Review
Neurosciences
Yury Ivanenko, Elena Y. Shapkova, Daria A. Petrova, Daria F. Kleeva, Mikhail A. Lebedev
Summary: Neuromodulation through spinal cord electrical stimulation (SCES) is effective in restoring function, but its effectiveness can be enhanced by combining it with exoskeleton gait training (EGT) that promotes activity-dependent plasticity. Assessing individual characteristics of spinal cord function is important for developing personalized SCES and EGT therapies. Combining SCES and EGT can have a synergistic rehabilitative effect on restoring multiple functions in paralyzed individuals.
FRONTIERS IN HUMAN NEUROSCIENCE
(2023)
Article
Medicine, General & Internal
Hyeon Seong Kim, Jae Hyeon Park, Ho Seok Lee, Jae Young Lee, Ji Won Jung, Si Bog Park, Dong Jin Hyun, Sangin Park, JuYoung Yoon, Hyunseop Lim, Yun Young Choi, Mi Jung Kim
Summary: The study demonstrated that the newly developed wearable exoskeleton, H-MEX, is safe and feasible for non-ambulatory SCI patients, and may have potential to improve quality of life by assisting bipedal ambulation. These results suggest that the H-MEX can be considered a beneficial device for chronic non-ambulatory SCI patients.
JOURNAL OF KOREAN MEDICAL SCIENCE
(2021)
Article
Chemistry, Analytical
Seung Ki Kim, Dongho Park, Beomki Yoo, Dain Shim, Joong-On Choi, Tae Young Choi, Eun Sook Park
Summary: The study evaluated the effects of overground robot-assisted gait training using an untethered torque-assisted exoskeletal wearable robot in children with CP. Results showed improvements in gross motor function, walking speed, gait endurance, and gait efficiency after the training. The training was safe and feasible even for children with severe motor impairment.
Review
Neurosciences
Luo Bin, Xiaoping Wang, Hu Jiatong, Fan Donghua, Wang Qiang, Shen Yingchao, Miao Yiming, Ma Yong
Summary: Robot-assisted gait training may be helpful in improving functional abilities and TUG (Timed Up and Go test) in patients with spinal cord injuries. However, its impact on gait distance, gait speed, leg strength, 10 MWT, and 6 MWT may be limited.
FRONTIERS IN NEUROSCIENCE
(2023)
Article
Medicine, General & Internal
Seo Jung Yun, Hyun Haeng Lee, Woo Hyung Lee, Seung Hak Lee, Byung-Mo Oh, Han Gil Seo
Summary: This study investigated the effect of robot-assisted gait training (RAGT) on gait automaticity, speed, and balance in patients with Parkinson's disease (PD). While improvements were seen in walking speed and balance, gait automaticity did not improve with RAGT using an exoskeleton-type robot. Additional therapeutic components may be needed to enhance gait automaticity in PD patients.
Review
Medicine, General & Internal
Dewa Putu Wisnu Wardhana, Sri Maliawan, Tjokorda Gde Bagus Mahadewa, Rohadi Muhammad Rosyidi, Sinta Wiranata
Summary: This study investigates the impact of machine learning and robot-assisted gait training on the outcome results of spinal cord injury. The results show that these techniques have a positive effect on improving the prognosis and reducing spasticity in SCI patients.
JOURNAL OF CLINICAL MEDICINE
(2023)
Review
Rehabilitation
Ying-Hui Zhu, Ming Ruan, Rui-Sheng Yun, Ying-Xi Zhong, Yu-Xin Zhang, Yong-Jun Wang, Yue-Li Sun, Jia-Wen Cui
Summary: The aim of this study was to systematically review the effects of leg-driven treadmill-based exoskeleton robot training on balance and walking ability in poststroke patients. The review found that leg-driven exoskeleton robot training can improve balance function in poststroke patients, especially for those with an onset of greater than 6 months. However, there is no evidence to support its efficacy in improving walking ability.
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
(2023)
Article
Medicine, General & Internal
Seung-Yeol Lee, Cheong-Hoon Seo, Yoon-Soo Cho, So-Young Joo
Summary: This study evaluated the effect of robot-assisted gait training (RAGT) in burn patients with spinal cord injuries caused by electrical trauma. After 12 weeks of training, improvements in lower extremity muscle strength, joint range of motion, and gait performance were observed in the patients.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Rehabilitation
Ramzi A. Alajam, Abdulfattah S. Alqahtanti, Jason Frederick, Wen Liu
Summary: The study examines the feasibility of an 8-week walking training program using a novel assistive gait training device in individuals with chronic spinal cord injury. The participants showed positive perception towards the training program and the assistive gait training, and demonstrated progress in their walking performance.
DISABILITY AND REHABILITATION-ASSISTIVE TECHNOLOGY
(2022)
Article
Engineering, Biomedical
Daniel Pinto, Allen W. Heinemann, Shuo-Hsiu Chang, Susan Charlifue, Edelle C. Field-Fote, Catherine L. Furbish, Arun Jayaraman, Candace Tefertiller, Heather B. Taylor, Dustin D. French
Summary: This study aimed to estimate the cost-effectiveness of locomotor training strategies following spinal cord injury (SCI) by injury status (complete versus incomplete). The results showed that conventional training was more cost-effective than overground robotic training for patients with incomplete SCI, while overground robotic training was more cost-effective than conventional training for patients with complete SCI.
JOURNAL OF NEUROENGINEERING AND REHABILITATION
(2023)
Article
Rehabilitation
Mauricio Garnier-Villarreal, Daniel Pinto, Chaithanya K. Mummidisetty, Arun Jayaraman, Candy Tefertiller, Susan Charlifue, Heather B. Taylor, Shuo-Hsiu Chang, Nicholas McCombs, Catherine L. Furbish, Edelle C. Field-Fote, Allen W. Heinemann
Summary: This observational study aimed to characterize individuals with spinal cord injuries (SCI) using outpatient physical therapy or community wellness services for locomotor training. The study found that the duration of services for the conventional therapy group was longer than for the robotic exoskeleton group, but each visit was shorter in total time. Men had a longer duration of services than women.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Medicine, General & Internal
Alexander Echemendia del Valle, Juan Enrique Bender del Busto, Armando Sentmanat Belison, Juan Nicolas Cuenca-Zaldivar, Oliver Martinez-Pozas, Pedro Martinez-Lozano, Samuel Fernandez-Carnero, Norberto Valcarcel Izquierdo, Eleuterio A. Sanchez-Romero
Summary: Spinal cord injury is a pathological process that affects the spinal cord and can alter motor, sensory, and autonomic function. This study evaluated the effect of a gait training program on patients with spinal cord injuries and found that it produced significant improvements regardless of the level of injury, sex, or functional class.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Automation & Control Systems
Du-Xin Liu, Jing Xu, Chunjie Chen, Xingguo Long, Dacheng Tao, Xinyu Wu
Summary: In this article, a vision-assisted autonomous lower-limb exoskeleton robot (VALOR) is developed to improve adaptability to complex walking environments. Through environmental information acquisition and autonomous decision-making, the robot can significantly enhance its adaptability. The feasibility of the proposed method is verified in a controlled indoor environment.
IEEE TRANSACTIONS ON SYSTEMS MAN CYBERNETICS-SYSTEMS
(2021)
Article
Rehabilitation
Alison M. M. Williams, Emily Deegan, Matthias Walter, Lynn Stothers, Tania Lam
Summary: The primary aim of the study was to determine the feasibility of delivering an exoskeleton-assisted walking intervention targeting lower urinary tract function in people with motor-complete spinal cord injury. Results showed greater pelvic floor muscle activity in the Ekso group, but no clear changes in lower urinary tract function were observed in either group.
JOURNAL OF REHABILITATION MEDICINE
(2021)
Review
Neurosciences
Chaoyang Zhang, Ning Li, Xiali Xue, Xia Lu, Danjie Li, Qiaomei Hong
Summary: This study aimed to evaluate the walking efficiency of lower limb exoskeleton gait orthosis and mechanical gait orthosis in patients with spinal cord injury. The results showed that both types of orthosis had positive effects on improving gait outcomes in patients. However, due to the diversity of study designs and methodologies, meta-analysis was not possible, and more high-quality studies are needed to confirm the findings.
Article
Clinical Neurology
Chih-Hsiu Cheng, Andy Chien, Wei-Li Hsu, Dar-Ming Lai, Shwn-Fen Wang, Jaw-Lin Wang
EUROPEAN SPINE JOURNAL
(2016)
Article
Neurosciences
Wen-Chieh Yang, Wei-Li Hsu, Ruey-Meei Wu, Tung-Wu Lu, Kwan-Hwa Lin
Article
Multidisciplinary Sciences
Hui-Fen Mao, Ling-Hui Chang, Athena Yi-Jung Tsai, Wen-Ni Huang, Jye Wang
Article
Rehabilitation
Hui-Fen Mao, Hsing-Po Huang, Tung-Wu Lu, Ting-Ming Wang, Cheng-Hua Wu, Jwu-Sheng Hu
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2018)
Article
Geriatrics & Gerontology
Sai-Hung Tang, Oi-I Chio, Ling-Hui Chang, Hui-Fen Mao, Li-Hua Chen, Ping-Keung Yip, Jen-Ping Hwang
GERIATRICS & GERONTOLOGY INTERNATIONAL
(2018)
Article
Multidisciplinary Sciences
Fiona Pei-Chi Su, Ling-Hui Chang, Hui-Fen Mao, Eric J. Hwang
Article
Multidisciplinary Sciences
Jo-En Chien, Wei-Li Hsu
SCIENTIFIC REPORTS
(2018)
Article
Clinical Neurology
Wei-Jin Wong, Dar-Ming Lai, Shwu-Fen Wang, Jaw-Lin Wang, Wei-Li Hsu
Article
Engineering, Biomedical
Iu-Shiuan Lin, Dar-Ming Lai, Jian-Jiun Ding, Andy Chien, Chih-Hsiu Cheng, Shwu-Fen Wang, Jaw-Lin Wang, Chi-Lin Kuo, Wei-Li Hsu
JOURNAL OF NEUROENGINEERING AND REHABILITATION
(2019)
Article
Multidisciplinary Sciences
Chih-Hsiu Cheng, Dar-Ming Lai, Phooi Yee Lau, Shwu-Fen Wang, Andy Chien, Jaw-Lin Wang, Wei-Li Hsu
SCIENTIFIC REPORTS
(2020)
Article
Engineering, Biomedical
Chi-Ying Lee, Shih Chieh Lan, Jung-Ji Lin, Yu-Ting Lin, Po-Shen Chiang, Wei-Li Hsu, Kuo-Kuang Jen, Andy Y. S. Huang, Jia-Yush Yen
Summary: The study modeled natural human motion using a biped robot simulator and examined the effects of exoskeleton assistance and energy consumption. Virtual parallel bars were found to effectively assist the robot in simulating a natural walking gait.
JOURNAL OF MEDICAL AND BIOLOGICAL ENGINEERING
(2021)
Review
Health Policy & Services
Phunsuk Kantha, Jiu-Jenq Lin, Wei-Li Hsu
Summary: This study investigates the effects of interactive virtual reality (iVR) on pain, psychological distress, and functional disability in patients with chronic musculoskeletal disorders compared with no rehabilitation and conventional rehabilitation. The results suggest that iVR can reduce pain and improve psychological distress.
GAMES FOR HEALTH JOURNAL
(2023)
Article
Engineering, Biomedical
Phunsuk Kantha, Shiow-Chwen Tsai, Chien-Wen Hou, Rong-Sen Yang, Pei-Yu Su, Wei-Li Hsu
Summary: In older adults with hyperkyphosis, bone mineral content (BMC) and muscle mass are correlated with walking and forward reach, while BMI and fat mass show no significant correlation with balance performance.
JOURNAL OF MEDICAL AND BIOLOGICAL ENGINEERING
(2021)