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  4. The effects of gait training using powered lower limb exoskeleton robot on individuals with complete spinal cord injury

The effects of gait training using powered lower limb exoskeleton robot on individuals with complete spinal cord injury

Journal of NeuroEngineering and Rehabilitation, 2018 · DOI: https://doi.org/10.1186/s12984-018-0355-1 · Published: February 15, 2018

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study investigates the use of a newly developed powered lower limb exoskeleton robot for gait training in individuals with complete spinal cord injury (SCI). The exoskeleton is designed to improve mobility by providing mechanical support. Two participants with complete SCI underwent an 8-week training program using the powered exoskeleton. The training consisted of 1-hour sessions, twice per week. The results indicated that the participants could independently don and doff the exoskeleton with less effort. They also walked faster and farther, without injuries or falls, compared to using a knee-ankle-foot orthosis (KAFO).

Study Duration
8 weeks
Participants
Two male participants with complete SCI
Evidence Level
Pilot clinical study

Key Findings

  • 1
    Participants were able to independently don and doff the powered lower limb exoskeleton robot after 8 weeks of training.
  • 2
    Participants experienced a lower level of exertion while using the powered exoskeleton compared to a KAFO.
  • 3
    Participants walked faster and farther with the powered exoskeleton compared to a KAFO, as measured by the timed up-and-go test, 10-m walk test, and 6-min walk test.

Research Summary

This study evaluated the feasibility and safety of a newly developed powered lower limb exoskeleton robot for individuals with complete SCI after 8 weeks of gait training. The results demonstrated that participants could independently use the exoskeleton, with improvements in donning/doffing time, walking speed and distance, and perceived exertion compared to using a KAFO. The study suggests that the powered exoskeleton is a safe and practical device that can assist people with SCI in completing activities of daily living.

Practical Implications

Enhanced Mobility

The exoskeleton can potentially provide improved mobility and independence for individuals with complete SCI.

Reduced Exertion

Using the exoskeleton may reduce the physical demands of walking compared to traditional assistive devices like KAFOs.

Bone Health

The study observed an increasing trend in bone mineral density, suggesting a potential benefit for bone health with long-term use. Further investigation needed.

Study Limitations

  • 1
    Small sample size (two participants)
  • 2
    Lack of a control group
  • 3
    Short study duration (8 weeks)

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