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  4. Robotic upright stand trainer (RobUST) and postural control in individuals with spinal cord injury

Robotic upright stand trainer (RobUST) and postural control in individuals with spinal cord injury

The Journal of Spinal Cord Medicine, 2023 · DOI: 10.1080/10790268.2022.2069532 · Published: January 1, 2023

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study explores using a new robotic device, RobUST, to help people with spinal cord injuries (SCI) stand upright and improve their balance. RobUST can provide support or gently push the person to challenge their balance while standing. The researchers tested RobUST with four individuals who had difficulty standing on their own. They looked at how the participants' bodies reacted to different standing conditions, both with and without the robot's help. The results suggest that RobUST can create a safe and challenging environment for standing, which might help improve how people with SCI train and assess their postural control.

Study Duration
Not specified
Participants
Four individuals with motor complete (n = 3) or incomplete (n = 1) SCI
Evidence Level
Proof of concept study

Key Findings

  • 1
    Participants were able to attempt all tasks with continuous pelvic assistance via RobUST, and manual trainer assistance at the knees to maintain standing.
  • 2
    Free hands trunk perturbations resulted in greater load bearing-related sensory information, trunk displacement, and muscle activation compared to hands on.
  • 3
    Self-initiated trunk movements controlled by hands on showed 116% greater trunk displacement, 10% greater vertical ground reaction force, and greater ankle muscle activation compared to free hands.

Research Summary

This proof-of-concept study assessed the feasibility and potential effectiveness of using RobUST for trunk perturbation and assistance-as-needed in non-ambulatory individuals with chronic SCI. The study demonstrated the feasibility of using the RobUST to promote standing and self-initiated trunk movements without the use of upper limbs for balance control in this population. RobUST provides a more functional standing environment with enriched postural-related sensory information that can be used by non-ambulatory SCI individuals.

Practical Implications

Enhanced Rehabilitation Strategies

RobUST can be used to develop more effective standing and postural control training programs for individuals with SCI.

Improved Assessment of Postural Control

The device can provide a standardized and challenging environment for assessing postural control deficits in SCI patients.

Potential for Postural Recovery

Future studies should explore RobUST-mediated postural training with individuals receiving spinal cord stimulation to assess the potential for postural control recovery.

Study Limitations

  • 1
    Small sample size (n=4)
  • 2
    Limited generalizability due to participant characteristics
  • 3
    Not specified

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