In the 5 years since this came out have we had decent enough research that allows conclusions to be drawn? Your doctor and stroke hospital should know that if they have any competence at all.
Clinical application of the Hybrid Assistive Limb (HAL) for gait training-a systematic review
2015, Frontiers in systems neuroscience
Anneli Wall
Jörgen Borg1,2 and - 1Department of Rehabilitation Medicine, Danderyd University Hospital, Stockholm, Sweden
- 2Department of Clinical Sciences, Karolinska Institute, Stockholm, Sweden
Objective: The aim of this study was to
review the literature on clinical applications of the Hybrid Assistive
Limb system for gait training.
Methods: A systematic literature search
was conducted using Web of Science, PubMed, CINAHL and
clinicaltrials.gov and additional search was made using reference lists
in identified reports. Abstracts were screened, relevant articles were
reviewed and subject to quality assessment.
Results: Out of 37 studies, 7 studies
fulfilled inclusion criteria. Six studies were single group studies and 1
was an explorative randomized controlled trial. In total, these studies
involved 140 participants of whom 118 completed the interventions and
107 used HAL for gait training. Five studies concerned gait training
after stroke, 1 after spinal cord injury (SCI) and 1 study after stroke,
SCI or other diseases affecting walking ability. Minor and transient
side effects occurred but no serious adverse events were reported in the
studies. Beneficial effects on gait function variables and independence
in walking were observed.
Conclusions: The accumulated findings
demonstrate that the HAL system is feasible when used for gait training
of patients with lower extremity paresis in a professional setting.
Beneficial effects on gait function and independence in walking were
observed but data do not allow conclusions. Further controlled studies
are recommended.
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