Voluntary driven exoskeleton as a new tool for rehabilitation in chronic spinal cord injury: a pilot study

Aach, Mirko; Cruciger, Oliver; Sczesny-Kaiser, Matthias; Höffken, Oliver; Meindl, Renate; Tegenthoff, Martin; Schwenkreis, Peter; Sankai, Yoshiyuki; Schildhauer, Thomas A.

doi:10.1016/j.spinee.2014.03.042

Cited by 196 publications

(176 citation statements)

References 23 publications

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“…Exoskeleton robot, such as Japanese HAL [7], which is shown in Fig.2.(d). So we propose a multi-functional intelligent rehabilitation robot based on bionics design is proposed to simulate the rehabilitation of the therapists, to guide the patients to participate in the training and improve the rehabilitation training effect.…”

Section: (C)mentioning

confidence: 99%

Development of a Novel Multi-Functional Rehabilitation Robot

Wei¹,

Liu²,

Duan³

et al. 2017

Proceedings of the 2nd International Conference on Biomedical and Biological Engineering 2017 (BBE 2017)

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Abstract. With the development of aging society, the number of hemiplegia patients grows rapidly and over 75% of survivors suffering hemiplegia need rehabilitation training. Traditional training methods need one or more physical therapists to server one patient at the same time. In order to reduce the workload of the physical therapist and to improve patient rehabilitation performance, this paper presents a novel multi-functional rehabilitation robot, which can assist hemiplegic patient for stand up/squatting training, Gravity shifting training and Walking training. The robot system consists of two Support manipulator, Screw lift mechanism, Weight balance device and a Treadmill. Different from the existing rehabilitation robot, the design philosophy of the multi-functional support robot is to mimic hand movement of physical therapist. It is flexible to fit in patients with individual differences. The design of the detailed mechanical components is illustrated. The proposed robot system can be used in multi-function exercise for hemiplegic patient.

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Section: (C)mentioning

confidence: 99%

Development of a Novel Multi-Functional Rehabilitation Robot

Wei¹,

Liu²,

Duan³

et al. 2017

Proceedings of the 2nd International Conference on Biomedical and Biological Engineering 2017 (BBE 2017)

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“…The aim of this study was to examine functional outcomes with regard to rehabilitation in patients with chronic SCI, adding valuable prospective clinical data to the limited body of literature. 1,2 In the 55 patients studied, the authors conclude that one can expect approximately a 50% relative improvement in endurance and gait speed, as compared in the same individual without an assistive exoskeleton. Although the study included a limited number and heterogeneous group of patients, the authors should be commended on their efforts in providing one of the largest clinical series to date with current exoskeleton use.…”

mentioning

confidence: 91%

Editorial. The next generation of powered exoskeleton use in spinal cord injury

Ghobrial

Wang

2017

Neurosurgical Focus

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“…These powered exoskeleton devices have been studied in persons with stroke 14,15 , persons with complete and incomplete SCI [16][17][18][19][20][21][22][23][24] , and other persons with disabilities causing reduced control of their lower extremities [25][26][27] . Although the devices differ, each one requires training and practice by the user for safe performance.…”

Section: Introductionmentioning

confidence: 99%

Training Persons with Spinal Cord Injury to Ambulate Using a Powered Exoskeleton

Asselin

Avedissian

Knezevic

et al. 2016

JoVE

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Powered exoskeletons have become available for overground ambulation in persons with paralyses due to spinal cord injury (SCI) who have intact upper extremity function and are able to maintain upright balance using forearm crutches. To ambulate in an exoskeleton, the user must acquire the ability to maintain balance while standing, sitting and appropriate weight shifting with each step. This can be a challenging task for those with deficits in sensation and proprioception in their lower extremities. This manuscript describes screening criteria and a training program developed at the James J. Peters VA Medical Center, Bronx, NY to teach users the skills needed to utilize these devices in institutional, home or community environments. Before training can begin, potential users are screened for appropriate range of motion of the hip, knee and ankle joints. Persons with SCI are at an increased risk of sustaining lower extremity fractures, even with minimal strain or trauma, therefore a bone mineral density assessment is performed to reduce the risk of fracture. Also, as part of screening, a physical examination is performed in order to identify additional health-related contraindications.Once the person has successfully passed all screening requirements, they are cleared to begin the training program. The device is properly adjusted to fit the user. A series of static and dynamic balance tasks are taught and performed by the user before learning to walk. The person is taught to ambulate in various environments ranging from indoor level surfaces to outdoors over uneven or changing surfaces. Once skilled enough to be a candidate for home use with the exoskeleton, the user is then required to designate a companion-walker who will train alongside them. Together, the pair must demonstrate the ability to perform various advanced tasks in order to be permitted to use the exoskeleton in their home/community environment.

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Voluntary driven exoskeleton as a new tool for rehabilitation in chronic spinal cord injury: a pilot study

Cited by 196 publications

References 23 publications

Development of a Novel Multi-Functional Rehabilitation Robot

Development of a Novel Multi-Functional Rehabilitation Robot

Editorial. The next generation of powered exoskeleton use in spinal cord injury

Training Persons with Spinal Cord Injury to Ambulate Using a Powered Exoskeleton

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