Gait rehabilitation in persons with spinal cord injury using innovative technologies: an observational study.
Adult
Combined Modality Therapy
Electric Stimulation Therapy
Exercise Therapy
Exoskeleton Device
Female
Gait Disorders, Neurologic
/ etiology
Humans
Male
Middle Aged
Neurological Rehabilitation
/ methods
Outcome and Process Assessment, Health Care
Prospective Studies
Spinal Cord Injuries
/ complications
Journal
Spinal cord
ISSN: 1476-5624
Titre abrégé: Spinal Cord
Pays: England
ID NLM: 9609749
Informations de publication
Date de publication:
09 2020
09 2020
Historique:
received:
13
06
2019
accepted:
09
03
2020
revised:
04
03
2020
pubmed:
7
4
2020
medline:
29
6
2021
entrez:
7
4
2020
Statut:
ppublish
Résumé
Prospective, quasi-experimental study, pre- and post-design, single arm study. Investigate whether persons affected by SCI can safely experience walking function using Robotic Exoskeletons and Functional Electrical Stimulation (FES). Inpatient METHODS: 52 persons with SCI were recruited (36 completed the protocol) and assigned to one of two groups based on their Lower Limb Motor Scores (LEMS): Group A: LEMS ≥ 10 and Group B: LEMS < 10. Participants in Group A (n = 19) underwent 20 sessions of Robot-Assisted Gait Training (RAGT) on a treadmill followed by 20 sessions of FES during Overground Gait (FES-OG). Participants in Group B (n = 17) received 20 sessions of FES-cycling followed by 20 sessions of overground RAGT. The main outcome measures were: WISCI-II, 10MWT, 6MWT, TUG and SCIM-II. 36 persons completed the study with no complications; only 4 of the 16 dropped out because of mild complications during the RAGT. Participants in Group A exhibited significant improvements in WISCI-II, 10MWT, 6MWT and TUG (p < 0.05), while those in Group B did not significantly improve their gait function but their walking velocity and resistance with the assistance of the robotic exoskeleton increased. SCIM-II scores increased followed therapy only in Group A. Persons affected by SCI can safely experience their walking function with RAGT and FES therapy; only few mild complications were observed. Our data provides initial evidence of the potential value of these technologies, especially in persons with SCI having LEMS > 10.
Identifiants
pubmed: 32251368
doi: 10.1038/s41393-020-0454-2
pii: 10.1038/s41393-020-0454-2
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
988-997Subventions
Organisme : Ministero della Salute (Ministry of Health, Italy)
ID : RF-2011-02346770
Pays : International
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