Walking with a powered robotic exoskeleton: Subjective experience, spasticity and pain in spinal cord injured persons

Stampacchia, G.; Rustici, A.; Bigazzi, Samuele; Gerini, Adriana; Tombini, T.; Mazzoleni, Stefano

doi:10.3233/nre-161358

Cited by 73 publications

(103 citation statements)

References 25 publications

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“…Exoskeletons have shown to potentially improve ambulatory capacity after a SCI, is safe in usage and is well tolerated by patients [45,49]. A significant disadvantage of the current exoskeletons is the relatively low mean walking speed of 0.26 m/s [52].…”

Section: Discussionmentioning

confidence: 99%

“…Patients with spasticity have shown to experience a reduction in spasticity after training sessions with an exoskeleton [46,49]. An explanation for this could be that the activation of neuronal circuits involved in walking is able to reduce the non-physiological hyperactivation present in spasticity after a SCI [49].…”

Section: Exoskeletonsmentioning

confidence: 99%

“…An explanation for this could be that the activation of neuronal circuits involved in walking is able to reduce the non-physiological hyperactivation present in spasticity after a SCI [49].…”

Section: Exoskeletonsmentioning

confidence: 99%

“…Multiple studies have shown that use of an exoskeleton is generally well tolerated, with no increase in pain and a moderate level of fatigue after use [45,49].…”

Section: Exoskeletonsmentioning

confidence: 99%

See 3 more Smart Citations

The Ability to Walk After a Spinal Cord Injury with Emphasis on Exoskeletons: A Review

L¹,

Edwards²,

Hosman³

et al. 2017

J Spine

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Background: In recent years, an increasing number of patients with a spinal cord injury (SCI) have been reintegrating into community life and have been getting back to a more active and independent lifestyle. Consequently, rehabilitation therapies have altered, to address activity limitations that patients may experience, to increase participation in the community and to improve patients' overall quality of life. An innovative, supportive approach to locomotor training is through use of an exoskeleton, which could be used in those patients who are unable to ambulate by themselves.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Exoskeletonsmentioning

confidence: 99%

Section: Exoskeletonsmentioning

confidence: 99%

“…Multiple studies have shown that use of an exoskeleton is generally well tolerated, with no increase in pain and a moderate level of fatigue after use [45,49].…”

Section: Exoskeletonsmentioning

confidence: 99%

See 2 more Smart Citations

The Ability to Walk After a Spinal Cord Injury with Emphasis on Exoskeletons: A Review

L¹,

Edwards²,

Hosman³

et al. 2017

J Spine

View full text Add to dashboard Cite

show abstract

“…Repetitive and intensive task-specific training drives beneficial neuroplasticity, thus enhancing functional recovery [56]. Therefore, exoskeletons for motor rehabilitation purposes have emerged in the last decade as a convenient technology that allow multiple, intensive, and more effective sessions of gait training, allowing SCI patients to ameliorate their performance in daily life [56]. Moreover, a study reported that spasticity and pain intensity of SCI patients decreased after one single session of walking assisted by a powered robotic exoskeleton [56].…”

Section: Exoskeletons and Hybrid Exoskeletonsmentioning

confidence: 99%

Noninvasive Modalities Used in Spinal Cord Injury Rehabilitation

Barroso¹,

Pascual-Valdunciel²,

Torricelli³

et al. 2019

Spinal Cord Injury Therapy [Working Title]

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In the past three decades, research on plasticity after spinal cord injury (SCI) has led to a gradual shift in SCI rehabilitation: the former focus on learning compensatory strategies changed to functional neurorecovery, that is, promoting restoration of function through the use of affected limbs. This paradigm shift contributed to the development of technology-based interventions aiming to promote neurorecovery through repetitive training. This chapter presents an overview of a range of noninvasive modalities that have been used in rehabilitation after SCI. Among others, we present repetitive transcranial magnetic stimulation (rTMS), transcranial direct current stimulation (tDCS), surface electrical stimulation tools such as transcutaneous electrical spinal cord stimulation (tcSCS), transcutaneous electrical nerve stimulation (TENS), and functional electrical stimulation (FES), as well as its integration with cycling training and assistive robotic devices. The most recent results attained and the potential relevance of these new techniques to strengthen the efficacy of the residual neuronal pathways and improve spasticity are also presented. Future efforts toward the widespread clinical application of these modalities include more advances in the technology, together with the knowledge obtained from basic research and clinical trials. This can ultimately lead to novel customized interventions that meet specific needs of SCI patients.

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Assessment of Robotic Devices for Gait Assistance and Rehabilitation

Aycardi¹,

Ballén-Moreno²,

Pinto-Fernández³

et al. 2021

Interfacing Humans and Robots for Gait Assistance and Rehabilitation

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Walking with a powered robotic exoskeleton: Subjective experience, spasticity and pain in spinal cord injured persons

Abstract: The overground robot-assisted walking is well accepted by SCI persons and has positive effects in terms of spasticity and pain reduction.

Cited by 73 publications

References 25 publications

The Ability to Walk After a Spinal Cord Injury with Emphasis on Exoskeletons: A Review

The Ability to Walk After a Spinal Cord Injury with Emphasis on Exoskeletons: A Review

Noninvasive Modalities Used in Spinal Cord Injury Rehabilitation

Assessment of Robotic Devices for Gait Assistance and Rehabilitation

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