Email this article Exo-rehabilitation of patients with spastic hemiparesis: high technology
- Authors: Rodionov A.S.1, Kovalenko A.P.1, Kremlуоv D.I.1, Averkiуev D.V.1
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Affiliations:
- S.M. Kirov Military Medical Academy of the Russian Defense Ministry
- Issue: Vol 40, No 1 (2021)
- Pages: 53-58
- Section: Original articles
- URL: https://journals.rcsi.science/RMMArep/article/view/64480
- DOI: https://doi.org/10.17816/rmmar64480
- ID: 64480
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Abstract
AIM: Walking disorders are a frequent consequence of stroke. New technologies, such as the use of robotic exoskeletons, can help with recovery, but their effectiveness has not yet been sufficiently proven.
MATERIALS AND METHODS: Forty-two patients with spasticity and walking disorders (stroke duration from 1.5 to 4 years) were included in the study. The Tardieu Scale, Modified Ashworth scale, Medical Research Council Scale, 10 Meter Walk Test, Rivermead Mobility Index, Berg Balance Test, Rankin scale, and a Visual Analog Scale (to assess patient satisfaction with treatment) were used in assessments. The patients were randomized into 2 groups (n = 22 & 20): the first group received exoskeleton walk training with the powered exoskeleton, ExoAtlet, and the second group received physical therapy sessions, each for 1 hour daily over 10 days. Clinical evaluations of patients were performed at 3 timepoints: baseline (Day 1), and 12.
RESULTS: Comparison of both groups at the second timepoint showed significantly better results (p < 0.05) in the first group vs the second group. Walking speed increased due to balance training, correction of postural disorders, spastic muscle stretching, and stretch reflex suppression.
CONCLUSION: The wearable powered ExoAtlet exoskeleton is a promising technology for improving walking (2 tables, bibliography: 13 refs).
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##article.viewOnOriginalSite##About the authors
Aleksandr S. Rodionov
S.M. Kirov Military Medical Academy of the Russian Defense Ministry
Author for correspondence.
Email: rodionovcsm@gmail.com
ORCID iD: 0000-0002-7455-8600
SPIN-code: 4458-9650
cadet
Russian Federation, 6, Akademika Lebedeva str., Saint Peterburg, 194044Aleksandr P. Kovalenko
S.M. Kirov Military Medical Academy of the Russian Defense Ministry
Email: kvlnko73@gmail.com
ORCID iD: 0000-0001-5762-5632
SPIN-code: 5324-0355
MD, PhD (Medicine)
Russian Federation, 6, Akademika Lebedeva str., Saint Peterburg, 194044Dmitriy I. Kremlуоv
S.M. Kirov Military Medical Academy of the Russian Defense Ministry
Email: kremlevdm27@gmail.com
ORCID iD: 0000-0001-7919-3383
SPIN-code: 4569-1035
student
Russian Federation, 6, Akademika Lebedeva str., Saint Peterburg, 194044Dmitriy V. Averkiуev
S.M. Kirov Military Medical Academy of the Russian Defense Ministry
Email: averdm@mail.ru
ORCID iD: 0000-0002-4377-0115
SPIN-code: 8042-1569
MD, PhD (Medicine)
Russian Federation, 6, Akademika Lebedeva str., Saint Peterburg, 194044References
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