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Hwang S, Kim HR, Han ZA, et al. Improved Gait Speed After Robot-Assisted Gait Training in Patients With Motor Incomplete Spinal Cord Injury: A Preliminary Study. Ann Rehabil Med. 2017;41(1):34-41doi: 10.5535/arm.2017.41.1.34.
Hwang, S., Kim, H. R., Han, Z. A., Lee, B. S., Kim, S., Shin, H., Moon, J. G., Yang, S. P., Lim, M. H., Cho, D. Y., Kim, H., & Lee, H. J. (2017). Improved Gait Speed After Robot-Assisted Gait Training in Patients With Motor Incomplete Spinal Cord Injury: A Preliminary Study. Annals of rehabilitation medicine, 41(1), 34-41. https://doi.org/10.5535/arm.2017.41.1.34
Hwang, Seungwon, et al. "Improved Gait Speed After Robot-Assisted Gait Training in Patients With Motor Incomplete Spinal Cord Injury: A Preliminary Study." Annals of rehabilitation medicine vol. 41,1 (2017): 34-41. doi: https://doi.org/10.5535/arm.2017.41.1.34
Hwang S, Kim HR, Han ZA, Lee BS, Kim S, Shin H, Moon JG, Yang SP, Lim MH, Cho DY, Kim H, Lee HJ. Improved Gait Speed After Robot-Assisted Gait Training in Patients With Motor Incomplete Spinal Cord Injury: A Preliminary Study. Ann Rehabil Med. 2017 Feb;41(1):34-41. doi: 10.5535/arm.2017.41.1.34. Epub 2017 Feb 28. PMID: 28289633; PMCID: PMC5344824.
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Ann Rehabil Med. 2017 Feb;41(1):34-41. doi: 10.5535/arm.2017.41.1.34. Epub 2017 Feb 28.

Improved Gait Speed After Robot-Assisted Gait Training in Patients With Motor Incomplete Spinal Cord Injury: A Preliminary Study.

Annals of rehabilitation medicine

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

Affiliations

  1. Department of Rehabilitation Medicine, National Rehabilitation Center & Hospital, Seoul, Korea.
  2. Translational Research Center for Rehabilitation Robots, National Rehabilitation Center & Hospital, Seoul, Korea.

PMID: 28289633 PMCID: PMC5344824 DOI: 10.5535/arm.2017.41.1.34

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.

Keywords: Clinical trial; Locomotion; Rehabilitation; Robotics; Spinal cord injuries

Conflict of interest statement

CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported.

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