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  4. Robotic technology (ROBERT®) to enhance muscle strength in the hip flexor muscles following spinal cord injury: a feasibility study

Robotic technology (ROBERT®) to enhance muscle strength in the hip flexor muscles following spinal cord injury: a feasibility study

Spinal Cord Series and Cases, 2024 · DOI: https://doi.org/10.1038/s41394-024-00630-9 · Published: March 27, 2024

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study explores whether a robotic device, ROBERT®, can help people with spinal cord injuries (SCI) to increase the strength of their hip flexor muscles. The device assists in moving the leg and can be adjusted to provide more or less support as the person gets stronger. The study focused on how well people accepted the device and whether it was practical to use in a rehabilitation setting. The results showed that the ROBERT® was feasible and acceptable for participants, who saw it as a helpful addition to their regular physiotherapy, though recruitment was slow.

Study Duration
7 months (recruitment period) and 4 weeks (intervention)
Participants
4 participants with SCI < 3 months
Evidence Level
Feasibility study

Key Findings

  • 1
    The ROBERT® was found to be a feasible and acceptable intervention for increasing strength in hip flexor muscles following SCI, with participants viewing it as a useful addition to standard physiotherapy.
  • 2
    Participants were able to adhere to the training protocol of 60 hip flexions three times a week for four weeks, with a high adherence rate (92%) and no adverse events.
  • 3
    Recruitment was slow, with a rate of 8% of first-time admissions, highlighting the need for a multi-center trial to achieve adequate sample sizes in future studies.

Research Summary

This study aimed to determine the feasibility of using the ROBERT® robotic device to increase strength in very weak muscles following spinal cord injury (SCI). The study focused on the suitability and acceptability of the ROBERT® for increasing strength in the hip flexor muscles, adherence to the protocol, completion rate, and the participants’ perspectives. The ROBERT® was found to be acceptable and suitable, but recruitment was slow, suggesting that a multi-center trial may be necessary for future studies.

Practical Implications

Rehabilitation Enhancement

The ROBERT® can be integrated into rehabilitation programs to supplement traditional physiotherapy, potentially improving muscle strength in patients with SCI.

Future Research Directions

The feasibility study supports the need for a larger, multi-center trial to definitively assess the effectiveness of ROBERT® in increasing muscle strength.

Clinical Practice

Physiotherapists can consider using robotic devices like ROBERT® to provide assisted active movement, particularly for patients with very weak muscles, while ensuring individualized training and adjustments.

Study Limitations

  • 1
    Slow recruitment rate
  • 2
    Small sample size (4 participants)
  • 3
    Single-center study

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