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  4. The influence of new medial linkage orthosis on walking and independence in spinal cord injury patients: a pilot study

The influence of new medial linkage orthosis on walking and independence in spinal cord injury patients: a pilot study

Spinal Cord Series and Cases, 2016 · DOI: 10.1038/scsandc.2015.33 · Published: April 7, 2016

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study compares a new medial linkage orthosis (MLO) design with a traditional isocentric reciprocating gait orthosis (IRGO) for spinal cord injury (SCI) patients. The new MLO aims to improve upon existing orthoses by combining features of both RGOs and MLOs. The study assesses gait parameters (walking speed, cadence, stride length) and functional independence (orthosis donning and doffing time) to determine the new MLO's effectiveness.

Study Duration
8 weeks gait training
Participants
4 people with motor incomplete SCI
Evidence Level
Not specified

Key Findings

  • 1
    Walking with the MLO improved stride length and speed of walking by 28.57 and 40.9% compared with walking with an IRGO as a control condition.
  • 2
    There was significant difference between donning and doffing in two conditions (P = 0.046).
  • 3
    The new MLO provided a quicker and more independent gait compared with IRGO, in addition the new MLO made it easier for subjects to get from sitting to standing and from standing to sitting.

Research Summary

The study compared a new medial linkage orthosis (MLO) with a traditional isocentric reciprocating gait orthosis (IRGO) in SCI patients. The new MLO showed improvements in stride length and walking speed compared to the IRGO. The new MLO facilitated quicker and more independent donning and doffing, as well as easier transitions between sitting and standing.

Practical Implications

Improved Gait Efficiency

The new MLO's design, incorporating a sliding mechanism and reciprocating gait, enhances gait efficiency for SCI patients.

Enhanced Functional Independence

The quicker donning and doffing times and easier sit-to-stand transitions improve functional independence and potentially increase orthosis acceptance.

Potential for Wider Adoption

The combination of RGO and MLO features in the new design could lead to wider adoption of orthoses for SCI rehabilitation and daily living.

Study Limitations

  • 1
    Small sample size (n=4)
  • 2
    SCI patients had different levels of injury
  • 3
    Lack of comparison with WO and Prime walk orthoses

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