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  4. Robotic assisted gait as a tool for rehabilitation of individuals with spinal cord injury: a systematic review

Robotic assisted gait as a tool for rehabilitation of individuals with spinal cord injury: a systematic review

Journal of NeuroEngineering and Rehabilitation, 2017 · DOI: 10.1186/s12984-017-0338-7 · Published: November 23, 2017

Spinal Cord InjuryAssistive TechnologyNeurorehabilitation

Simple Explanation

Spinal cord injury (SCI) results in sensory and motor deficits, compromising muscle recruitment and motor planning, which reduces functional capacity and leads to secondary complications. Robotic-assisted gait training (RAGT) is emerging as a rehabilitation tool. This systematic review compares robotic gait devices and synthesizes scientific evidence regarding their use in SCI rehabilitation. The review analyzes studies using robotic devices for SCI rehabilitation. The review shows robotic devices can reduce pain and spasticity, alter proprioceptive capacity, improve sensitivity to temperature, vibration, and pressure, influence reflex behavior and electrical activity, and increase walking speed and distance traveled.

Study Duration
Between February 2016 and October 2017
Participants
39 articles were included
Evidence Level
Systematic Review

Key Findings

  • 1
    Robotic gait devices have distinct features and increasing application in recent years.
  • 2
    Studies show promising results in reducing pain and spasticity, altering proprioceptive capacity, sensitivity to temperature, vibration, and pressure.
  • 3
    Robotic devices can lead to improvements in sitting posture, intestinal, cardiorespiratory, metabolic, tegmental, and psychological functions.

Research Summary

This systematic review examines the use of robotic devices in the rehabilitation of patients with SCI, aiming to guide future rehabilitation and research efforts. The review highlights the constant evolution of robotic technologies, such as the Welwalk WW-1000, and emphasizes the need for rehabilitation professionals to acquire new skills to effectively utilize these devices. The study concludes that robotic gait training (RAGT) is an innovative and effective therapy for SCI rehabilitation, leading to promising results in various functions and promoting neuroplasticity.

Practical Implications

Personalized Therapy

Tailoring robotic therapy to individual patient needs based on injury level, classification, and secondary changes.

Hybrid Device Development

Creating robotic devices that combine existing patient abilities with supportive assistance and feedback mechanisms.

Comprehensive Functional Improvements

Focusing on improvements in sensorimotor, cardiorespiratory, metabolic, and psychological functions through robotic gait training.

Study Limitations

  • 1
    Studies have varying methodologies
  • 2
    Specific long-term effects are not fully known
  • 3
    Generalizability may be limited by participant characteristics

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