabilitation

Simple Explanation

Spinal cord injury (SCI) often results in complete or incomplete paralysis, affecting the ability to walk and participate in physical activity. Robot-assisted gait training (RAGT) was created as a mechanical system that provides partial body weight support treadmill training (PBWSTT) without the need for a physical therapist. The study aimed to evaluate clinical features that could predict improvement in gait speed after robotic treatment in patients with motor incomplete SCI.

Study Duration

4 weeks

Participants

29 patients with motor incomplete spinal cord injury

Evidence Level

Level 2, clinical trial

Key Findings

1
Younger age and shorter disease duration were associated with greater improvement in gait speed after RAGT.
2
Patients with AIS-D (less severe) spinal cord injuries showed greater improvements compared to those with AIS-C (more severe) injuries.
3
Higher baseline lower extremity strength (LEMS), balance (BBS), and daily living function (SCIM-III) scores were associated with better outcomes after RAGT.

Research Summary

This study evaluated the effectiveness of robot-assisted gait training (RAGT) on improving gait speed in patients with motor incomplete spinal cord injury (iSCI). The study found that younger patients with shorter disease duration and less severe injuries (AIS-D) experienced greater improvements in gait speed after RAGT. Baseline assessments of lower extremity strength, balance, and daily living function were identified as potential predictors of the effectiveness of RAGT in iSCI patients.

Practical Implications

Patient Selection

Consider younger patients with shorter injury duration and AIS-D classification for RAGT.

Predictive Assessment

Use LEMS, BBS, and SCIM-III to predict RAGT success.

Personalized Therapy

Tailor RAGT intensity based on baseline balance and strength.

Study Limitations

1
Small number of subjects
2
All subjects received both conventional PT and RAGT
3
Difficult to determine whether the improvement is solely from RAGT or also from the conventional PT

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