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Gait Recovery in Spinal Cord Injury: A Systematic Review with Metanalysis Involving New Rehabilitative Technologies.
| Content Provider | Europe PMC |
|---|---|
| Author | La Rosa, Giuseppe Avola, Marianna Di Gregorio, Tiziana Calabrò, Rocco Salvatore Onesta, Maria Pia |
| Editor | Gaviria, Manuel |
| Copyright Year | 2023 |
| Abstract | Gait recovery is a fundamental goal in patients with spinal cord injury to attain greater autonomy and quality of life. Robotics is becoming a valid tool in improving motor, balance, and gait function in this patient population. Moreover, other innovative approaches are leading to promising results. The aim of this study was to investigate new rehabilitative methods for gait recovery in people who have suffered spinal cord injuries. A systematic review of the last 10 years of the literature was performed in three databases (PubMed, PEDro, andCochrane). We followed this PICO of the review: P: adults with non-progressive spinal cord injury; I: new rehabilitative methods; C: new methods vs. conventional methods; and O: improvement of gait parameters. When feasible, a comparison through ES forest plots was performed. A total of 18 RCTs of the 599 results obtained were included. The studies investigated robotic rehabilitation (n = 10), intermittent hypoxia (N = 3) and external stimulation (N = 5). Six studies of the first group (robotic rehabilitation) were compared using a forest plot for 10MWT, LEMS, WISCI-II, and SCIM-3. The other clinical trials were analyzed through a narrative review of the results. We found weak evidence for the claim that robotic devices lead to better outcomes in gait independence compared to conventional rehabilitation methods. External stimulation and intermittent hypoxia seem to improve gait parameters associated with other rehabilitation methods. Research investigating the role of innovative technologies in improving gait and balance is needed since walking ability is a fundamental issue in patients with SCI. |
| Journal | Brain Sciences |
| Volume Number | 13 |
| PubMed Central reference number | PMC10216369 |
| Issue Number | 5 |
| PubMed reference number | 37239175 |
| e-ISSN | 20763425 |
| DOI | 10.3390/brainsci13050703 |
| Language | English |
| Publisher | MDPI |
| Publisher Date | 2023-04-22 |
| Access Restriction | Open |
| Rights License | Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). © 2023 by the authors. |
| Subject Keyword | gait recovery spinal cord injury robotic rehabilitation intermittent hypoxia transcranial magnetic stimulation transcranial direct current stimulation |
| Content Type | Text |
| Resource Type | Article |
| Subject | Neuroscience |
