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- Title
Improved Gait Speed After Robot-Assisted Gait Training in Patients With Motor Incomplete Spinal Cord Injury: A Preliminary Study.
- Authors
Seungwon Hwang; Hye-Ri Kim; Zee-A Han; Bum-Suk Lee; Soojeong Kim; Hyunsoo Shin; Jae-Gun Moon; Sung-Phil Yang; Mun-Hee Lim; Duk-Youn Cho; Hayeon Kim; Hye-Jin Lee
- Abstract
Objective To evaluate the clinical features that could serve as predictive factors for improvement in gait speed after robotic treatment. Methods A total of 29 patients with motor incomplete spinal cord injury received 4-week robot-assisted gait training (RAGT) on the Lokomat (Hocoma AG, Volketswil, Switzerland) for 30 minutes, once a day, 5 times a week, for a total of 20 sessions. All subjects were evaluated for general characteristics, the 10-Meter Walk Test (10MWT), the Lower Extremity Motor Score (LEMS), the Functional Ambulatory Category (FAC), the Walking Index for Spinal Cord Injury version II (WISCI-II), the Berg Balance Scale (BBS), and the Spinal Cord Independence Measure version III (SCIM-III) every 0, and 4 weeks. After all the interventions, subjects were stratified using the 10MWT score at 4 weeks into improved group and non-improved group for statistical analysis. Results The improved group had younger age and shorter disease duration than the non-improved group. All subjects with the American Spinal Injury Association Impairment Scale level C (AIS-C) tetraplegia belonged to the non-improved group, while most subjects with AIS-C paraplegia, AIS-D tetraplegia, and AIS-D paraplegia belonged to the improved group. The improved group showed greater baseline lower extremity strength, balance, and daily living function than the non-improved group. Conclusion Assessment of SCIM-III, BBS, and trunk control, in addition to LEMS, have potential for predicting the effects of robotic treatment in patients with motor incomplete spinal cord injury.
- Subjects
THERAPEUTICS; SPINAL cord injuries; GAIT in humans; MEDICAL robotics; HUMAN locomotion; CLINICAL trials
- Publication
Annals of Rehabilitation Medicine, 2017, Vol 41, Issue 1, p34
- ISSN
2234-0645
- Publication type
Article
- DOI
10.5535/arm.2017.41.1.34