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  4. The improvement of the lower limb exoskeletons on the gait of patients with spinal cord injury A protocol for systematic review and meta-analysis

The improvement of the lower limb exoskeletons on the gait of patients with spinal cord injury A protocol for systematic review and meta-analysis

Medicine, 2022 · DOI: 10.1097/MD.0000000000028709 · Published: January 28, 2022

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

Spinal Cord Injury (SCI) often leads to paralysis and affects various bodily functions. Improving walking ability is crucial for SCI patients' return to society and reduces their healthcare costs; therefore, lower limb rehabilitation is essential. Lower limb exoskeleton robots are advanced devices designed to mimic human movement, assisting patients in walking and performing specific tasks. They represent a novel approach to gait training for individuals with lower limb motor dysfunction. This systematic review and meta-analysis aim to evaluate the effectiveness of lower limb exoskeletons in improving gait function in patients with SCI, compared with placebo or other treatments.

Study Duration
Not specified
Participants
Patients with Spinal Cord Injury affecting lower limb function
Evidence Level
Systematic Review and Meta-Analysis Protocol

Key Findings

  • 1
    The review intends to provide evidence on the effectiveness and safety of lower limb exoskeletons in improving lower limb function for patients with spinal cord injury.
  • 2
    The study anticipates that lower limb exoskeletons, as a rehabilitation training method, have the potential to improve walking ability and reduce complications in SCI patients.
  • 3
    The review acknowledges that different exoskeleton types and injury types may introduce heterogeneity, and variations in measurement instruments could exist across studies.

Research Summary

This study is a protocol for a systematic review and meta-analysis that aims to evaluate the effectiveness of lower limb exoskeletons in improving gait function in patients with spinal cord injury (SCI). The review will include randomized controlled trials comparing lower limb exoskeleton training to placebo or other treatments, focusing on outcome measures such as the Berg Balance scale, Time up and go test, 10-meter walk test, and Fugl-Meyer assessment for the lower-extremity. The authors acknowledge potential limitations such as heterogeneity due to different exoskeleton types and injury types, as well as variations in measurement instruments across studies. The results of this study will provide reliable evidence for the effect of lower limb exoskeletons on the improvement of lower limb function in spinal cord injury patients.

Practical Implications

Clinical Practice

The review aims to offer insights for clinicians regarding the use of lower limb exoskeletons in rehabilitation programs for SCI patients.

Future Research

The study highlights the need for further research to explore the potential of lower limb exoskeletons in improving various aspects of health and well-being in SCI patients.

Technology Development

The review underscores the importance of continued development and refinement of exoskeleton technology to optimize its benefits for SCI patients.

Study Limitations

  • 1
    Different exoskeleton types may present a risk of heterogeneity.
  • 2
    Different injury types may present a risk of heterogeneity.
  • 3
    Measurements and instruments for the results included in the study may be different.

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