Gait training after spinal cord injury: safety, feasibility and gait function following 8 weeks of training with the exoskeletons from ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-11-06

AUTHORS

Carsten Bach Baunsgaard, Ulla Vig Nissen, Anne Katrin Brust, Angela Frotzler, Cornelia Ribeill, Yorck-Bernhard Kalke, Natacha León, Belén Gómez, Kersti Samuelsson, Wolfram Antepohl, Ulrika Holmström, Niklas Marklund, Thomas Glott, Arve Opheim, Jesus Benito, Narda Murillo, Janneke Nachtegaal, Willemijn Faber, Fin Biering-Sørensen

ABSTRACT

Study designProspective quasi-experimental study, pre- and post-design.ObjectivesAssess safety, feasibility, training characteristics and changes in gait function for persons with spinal cord injury (SCI) using the robotic exoskeletons from Ekso Bionics.SettingNine European rehabilitation centres.MethodsRobotic exoskeleton gait training, three times weekly over 8 weeks. Time upright, time walking and steps in the device (training characteristics) were recorded longitudinally. Gait and neurological function were measured by 10 Metre Walk Test (10 MWT), Timed Up and Go (TUG), Berg Balance Scale (BBS), Walking Index for Spinal Cord Injury (WISCI) II and Lower Extremity Motor Score (LEMS).ResultsFifty-two participants completed the training protocol. Median age: 35.8 years (IQR 27.5–52.5), men/women: N = 36/16, neurological level of injury: C1-L2 and severity: AIS A–D (American Spinal Injury Association Impairment Scale). Time since injury (TSI) < 1 year, N = 25; > 1 year, N = 27.No serious adverse events occurred. Three participants dropped out following ankle swelling (overuse injury). Four participants sustained a Category II pressure ulcer at contact points with the device but completed the study and skin normalized. Training characteristics increased significantly for all subgroups. The number of participants with TSI < 1 year and gait function increased from 20 to 56% (P = 0.004) and 10MWT, TUG, BBS and LEMS results improved (P < 0.05). The number of participants with TSI > 1 year and gait function, increased from 41 to 44% and TUG and BBS results improved (P < 0.05).ConclusionsExoskeleton training was generally safe and feasible in a heterogeneous sample of persons with SCI. Results indicate potential benefits on gait function and balance. More... »

PAGES

106-116

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/s41393-017-0013-7

DOI

http://dx.doi.org/10.1038/s41393-017-0013-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1092462771

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29105657


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383 grid-institutes:grid.491255.e schema:alternateName Heliomare Rehabilitation Center, Wijk aan Zee, The Netherlands
384 schema:name Heliomare Rehabilitation Center, Wijk aan Zee, The Netherlands
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386 grid-institutes:grid.5254.6 schema:alternateName Clinic for Spinal Cord Injuries, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
387 schema:name Clinic for Spinal Cord Injuries, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
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389 grid-institutes:grid.5640.7 schema:alternateName Department of Rehabilitation Medicine and Department of Medical and Health Sciences, Linköping University, Linköping, Sweden
390 schema:name Department of Rehabilitation Medicine and Department of Medical and Health Sciences, Linköping University, Linköping, Sweden
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392 grid-institutes:grid.6582.9 schema:alternateName SCI Centre Orthopaedic Department Ulm University, Ulm, Germany
393 schema:name SCI Centre Orthopaedic Department Ulm University, Ulm, Germany
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395 grid-institutes:grid.8761.8 schema:alternateName Rehabilitation Medicine, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
396 schema:name Rehabilitation Medicine, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
397 Sunnaas Rehabilitation Hospital, Nesoddtangen, Norway
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