The Cardiorespiratory Demands of Treadmill Walking with and without the Use of Ekso GT™ within Able-Bodied Participants: A Feasibility Study

Duddy, Damien; Doherty, Rónán; Connolly, James; Loughrey, Johnny; Condell, Joan; Hassan, David; Faulkner, Maria

doi:10.3390/ijerph19106176

Cited by 4 publications

(3 citation statements)

References 60 publications

(112 reference statements)

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“…These exoskeletons are meticulously designed to provide individuals with paraplegia or tetraplegia the opportunity to regain mobility. Through a complex system of sensors and actuators, the Ekso GT assists patients in achieving controlled, weight-bearing steps, thus promoting muscle activation and enhancing lower extremity strength [15].…”

Section: Integrating Technology In Orthopedic Physiotherapymentioning

confidence: 99%

Orthopedic Applications: Advancing Physiotherapy in Musculoskeletal Health

Sai Sadineni

2024

Physical Therapy - Towards Evidence-Based Practice

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Orthopedic physiotherapy is pivotal in musculoskeletal healthcare, addressing diverse musculoskeletal system conditions. This article provides a comprehensive overview of orthopedic physiotherapy, covering historical evolution, evidence-based principles, diagnostic assessments, therapeutic modalities, exercise prescriptions, post-operative considerations, specialized interventions, technological integration, and patient education. It emphasizes the criticality of evidence-based practice, diagnostic precision, and tailored rehabilitation regimens in achieving optimal patient outcomes. Integrating technology, including advanced imaging modalities and wearable devices, enhances diagnostics, treatment planning, and patient engagement. Patient education and self-management strategies empower individuals to participate in their rehabilitation journey actively. This article underscores the evolving landscape of orthopedic physiotherapy, with ongoing collaboration between clinicians, researchers, and technology reshaping musculoskeletal healthcare.

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Section: Integrating Technology In Orthopedic Physiotherapymentioning

confidence: 99%

Orthopedic Applications: Advancing Physiotherapy in Musculoskeletal Health

Sai Sadineni

2024

Physical Therapy - Towards Evidence-Based Practice

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“…There are two groups of exoskeletons: assistive exoskeletons and rehabilitation exoskeletons. A rehabilitation exoskeleton is a device that provides support for the patient's total body weight [29]. It is an equally promising, safe and well-tolerated method of therapy for patients with neurological disorders, including post-spinal-cord-injury (SCI) patients [30][31][32][33].…”

Section: Introductionmentioning

confidence: 99%

Impact of Robotic-Assisted Gait Therapy on Depression and Anxiety Symptoms in Patients with Subacute Spinal Cord Injuries (SCIs)—A Prospective Clinical Study

Widuch-Spodyniuk,

Tarnacka,

Korczyński

et al. 2023

JCM

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Background: Mood disorders, especially depression, and emotional difficulties such as anxiety are very common problems among patients with spinal cord injuries (SCIs). The lack of physical training may deteriorate their mental state, which, in turn, has a significant impact on their improvement in functioning. The aim of the present study was to examine the influence of innovative rehabilitation approaches involving robotic-assisted gait therapy (RAGT) on the depression and anxiety symptoms in patients with SCI. Methods: A total of 110 participants with subacute SCIs were enrolled in this single-center, single-blinded, single-arm, prospective study; patients were divided into experimental (robotic-assisted gait therapy (RAGT)) and control (conventional gait therapy with dynamic parapodium (DPT)) groups. They received five training sessions per week over 7 weeks. At the beginning and end of therapy, the severity of depression was assessed via the Depression Assessment Questionnaire (KPD), and that of anxiety symptoms was assessed via the State–Trait Anxiety Inventory (STAI X-1). Results: SCI patients in both groups experienced significantly lower levels of anxiety- and depression-related symptoms after completing the seven-week rehabilitation program (KPD: Z = 6.35, p < 0.001, r = 0.43; STAI X-1: Z = −6.20, p < 0.001, r = 0.42). In the RAGT group, post-rehabilitation measurements also indicated an improvement in psychological functioning (i.e., decreases in depression and anxiety and an increase in self-regulation (SR)). Significant results were noted for each variable (STAI X-1: Z = −4.93; KPD: Z = −5.26; SR: Z = −3.21). In the control group, there were also decreases in the effects on depression and state anxiety and an increase in self-regulation ability (STAI X-1: Z = −4.01; KPD: Z = −3.65; SR: Z = −2.83). The rehabilitation modality did not appear to have a statistically significant relationship with the magnitude of improvement in the Depression Assessment Questionnaire (KPD) (including self-regulation) and State–Trait Anxiety Inventory (STAI) scores. However, there were some significant differences when comparing the groups by the extent and depth of the injury and type of paralysis. Moreover, the study did not find any significant relationships between improvements in physical aspects and changes in psychological factors. Conclusions: Subjects in the robotic-assisted gait therapy (RAGD) and dynamic parapodium training (DPT) groups experienced decreases in anxiety and depression after a 7-week rehabilitation program. However, the rehabilitation modality (DPT vs. RAGT) did not differentiate between the patients with spinal cord injuries in terms of the magnitude of this change. Our results suggest that individuals with severe neurological conditions and complete spinal cord injuries (AIS A, according to the Abbreviated Injury Scale classification) may experience greater benefits in terms of changes in the psychological parameters after rehabilitation with RAGT.

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“…There are two groups of exoskeletons: assistive exoskeletons and rehabilitation exoskeletons. A rehabilitation exoskeleton is a device that provides support for the patientʹs total body weight [26]. It is an equally promising, safe and welltolerated method of therapy for patients with neurological disorders including post SCI patients [27][28][29][30].…”

Section: Introductionmentioning

confidence: 99%

Impact of Robotic Assisted Gait Therapy on Depression and Anxiety Symptoms in Subacute Spinal Cord Injury (SCI)—A Prospective Clinical Study

Widuch-Spodyniuk,

Tarnacka,

Korczyński

et al. 2023

Preprint

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Background: Mood disorders, especially depression, and emotional difficulties such as anxiety are very common problems among patients with spinal cord injury (SCI). The loss of physical training may deteriorate their mental state, which in turn has a significant impact on the improvement of functioning. The aim of the present study was to examine the influence of innovative rehabilitation approaches involving robotic assisted gait therapy (RAGT) on mood and anxiety symptoms in pa-tients with SCI. Methods: To this single-centre, single-blinded, single-arm, prospective study, 110 participants with subacute SCI were enrolled; patients were divided into experimental (robotic assisted gait therapy -RAGT) and control (conventional gait therapy with dynamic parapodium - DPT) groups. They received five training sessions per week over 7- weeks. The severity of de-pression was assessed by Depression Assessment Questionnaire (KPD) and anxiety symptoms by State - Trait Anxiety Inventory (STAI X-1) on the beginning and end of therapy. Results: SCI patients experienced significantly lower levels of anxiety and depression-related symptoms after completing the seven-week rehabilitation program (KPD: Z=6.35; p<0.001; r=0.43; STAI X-1: Z=-6.20; p<0.001; r=0.42) in both group of patients. In the RAGT group, post-rehabilitation measurements also indicated an improvement in psychological functioning, i.e., a decrease in depression and anxiety, and an increase in self-regulation. Significant results were noted for each variable (STAI X-1: Z = -4.93; KPD: Z = -5.26; SR: Z = -3.21). In the control group, there was also a decrease in the effect on the depression, anxiety-state and an increase in self-regulation ability (STAI X-1: Z=-4.01; KPD: Z=-3.65; SR: Z=-2.83). Rehabilitation modality did not appear to have a statistically significant relationship with the magnitude of improvement in KPD (including SR) and STAI scores. However, there were some significant differences when comparing the groups by extent and depth of injury and type of paralysis. The study also did not find a significant rela-tionship between improvements in physical aspects and changes in psychological factors. Conclusion: Subjects in RAGD and DPT groups experienced a decrease in anxiety and depres-sion after a 7-week rehabilitation program. However, the rehabilitation modality (DPT vs. RAGT) did not differentiate patients with SCI in terms of the magnitude of this change. Our results may suggest that individuals with severe neurological condition and complete spinal cord injury (AIS A) may experience more benefit in terms of change in psychological parameters after rehabilitation with RAGT.

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The Cardiorespiratory Demands of Treadmill Walking with and without the Use of Ekso GT™ within Able-Bodied Participants: A Feasibility Study

Cited by 4 publications

References 60 publications

Orthopedic Applications: Advancing Physiotherapy in Musculoskeletal Health

Orthopedic Applications: Advancing Physiotherapy in Musculoskeletal Health

Impact of Robotic-Assisted Gait Therapy on Depression and Anxiety Symptoms in Patients with Subacute Spinal Cord Injuries (SCIs)—A Prospective Clinical Study

Impact of Robotic Assisted Gait Therapy on Depression and Anxiety Symptoms in Subacute Spinal Cord Injury (SCI)—A Prospective Clinical Study

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