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  4. Safety and Feasibility of a Novel Exoskeleton for Locomotor Rehabilitation of Subjects With Spinal Cord Injury: A Prospective, Multi-Center, and Cross-Over Clinical Trial

Safety and Feasibility of a Novel Exoskeleton for Locomotor Rehabilitation of Subjects With Spinal Cord Injury: A Prospective, Multi-Center, and Cross-Over Clinical Trial

Frontiers in Neurorobotics, 2022 · DOI: 10.3389/fnbot.2022.848443 · Published: May 12, 2022

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

The study evaluates the safety and effectiveness of a new exoskeleton called Ai-robot for people with spinal cord injuries. Ai-robot comes in two types: Aiwalker, which provides trunk support and is suitable for those with less upper body strength, and Ailegs, for those with better upper body control. The study compared Aiwalker and Ailegs to a traditional walking aid called HKAFO. The researchers looked at how far people could walk, how much energy they used, how easy the devices were to put on and take off, and how satisfied the users were. The results showed that Ai-robot is safe and helps people with paraplegia walk more efficiently with less physical strain, and users were more satisfied with it compared to the traditional HKAFO device. However, it is important to have trained medical staff supervise the use of Ai-robot.

Study Duration
Not specified
Participants
40 paraplegic subjects with T6–L2 level spinal cord injury
Evidence Level
Prospective, multi-center, and cross-over clinical trial

Key Findings

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    Subjects with paraplegia below T6 level were able to ambulate safely and efficiently with Ai-robot.
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    The average heart rate increases in the Aiwalker and Ailegs groups were both significantly lower than that in the HKAFO group.
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    The average donning/doffing time costs for Ailegs and Aiwalker were significantly shorter than that of HKAFO.

Research Summary

This study assessed the safety and effectiveness of a new exoskeleton, Ai-robot, for individuals with spinal cord injuries. The Ai-robot comes in two forms: Aiwalker, which provides trunk support, and Ailegs, which requires more upper body control. The study compared Aiwalker and Ailegs to a traditional walking aid (HKAFO). Researchers measured walking distance, energy expenditure, ease of use, and user satisfaction. The results indicated that Ai-robot is safe and improves walking efficiency for people with paraplegia, with lower physiological cost and greater user satisfaction than HKAFO. Supervision by trained medical personnel is recommended.

Practical Implications

Rehabilitation Potential

Ai-robot can potentially be integrated into rehabilitation programs for individuals with spinal cord injuries to improve their walking ability and reduce physical strain.

Device Training and Safety

Proper training and supervision by experienced medical personnel are crucial for the safe and effective use of Ai-robot.

Personalized Treatment

Therapists can choose between Aiwalker and Ailegs to provide tailor-made treatment based on the patient's physical condition and needs.

Study Limitations

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