Effects of a wearable exoskeleton stride management assist system (SMA®) on spatiotemporal gait characteristics in individuals after stroke: a randomized controlled trial.
Carolyn Buesing,Gabriela Fisch,Megan O’Donnell,Ida Shahidi,Lauren Thomas,Chaithanya K. Mummidisetty,Kenton J. Williams,Hideaki Takahashi,William Z. Rymer,Arun Jayaraman +9 more
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TLDR
SMA and FTST interventions provided similar, significant improvements in spatiotemporal gait parameters; however, the SMA group showed additional improvements across more parameters at various time points.Abstract:
Robots offer an alternative, potentially advantageous method of providing repetitive, high-dosage, and high-intensity training to address the gait impairments caused by stroke. In this study, we compared the effects of the Stride Management Assist (SMA®) System, a new wearable robotic device developed by Honda RD except for SMA group, step length on the impaired side increased significantly during self-selected walking speed trials and spatial asymmetry decreased significantly during fast-velocity walking trials. SMA and FTST interventions provided similar, significant improvements in spatiotemporal gait parameters; however, the SMA group showed additional improvements across more parameters at various time points. These results indicate that the SMA® device could be a useful therapeutic tool to improve spatiotemporal parameters and contribute to improved functional mobility in stroke survivors. Further research is needed to determine the feasibility of using this device in a home setting vs a clinic setting, and whether such home use provides continued benefits. This study is registered under the title “Development of walk assist device to improve community ambulation” and can be located in clinicaltrials.gov with the study identifier: NCT01994395
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State of the Art and Future Directions for Lower Limb Robotic Exoskeletons
Aaron J. Young,Daniel P. Ferris +1 more
TL;DR: Current lower limb robotic exoskeletons are described, with specific regard to common trends in the field, and a number of emerging technologies could deliver substantial advantages to existing and future exoskeleton designs.
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Electromechanical‐assisted training for walking after stroke
TL;DR: People who receive electromechanical-assisted gait training in combination with physiotherapy after stroke are more likely to achieve independent walking than people who receive gaitTraining without these devices.
Journal ArticleDOI
Powered robotic exoskeletons in post-stroke rehabilitation of gait: a scoping review
TL;DR: Clinical trials demonstrate that powered robotic exoskeletons can be used safely as a gait training intervention for stroke and suggest that sub-acute patients may experience added benefit from exoskeleton-based gaitTraining.
Journal ArticleDOI
Clinical Practice Guideline to Improve Locomotor Function Following Chronic Stroke, Incomplete Spinal Cord Injury, and Brain Injury.
T. George Hornby,Darcy S. Reisman,Irene G Ward,Patricia L. Scheets,Allison Miller,David Haddad,Emily J. Fox,Nora E. Fritz,Kelly A Hawkins,Christopher E. Henderson,Kathryn L Hendron,Carey L. Holleran,James E Lynskey,Amber Walter +13 more
TL;DR: The present clinical practice guideline suggests that task-specific walking training should be performed to improve walking speed and distance in those with acute-onset CNS injury although only at higher intensities or with augmented feedback.
Journal ArticleDOI
Systematic review on wearable lower-limb exoskeletons for gait training in neuromuscular impairments.
TL;DR: Wearable lower-limb exoskeletons for gait rehabilitation are still in their early stages of development and randomized control trials are needed to demonstrate their clinical efficacy, and evidence supporting their benefits is still limited to short-intervention trials with few participants and diversity among their clinical protocols.
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