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  4. Improved Physiological Gait in Acute and Chronic SCI Patients After Training With Wearable Cyborg Hybrid Assistive Limb

Improved Physiological Gait in Acute and Chronic SCI Patients After Training With Wearable Cyborg Hybrid Assistive Limb

Frontiers in Neurorobotics, 2021 · DOI: 10.3389/fnbot.2021.723206 · Published: August 26, 2021

Spinal Cord InjuryAssistive TechnologyBiomechanics

Simple Explanation

This study investigates whether using a robotic exoskeleton (HAL® Robot Suit) can improve the way people with spinal cord injuries walk, not just how well they walk functionally. It looks at changes in the quality and physiology of their gait after training. Fifteen people with spinal cord injuries, both recent and long-term, participated in a 12-week training program using the HAL® Robot Suit on a treadmill. Researchers measured their gait (walking pattern) before and after the training. The study found that in addition to improvements in functional walking tests, participants also showed improvements in the way they walked, including changes in the timing of different parts of the walking cycle and how their joints moved.

Study Duration
12 weeks
Participants
15 subjects with acute or chronic incomplete or complete paraplegia
Evidence Level
Not specified

Key Findings

  • 1
    Participants showed improved physiological parameters such as phases of gait cycle, accompanied by significant improvement in all spatiotemporal and gait phase parameters.
  • 2
    Patients exhibited improved knee extension during initial contact and increased maximum hip extension prior to swing phase.
  • 3
    All joint angles showed a larger Range of Motion (ROM) after the training intervention.

Research Summary

This study aimed to determine if training with the HAL® Robot Suit could improve physiological gait in SCI patients in addition to functional parameters. The results showed that participants improved in functional tests (10MWT, TUG, 6MWT, WISCI II) and also exhibited changes in gait cycle phases, joint angles, and spatiotemporal parameters. The study concludes that training with HAL® Robot Suit can lead to improvements in both functional and physiological gait parameters in patients with SCI.

Practical Implications

Rehabilitation Strategies

The study suggests that exoskeletal training with HAL® can be a valuable tool to enhance both functional and physiological aspects of gait in SCI patients, leading to a more comprehensive rehabilitation approach.

Gait Quality Assessment

The research emphasizes the importance of assessing gait quality and physiology alongside functional outcomes to provide a more complete picture of rehabilitation progress and to prevent long-term complications due to inadequate gait patterns.

Personalized Therapy

The findings indicate the need for personalized rehabilitation plans that consider individual gait deficits and muscle strength levels to optimize the potential for improvement with exoskeletal training.

Study Limitations

  • 1
    Small number of patients
  • 2
    Highly individual gait behavior of patients with SCI
  • 3
    Only one trial for each patient was collected

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