Highest ambulatory speed using Lokomat gait training for individuals with a motor-complete spinal cord injury: a clinical pilot study
Jazyk angličtina Země Rakousko Médium print-electronic
Typ dokumentu klinická studie, časopisecké články
PubMed
31873795
DOI
10.1007/s00701-019-04189-5
PII: 10.1007/s00701-019-04189-5
Knihovny.cz E-zdroje
- Klíčová slova
- Ambulation, Exoskeleton, Lokomat, Spinal cord injury, Walking speed,
- MeSH
- dospělí MeSH
- exoskeleton MeSH
- lidé středního věku MeSH
- lidé MeSH
- pilotní projekty MeSH
- poranění míchy patologie rehabilitace terapie MeSH
- robotika přístrojové vybavení metody MeSH
- rychlost chůze * MeSH
- svalová spasticita MeSH
- terapie cvičením přístrojové vybavení metody MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- klinická studie MeSH
BACKGROUND: Motor impairment and loss of ambulatory function are major consequences of a spinal cord injury (SCI). Exoskeletons are robotic devices that allow SCI patients with limited ambulatory function to walk. The mean walking speed of SCI patients using an exoskeleton is low: 0.26 m/s. Moreover, literature shows that a minimum speed of 0.59 m/s is required to replace wheelchairs in the community. OBJECTIVE: To investigate the highest ambulatory speed for SCI patients in a Lokomat. METHODS: This clinical pilot study took place in the Rehabilitation Center Kladruby, in Kladruby (Czech Republic). Six persons with motor-complete sub-acute SCI were recruited. Measurements were taken at baseline and directly after a 30 min Lokomat training. The highest achieved walking speed, vital parameters (respiratory frequency, heart rate, and blood pressure), visual analog scale for pain, and modified Ashworth scale for spasticity were recorded for each person. RESULTS: The highest reached walking speed in the Lokomat was on average 0.63 m/s (SD 0.03 m/s). No negative effects on the vital parameters, pain, or spasticity were observed. A significant decrease in pain after the Lokomat training was observed: 95% CI [0.336, 1.664] (p = 0.012). CONCLUSION: This study shows that it is possible for motor-complete SCI individuals to ambulate faster on a Lokomat (on average 0.63 m/s) than what is currently possible with over-ground exoskeletons. No negative effects were observed while ambulating on a Lokomat. Further research investigating walking speed in exoskeletons after SCI is recommended.
3rd Faculty of Medicine Neurosciences Charles University Prague Czech Republic
Department of Neurosurgery Radboudumc Nijmegen the Netherlands
Department of Orthopedic Surgery Radboudumc Nijmegen the Netherlands
Department of Rehabilitation Radboudumc Nijmegen the Netherlands
Department of Surgery Radboudumc Nijmegen the Netherlands
Department of Trauma Surgery Radboudumc Nijmegen the Netherlands
Zobrazit více v PubMed
Andrews AW, Chinworth SA, Bourassa M, Garvin M, Benton D, Tanner S (2010) Update on distance and velocity requirements for community ambulation. J Geriatr Phys Ther 33(3):128–134 PubMed
Chen G, Chan CK, Guo Z, Yu H (2013) A review of lower extremity assistive robotic exoskeletons in rehabilitation therapy. Crit Rev Biomed Eng 41(4–5):343–363 DOI
Louie DR, Eng JJ, Lam T (2015) Gait speed using powered robotic exoskeletons after spinal cord injury: a systematic review and correlational study. J Neuroeng Rehabil 12(1):1–10 DOI
Sandrow-Feinberg HR, Houlé JD (2015) Exercise after spinal cord injury as an agent for neuroprotection, regeneration and rehabilitation. Brain Res 1619:12–21 DOI
Van Hedel HJA, Severini G, Scarton A et al (2018) Advanced Robotic Therapy Integrated Centers (ARTIC): an international collaboration facilitating the application of rehabilitation technologies. J Neuroeng Rehabil 15(1):30 DOI
Van Silfhout L, Hosman AJF, Bartels RHMA et al (2017) Ten meters walking speed in spinal cord-injured patients: does speed predict who walks and who rolls? Neurorehabil Neural Repair 31(9):842–850 DOI
