Training for mobility with exoskeleton robot in spinal cord injury patients: a pilot study
| العنوان: | Training for mobility with exoskeleton robot in spinal cord injury patients: a pilot study |
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| المؤلفون: | Emanuele Russo, Rocco Salvatore Calabrò, Stefano Masiero, Alessandra Scarton, Patrizio Sale, Serena Filoni |
| المصدر: | European Journal of Physical and Rehabilitation Medicine. 54 |
| بيانات النشر: | Edizioni Minerva Medica, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Adult, Male, 030506 rehabilitation, medicine.medical_specialty, Activities of daily living, medicine.medical_treatment, Population, Pilot Projects, Physical Therapy, Sports Therapy and Rehabilitation, Walking, medicine.disease_cause, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Gait (human), Jumping, Physical medicine and rehabilitation, Activities of Daily Living, medicine, Humans, Exoskeleton Device, Prospective Studies, education, Gait, Spinal cord injury, Gait Disorders, Neurologic, Spinal Cord Injuries, Aged, education.field_of_study, Rehabilitation, business.industry, Robotics, Middle Aged, medicine.disease, Exercise Therapy, Gait analysis, Quality of Life, Female, 0305 other medical science, business, human activities, 030217 neurology & neurosurgery |
| الوصف: | Background Wearable robots are people-oriented robots designed to be worn all day, thus helping in the daily activities. They can assist in walking, running, jumping higher or even lifting objects too heavy in normal conditions. Aim The aim of this report was to investigate the changes in gait pattern through 3D gait analysis of subjects with spinal cord injury (SCI) undergoing an adaptive training with a wearable exoskeletal device (ESD). The change in the quality of life was also investigate together with the possibility to wear these devices all day, to improve the mobility. Design Prospective quasi-experimental study, pre- and post-design. Setting Outpatient SCI patients. Population On a voluntary basis, eight SCI patients who had never used any ESD device were recruited. Methods Subjects underwent a three-dimensional gait analysis (3D GA) while wearing the ESD at baseline (inclusion) (T0) and after 20 sessions of training over an expected average of 5/6 weeks (T1). The secondary outcome measures were: Participant Satisfaction Questionnaire, 6-Minute Walking Test (6MWT), Borg Scale (the test was administered in indoor and outdoor conditions) and Timed Up-and-Go test (TUG). Spatiotemporal and kinematic parameters were assessed and their change from the beginning to the end of the training was the secondary outcome. Results No dropouts were recorded during the training and all subjects were able to terminate the protocol (compliant subjects: N.=8). After the training, all person showed some significant improvements for TUG, 6MWT and 10 MWT (Z=-2.521; P=0.008) and for the spatiotemporal and kinematics parameters. Conclusions This paper confirms that the adaptive training with ESD is safe and feasible in a heterogeneous sample of persons with SCI, especially in ameliorating the interaction between the patients and the device with an improvement of spatiotemporal and kinematics parameters. Clinical rehabilitation impact Since the training has been proven safe and the hypothesis that the subjects with spinal cord injury improving their performance over time and being able to adapt at the use of device in full autonomy at home during all the activities of the daily living has strengthened. |
| تدمد: | 1973-9095 1973-9087 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::18c8db6ab149f9f22431e04c5eaf2a6eTest https://doi.org/10.23736/s1973-9087.18.04819-0Test |
| رقم الانضمام: | edsair.doi.dedup.....18c8db6ab149f9f22431e04c5eaf2a6e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19739095 19739087 |
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