How many of these does your doctor even know about?
New Exoskeleton Suit from UC Berkeley Helps Paraplegics Walk
The H2 robotic exoskeleton for gait rehabilitation after stroke: early findings from a clinical study
Keeogo™, a Powered Assistive Walking Device
Unplugged Powered Suit supports human movement
Soft walking Exoskeletons Tested by Army
Wearable modular device to facilitate walking rehabilitation
I've written 73 posts on exosketons and 376 posts on walking. Your doctor should know the intersection of those sets and be able to defend which ones are chosen in their clinic.
UK Clinical Trials Testing Robotic Legs That Might Allow Patients to Walk Hands-Free
The latest one here:
Powered robotic exoskeletons in post-stroke rehabilitation of gait: a scoping review
- Dennis R. Louie and
- Janice J. EngEmail author
Journal of NeuroEngineering and Rehabilitation201613:53
DOI: 10.1186/s12984-016-0162-5
© The Author(s). 2016
Received: 16 March 2016
Accepted: 3 June 2016
Published: 8 June 2016
Abstract
Powered
robotic exoskeletons are a potential intervention for gait
rehabilitation in stroke to enable repetitive walking practice to
maximize neural recovery. As this is a relatively new technology for
stroke, a scoping review can help guide current research and propose
recommendations for advancing the research development. The aim of this
scoping review was to map the current literature surrounding the use of
robotic exoskeletons for gait rehabilitation in adults post-stroke. Five
databases (Pubmed, OVID MEDLINE, CINAHL, Embase, Cochrane Central
Register of Clinical Trials) were searched for articles from inception
to October 2015. Reference lists of included articles were reviewed to
identify additional studies. Articles were included if they utilized a
robotic exoskeleton as a gait training intervention for adult stroke
survivors and reported walking outcome measures. Of 441 records
identified, 11 studies, all published within the last five years,
involving 216 participants met the inclusion criteria. The study designs
ranged from pre-post clinical studies (n = 7) to controlled trials (n
= 4); five of the studies utilized a robotic exoskeleton device
unilaterally, while six used a bilateral design. Participants ranged
from sub-acute (<7 weeks) to chronic (>6 months) stroke. Training
periods ranged from single-session to 8-week interventions. Main walking
outcome measures were gait speed, Timed Up and Go, 6-min Walk Test, and
the Functional Ambulation Category. Meaningful improvement with
exoskeleton-based gait training was more apparent in sub-acute stroke
compared to chronic stroke. Two of the four controlled trials showed no
greater improvement in any walking outcomes compared to a control group
in chronic stroke. In conclusion, clinical trials demonstrate that
powered robotic exoskeletons can be used safely as a gait training
intervention for stroke. Preliminary findings suggest that exoskeletal
gait training is equivalent to traditional therapy for chronic stroke
patients, while sub-acute patients may experience added benefit from
exoskeletal gait training. Efforts should be invested in designing
rigorous, appropriately powered controlled trials before powered
exoskeletons can be translated into a clinical tool for gait
rehabilitation post-stroke.
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