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  4. The effects of robot assisted gait training on temporal-spatial characteristics of people with spinal cord injuries: A systematic review

The effects of robot assisted gait training on temporal-spatial characteristics of people with spinal cord injuries: A systematic review

The Journal of Spinal Cord Medicine, 2018 · DOI: 10.1080/10790268.2018.1426236 · Published: January 1, 2018

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This review examines the impact of robotic assisted gait training (RAGT) on the walking abilities of people with spinal cord injuries (SCI). RAGT uses robotic systems to help SCI individuals walk, either on a treadmill or overground with an exoskeleton. The study looks at whether using these robotic systems leads to improvements in how SCI patients walk, specifically considering speed and distance, and whether treadmill-based or overground systems are more effective. The review concludes that while RAGT can be beneficial, it should be part of a broader rehabilitation program rather than the only treatment method, and more research is needed to determine the best RAGT approach for different patients.

Study Duration
Not specified
Participants
521 participants (505 SCI individuals, 16 able-bodied)
Evidence Level
Systematic Review

Key Findings

  • 1
    The use of treadmill or overground based RAGT did not result in an increase in walking speed beyond that of conventional gait training.
  • 2
    No studies reviewed enabled a large enough improvement to facilitate community ambulation.
  • 3
    Limited evidence exists regarding the use of overground RAGT systems compared to treadmill-based systems, making direct comparisons difficult.

Research Summary

This systematic review assessed the effects of robotic assisted gait training (RAGT) on temporal-spatial characteristics in individuals with spinal cord injuries (SCI). It aimed to determine if overground or treadmill-based RAGT systems led to differences in gait parameters and functional outcomes. The review included twelve studies, revealing that RAGT, whether treadmill-based or overground, did not significantly increase walking speed beyond conventional gait training. No reviewed study showed enough improvement for community ambulation. The conclusion emphasizes that RAGT can benefit SCI individuals but should be integrated into a comprehensive rehabilitation program, not replacing other therapies. More research is needed to identify the most effective RAGT systems for specific patient groups.

Practical Implications

Clinical Practice

RAGT should be incorporated into a multi-faceted rehabilitation program for SCI patients rather than being used as a standalone treatment.

Research

Further studies are required to determine the optimal RAGT system (treadmill vs. overground) and training protocols for different SCI patient populations (cSCI vs. iSCI).

Rehabilitation Equipment Procurement

Rehabilitation centers should consider evidence-based information when purchasing RAGT equipment, but also recognize RAGT should not replace conventional therapies.

Study Limitations

  • 1
    Small number of research studies, especially regarding overground RAGT.
  • 2
    Varied outcome measures used across different studies.
  • 3
    Lack of temporal-spatial data in some studies.

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