Gait in stabilized hemiplegic outpatients in rehabilitation

Buzzelli, S.; Francesco, L. Di; Villani, Salvatore; Giaquinto, Salvatore

doi:10.1080/0963828031000106157

Cited by 9 publications

(2 citation statements)

References 16 publications

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“…Recovery of walking continues to be the primary goal for persons with neurological deficits and a contributing factor to the quality of life [3,4]. Therefore, learning to walk is a major goal during rehabilitation [5,6].…”

Section: Introductionmentioning

confidence: 99%

Walking With a Robotic Exoskeleton Does Not Mimic Natural Gait: A Within-Subjects Study

Swank¹,

Wang-Price²,

Gao³

et al. 2019

JMIR Rehabil Assist Technol

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Background Robotic exoskeleton devices enable individuals with lower extremity weakness to stand up and walk over ground with full weight-bearing and reciprocal gait. Limited information is available on how a robotic exoskeleton affects gait characteristics. Objective The purpose of this study was to examine whether wearing a robotic exoskeleton affects temporospatial parameters, kinematics, and muscle activity during gait. Methods The study was completed by 15 healthy adults (mean age 26.2 [SD 8.3] years; 6 males, 9 females). Each participant performed walking under 2 conditions: with and without wearing a robotic exoskeleton (EKSO). A 10-camera motion analysis system synchronized with 6 force plates and a surface electromyography (EMG) system captured temporospatial and kinematic gait parameters and lower extremity muscle activity. For each condition, data for 5 walking trials were collected and included for analysis. Results Differences were observed between the 2 conditions in temporospatial gait parameters of speed, stride length, and double-limb support time. When wearing EKSO, hip and ankle range of motion (ROM) were reduced and knee ROM increased during the stance phase. However, during the swing phase, knee and ankle ROM were reduced when wearing the exoskeleton bionic suit. When wearing EKSO, EMG activity decreased bilaterally in the stance phase for all muscle groups of the lower extremities and in the swing phase for the distal muscle groups (tibialis anterior and soleus) as well as the left medial hamstrings. Conclusions Wearing EKSO altered temporospatial gait parameters, lower extremity kinematics, and muscle activity during gait in healthy adults. EKSO appears to promote a type of gait that is disparate from normal gait in first-time users. More research is needed to determine the impact on gait training with EKSO in people with gait impairments.

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Section: Introductionmentioning

confidence: 99%

Walking With a Robotic Exoskeleton Does Not Mimic Natural Gait: A Within-Subjects Study

Swank¹,

Wang-Price²,

Gao³

et al. 2019

JMIR Rehabil Assist Technol

View full text Add to dashboard Cite

show abstract

“…Given this disparity of life expectancy and decreased quality of life after SCI [ 4 ], gait training has the opportunity to positively impact the lives of people after SCI. Not surprisingly, recovery of walking is a primary rehabilitation goal for patients and encouraged by therapists [ 5 , 6 ] due to its relationship to quality of life [ 7 , 8 ]. impact on health, psychological profile [ 9 ], and social participation after SCI [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Foundational ingredients of robotic gait training for people with incomplete spinal cord injury during inpatient rehabilitation (FIRST): A randomized controlled trial protocol

et al. 2022

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Introduction As technological advances allow the use of robotic exoskeleton devices with gait training, there is a critical need to establish a robotic gait training (RGT) program to meet the needs of people with spinal cord injury (SCI) during inpatient rehabilitation. The purposes of this study are to prospectively examine the efficacy of a stakeholder informed RGT program compared to usual care gait training (UC) during inpatient rehabilitation in people with incomplete SCI and compare the intensity of RGT and UC gait training during inpatient rehabilitation. Study design 128 patients with incomplete SCI admitted to our inpatient rehabilitation facility will be screened for eligibility and randomized to either the RGT or UC group. RGT sessions will use the Ekso robotic exoskeleton [class II medical device (United States FDA)]. UC sessions will use traditional gait training approaches such as manually assisted overground gait training with walkers and orthotics and body weight–supported treadmill training (BWSTT). Our primary outcome is gait function as characterized by the Walking Index for Spinal Cord Injury–II (WISCI-II). Secondary outcomes are gait speed, Spinal Cord Independence Measure (SCIM), Numeric Pain Rating Scale (NPRS), Fatigue Severity Scale (FSS), Penn Spasm Frequency Scale (PSFS), Patient Health Questionnaire-9 (PHQ-9), General Anxiety Disorder– 7 (GAD-7), International Spinal Cord Injury Quality of Life Basic Data Set, and a Qualitative Questionnaire. Assessments of primary and secondary outcomes will occur at admission and discharge from inpatient rehabilitation. General or generalized linear models will be used to analyze differences between groups for all measures. Clinical impact Successful completion of this study will provide a usable, replicable, stakeholder informed RGT intervention for use with individuals with incomplete SCI during inpatient rehabilitation.

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Locomotor Treadmill Training With Partial Body-Weight Support Before Overground Gait in Adults With Acute Stroke: A Pilot Study

McCain

Pollo

Baum

et al. 2008

Archives of Physical Medicine and Rehabilitation

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Gait in stabilized hemiplegic outpatients in rehabilitation

Abstract: The study shows discrepancies between objective results and subjective feelings. Psychological factors account for the patients' request of long training periods and alleged favourable outcome.

Cited by 9 publications

References 16 publications

Walking With a Robotic Exoskeleton Does Not Mimic Natural Gait: A Within-Subjects Study

Walking With a Robotic Exoskeleton Does Not Mimic Natural Gait: A Within-Subjects Study

Foundational ingredients of robotic gait training for people with incomplete spinal cord injury during inpatient rehabilitation (FIRST): A randomized controlled trial protocol

Locomotor Treadmill Training With Partial Body-Weight Support Before Overground Gait in Adults With Acute Stroke: A Pilot Study

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