Retrospective Analysis of Clinical Practice Data of Robot-Assisted Gait Training in Patients with Spinal Cord Injury

2016 ◽  
Vol 97 (10) ◽  
pp. e136
Author(s):  
Gloria Vergara-Diaz ◽  
Jairo Alberto Dussan-Sarria ◽  
Massiel Dominguez-Iglesia ◽  
Anne O’Brien ◽  
Catherine Adans-Dester ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Clinical Practice ◽  
Retrospective Analysis ◽  
Gait Training ◽  
Robot Assisted ◽  
Cord Injury

scholarly journals Effects of Robot-Assisted Gait Training in Individuals with Spinal Cord Injury: A Meta-analysis

2020 ◽  
Vol 2020 ◽  
pp. 1-13 ◽  
Author(s):  
Chia-Ying Fang ◽  
Jia-Ling Tsai ◽  
Guo-Sheng Li ◽  
Angela Shin-Yu Lien ◽  
Ya-Ju Chang
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Lower Extremity ◽  
Gait Training ◽  
Controlled Trials ◽  
Walking Ability ◽  
Walk Test ◽  
Robot Assisted ◽  
Cord Injury ◽  
Ashworth Scale

Background. To investigate the effects of robot-assisted gait training (RAGT) on spasticity and pain in people with spinal cord injury (SCI). Material and methods. Four electronic databases (PubMed, Scopus, Medline, and Cochrane Central Register of Controlled Trials) were searched for studies published up to November 2019. Only human trials and of English language were included. The searched studies were reviewed and extracted independently by two authors. Randomized controlled trials (RCTs) and non-RCTs were pooled separately for analyses. Primary outcome measures included spasticity assessed by Ashworth scale (AS) or modified Ashworth scale (MAS) and pain assessed by VAS. Secondary outcome measures included lower extremity motor score (LEMS) and walking ability (i.e., 6-minute walk test, 10-meter walk test). Results. A total of 225 studies were identified. Eighteen studies (7 RCTs and 11 non-RCTs) including 301 subjects met inclusion criteria. The outcome measure of spasticity significantly improved in favor of RAGT group in non-RCTs (AS: 95%CI=−0.202 to -0.068, p≤0.001; MAS: 95%CI=−2.886 to -1.412, p≤0.001). The results on pain did not show significant change after RAGT in either RCTs or non-RCTs. LEMS and walking ability significantly increased in favor of RAGT. Conclusions. RAGT can improve spasticity and walking ability in people with SCI. The probable reason for no significant change in pain after RAGT is floor effect. RAGT is beneficial for normalizing muscle tone and for improving lower extremity function in people with SCI without causing extra pain.

Non-invasive brain stimulation and robot-assisted gait training after incomplete spinal cord injury: A randomized pilot study

2016 ◽  
Vol 38 (1) ◽  
pp. 15-25 ◽  
Author(s):  
Ravi Raithatha ◽  
Cheryl Carrico ◽  
Elizabeth Salmon Powell ◽  
Philip M. Westgate ◽  
Kenneth C. Chelette II ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Pilot Study ◽  
Brain Stimulation ◽  
Gait Training ◽  
Incomplete Spinal Cord Injury ◽  
Robot Assisted ◽  
Non Invasive ◽  
Cord Injury

Cardiopulmonary Effects Of Robot-Assisted Gait Training In Incomplete Spinal Cord Injury Patients: A Case Report

2017 ◽  
Vol 98 (10) ◽  
pp. e39
Author(s):  
Fernando Ribeiro ◽  
Paulo Yazbek ◽  
Thais R.M. Filippo ◽  
Daniel R. Souza ◽  
Marta Imamura ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Case Report ◽  
Gait Training ◽  
Incomplete Spinal Cord Injury ◽  
Robot Assisted ◽  
Cord Injury

scholarly journals Effectiveness of robot-assisted gait training in persons with spinal cord injury: A systematic review

2010 ◽  
Vol 42 (6) ◽  
pp. 520-526 ◽  
Author(s):  
E Swinnen ◽  
S Duerinck ◽  
JP Baeyens ◽  
R Meeusen ◽  
E Kerckhofs
Keyword(s):  
Systematic Review ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Gait Training ◽  
Robot Assisted ◽  
Cord Injury

scholarly journals Different Effects of Robot-Assisted Gait and Independent Over-Ground Gait on Foot Plantar Pressure in Incomplete Spinal Cord Injury: A Preliminary Study

2021 ◽  
Vol 18 (22) ◽  
pp. 12072
Author(s):  
Young-Hyeon Bae ◽  
Won Hyuk Chang ◽  
Shirley S. M. Fong
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Gait Training ◽  
Gait Pattern ◽  
Incomplete Spinal Cord Injury ◽  
Industrial Accidents ◽  
Robot Assisted ◽  
Foot Pressure ◽  
Phase Duration ◽  
Cord Injury

Background: There is insufficient evidence to establish the optimal treatment protocol for robot-assisted gait training. Objective: This study aimed to analyze the effects of robot-assisted gait and independent over-ground gait on foot pressure and to determine an effective training protocol for improvement of gait pattern in patients with incomplete spinal cord injury due to industrial accidents. Methods: Four patients with incomplete spinal cord injury due to an industrial accident who had gait disturbance underwent measurement of peak foot pressure and stance phase duration using a foot pressure analysis system with robot-assisted gait and independent over-ground gait. Results: The robot-assisted gait condition has lower peak foot pressure and shorter stance phase duration than the independent over-ground gait. Conclusions: In this study, robot-assisted gait was found to limit gait pattern improvement in patients with gait disturbance caused by incomplete spinal cord injury due to industrial accidents. Therefore, future research will be conducted to determine the optimal protocol for robot-assisted gait training for gait pattern improvement.

scholarly journals Effects on the Motor Function, Proprioception, Balance, and Gait Ability of the End-Effector Robot-Assisted Gait Training for Spinal Cord Injury Patients

2021 ◽  
Vol 11 (10) ◽  
pp. 1281
Author(s):  
Ji Cheol Shin ◽  
Ha Ra Jeon ◽  
Dahn Kim ◽  
Sung Il Cho ◽  
Won Kyu Min ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Clinical Outcomes ◽  
Motor Function ◽  
Gait Training ◽  
Walk Test ◽  
Robot Assisted ◽  
End Effector ◽  
Positive Correlation ◽  
Cord Injury

The primary aim of this study was to reveal the effects of end-effector robot-assisted gait training (RAGT) on motor function, proprioception, balance, and gait ability in patients with incomplete spinal cord injury (SCI). The secondary aim was to determine the correlation between clinical outcomes. This study was a prospective and multi-center study. A total of 13 incomplete SCI patients who met inclusion criteria received 30 min of RAGT with Morning Walk® (Curexo, Seoul, South Korea), and 1 h of conventional physiotherapy 5 times per week for 4 weeks. Clinical outcome measures were 10 m walk test (10MWT), 6 min walk test (6mWT), lower extremity motor score (LEMS), proprioception, Berg Balance Scale (BBS), and Walking Index for Spinal Cord Injury (WISCI)-II. All participants were assessed within 48 h before and after the intervention. All clinical outcomes were statistically improved after RAGT. Subgroup analysis according to the initial proprioception, WISCI-II in the normal group showed a statistically significant improvement compared to the abnormal group. Initial BBS and WISCI-II had a positive correlation with most of the final clinical outcomes. The final BBS had a strong positive correlation with the final 10MWT, 6mWT, and WISCI-II. Initial proprioception had a positive correlation with the final WISCI-II. The final proprioception also had a moderate positive correlation with 6mWT and BBS. This study’s results suggest that the end-effector RAGT could promote proprioception, balance ability and walking ability. Postural control ability and proprioception also had a positive relationship with gait ability.

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