The Effect of Using Robotic Lower Limb to Improve Endurance in Spinal Cord Injury: Literature Review

Abstract

The incidence of spinal cord injury is 90% due to traumatic causes, with traffic accidents being the leading cause, and falls being the second most common cause. Spinal cord injury occurs due to external physical trauma that damages the spinal cord or non-traumatic due to disease processes. Complications that occur are total or partial loss of locomotor function which can result in decreased endurance. One of the rehabilitation programs to restore endurance and walking function is by using robotic lower limb or exoskeleton robot. The purpose of this study was to explain the effect of using robotic lower limb to increase endurance in spinal cord injury cases. This research is a literature review study in narrative form, where 5 articles were reviewed after searching and selecting four databases. The review found a total of 83 subjects with a diagnosis of spinal cord injury aged 15 -75 years were given intervention using robotic lower limb with a frequency of 5 times per week with a duration of 30 -60 minutes. After the intervention was carried out for 2 -8 weeks, analysis of evaluation data found an increase in the ability to walk distance, and walking speed through assessment with 6MWT and 10MWT, so that it can be concluded that the provision of lower limb robotics is effective in increasing endurance in SCI patients..