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Neurorehabilitation using a voluntary driven exoskeletal robot improves trunk function in patients with chronic spinal cord injury: a single-arm study.
| Content Provider | Europe PMC |
|---|---|
| Author | Okawara, Hiroki Tashiro, Syoichi Sawada, Tomonori Sugai, Keiko Matsubayashi, Kohei Kawakami, Michiyuki Nori, Satoshi Tsuji, Osahiko Nagoshi, Narihito Matsumoto, Morio Nakamura, Masaya |
| Copyright Year | 2022 |
| Abstract | Body weight-supported treadmill training with the voluntary driven exoskeleton (VDE-BWSTT) has been shown to improve the gait function of patients with chronic spinal cord injury. However, little is known whether VDE-BWSTT can effectively improve the trunk function of patients with chronic spinal cord injury. In this open-label, single-arm study, nine patients with chronic spinal cord injury at the cervical or thoracic level (six males and three females, aged 37.8 ± 15.6 years, and time since injury 51.1 ± 31.8 months) who underwent outpatient VDE-BWSTT training program at Keio University Hospital, Japan from September 2017 to March 2019 were included. All patients underwent twenty 60-minute gait training sessions using VDE. Trunk muscular strength, i.e., the maximum force against which patient could maintain a sitting posture without any support, was evaluated in four directions: anterior, posterior, and lateral (right and left) after 10 and 20 training sessions. After intervention, lateral muscular strength significantly improved. In addition, a significant positive correlation was detected between the change in lateral trunk muscular strength after 20 training sessions relative to baseline and gait speed. The change in trunk muscular strength after 20 training sessions relative to baseline was greatly correlated with patient age. This suggests that older adult patients with chronic spinal cord injury achieved a greater improvement in trunk muscle strength following VDE-BWSTT. All these findings suggest that VDE-BWSTT can improve the trunk function of patients with chronic spinal cord injury and the effect might be greater in older adult patients. The study was approved by the Keio University of Medicine Ethics Committee (IRB No. 20150355-3) on September 26, 2017. |
| ISSN | 16735374 |
| Volume Number | 17 |
| PubMed Central reference number | PMC8463976 |
| Issue Number | 2 |
| PubMed reference number | 34269219 |
| Journal | Neural Regeneration Research [Neural Regen Res] |
| e-ISSN | 18767958 |
| DOI | 10.4103/1673-5374.317983 |
| Language | English |
| Publisher | Wolters Kluwer - Medknow |
| Publisher Date | 2022-02-01 |
| Publisher Place | India |
| Access Restriction | Open |
| Rights License | This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. Copyright: © Neural Regeneration Research |
| Subject Keyword | body weight-supported treadmill training gait disorders hybrid assistive limb neurologic neurophysiotherapy postural balance precision medicine robot-assisted gait training robotics spinal cord injury trunk |
| Content Type | Text |
| Resource Type | Article |
| Subject | Developmental Neuroscience Neuroscience |
