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  4. Overground robotic training effects on walking and secondary health conditions in individuals with spinal cord injury: systematic review

Overground robotic training effects on walking and secondary health conditions in individuals with spinal cord injury: systematic review

Journal of NeuroEngineering and Rehabilitation, 2022 · DOI: https://doi.org/10.1186/s12984-022-01003-9 · Published: January 1, 2022

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This review looks at how robotic exoskeletons (EXOs) can help people with spinal cord injuries (SCI). It focuses on the effects of these devices on walking ability and other health issues related to SCI. The review highlights the need for more high-quality studies to fully understand the benefits and drawbacks of using EXOs for SCI rehabilitation.

Study Duration
Not specified
Participants
566 individuals with spinal cord injury
Evidence Level
Systematic Review

Key Findings

  • 1
    EXO training can lead to improvements in walking ability, but the effectiveness varies depending on the device and individual factors.
  • 2
    Some studies reported positive trends in reducing spasticity and pain with EXO training, but more research is needed to confirm these effects.
  • 3
    The review found a lack of high-quality studies comparing EXO training to conventional therapy or other treatments, making it difficult to draw definitive conclusions.

Research Summary

This systematic review explores the effects of overground lower limb exoskeletons (EXOs) on walking and secondary health conditions (SHCs) in individuals with spinal cord injury (SCI). The review included 41 studies focusing on commercial EXOs like Ekso, ReWalk, Indego, HAL, and Rex devices, assessing various domains such as walking, cardiorespiratory responses, spasticity, balance, and quality of life. The authors conclude that while EXOs show promise in improving walking and addressing SHCs, the evidence is limited by the low methodological quality and heterogeneity of existing studies, necessitating further high-quality research.

Practical Implications

Rehabilitation Strategies

Guide clinicians in choosing appropriate training methods for individuals with SCI, considering the potential benefits of EXO training alongside conventional therapy.

Future Research

Highlight areas for future research, including high-quality RCTs to better define the pros and cons of different EXOs and their impact on various domains.

Device Development

Inform the development and refinement of EXO devices to maximize their effectiveness and address specific needs of individuals with SCI.

Study Limitations

  • 1
    Poor methodological quality of included studies
  • 2
    Heterogeneity of participants and interventions
  • 3
    Lack of control groups and follow-up assessments

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