Robot-assisted gait training (Lokomat) improves walking function and activity in people with spinal cord injury: a systematic review

This study reviews the use of robot-assisted gait training (RAGT) for people with spinal cord injuries (SCI). RAGT aims to help restore walking ability through various mechanisms, including activating central pattern generators and task-specific practice. The review analyzed ten trials and found that RAGT, particularly in the early stages after a spinal cord injury, can improve walking distance, leg strength, and overall mobility compared to traditional over-ground training. For those with chronic SCI, RAGT was shown to improve walking speed and balance when compared to no intervention. The authors suggest RAGT is a promising approach for improving walking and physical activity in SCI patients.

• 1
  Acute RAGT leads to significantly greater improvements in gait distance, leg strength, and functional level of mobility and independence compared to over-ground training.
• 2
  Chronic RAGT results in significantly greater improvements in gait speed and balance compared to no intervention.
• 3
  The study found no significant difference in spasticity changes between RAGT and control groups.