Evaluation of walking smoothness using wearable robotic system curara® for spinocerebellar degeneration patients

Tsukahara, Atsushi; Yoshida, Katsumi; Matsushima, Akira; Ajima, Kumiko; Kuroda, Chika; Mizukami, Noriaki; Hashimoto, Minoru

doi:10.1109/icorr.2017.8009459

Cited by 9 publications

(4 citation statements)

References 24 publications

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“…With this gait assist system, patients could walk more smoothly with an increased harmonic ratio while wearing the exoskeleton compared to the gait without the exoskeleton. There were no major changes in gait speed, stride length, and cadence in most patients [ 23 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Robotic Exoskeleton-Assisted Gait Training in Spinocerebellar Ataxia: A Case Report

Kim

Han

Song

et al. 2021

Sensors

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Spinocerebellar ataxia (SCA) is a hereditary neurodegenerative disorder that presents as ataxia. Due to the decline in balance, patients with SCA often experience restricted mobility and a decreased quality of life. Thus, many studies have emphasized the importance of physiotherapies, including gait training, in SCA patients. However, few studies have examined the effectiveness of robotic gait training in SCA. Here, we report the therapeutic outcomes of exoskeleton-assisted gait training in a patient with SCA. A 23-year-old woman with SCA participated in a gait training program using a powered lower-limb robotic exoskeleton, ANGELLEGS. The 8-week training program consisted of standing training, weight-shifting exercises, and gait training. Several measures of general function, balance, gait, and cardiopulmonary function were applied before, after, and 4 weeks after the program. After the program, overall improvements were found on scales measuring balance and gait function, and these improvements remained at 4 weeks after the program. Cardiopulmonary function was also improved 4 weeks after the program. Robotic exoskeleton gait training can be a beneficial option for training balance, gait, and cardiopulmonary function in SCA.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of Robotic Exoskeleton-Assisted Gait Training in Spinocerebellar Ataxia: A Case Report

Kim

Han

Song

et al. 2021

Sensors

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“…In previous studies, the over-ground RAGT with a wearable robot system has been used in the treatment of patients with spinocerebellar ataxia [ 27 , 28 ]. They found that these patients could walk more smoothly with an increased harmonic ratio while walking with the wearable robot system than without the system.…”

Section: Discussionmentioning

confidence: 99%

The Effects of Over-Ground Robot-Assisted Gait Training for Children with Ataxic Cerebral Palsy: A Case Report

Yoo

Ahn

Park

2021

Sensors

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Poor balance and ataxic gait are major impediments to independent living in ataxic cerebral palsy (CP). Robot assisted-gait training (RAGT) has been shown to improve the postural balance and gait function in children with CP. However, there is no report on the application of RAGT for children with ataxic CP. Here, we report two cases of children with ataxic CP who underwent over-ground RAGT along with conventional therapy for 4 weeks. Outcome measures including the gross motor function measure (GMFM), pediatric balance scale, pediatric reach scale, one-minute walk test, and Timed Up and Go test were assessed before and after the 4-week intervention. Both cases were well adapted to the RAGT system without any significant adverse event. Improvements in the GMFM after RAGT, compared with that in the GMFM, after intensive conventional therapy have been reported previously. It is noteworthy that over-ground RAGT improved areas of the GMFM that did not improve with conventional therapy. In addition, over-ground RAGT with conventional therapy led to improvements in functional balance and walking capacity. These findings suggest that over-ground RAGT is feasible and may be a potential option for enhancing balance and functional walking capacity in children with ataxic CP.

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“…In recent years, various technologies have been used in the assessment of and treatment based on rehabilitation, as well as to support daily life in patients with SCD. Curara, a wearable robotic system, assists both hip and knee movements and supports the wearer's rhythmic gait using a synchronization control based on a central pattern generator [109]. Gait support using the curara system has been reported to improve gait smoothness in patients with SCD [110].…”

Section: Assistive Technologymentioning

confidence: 99%

Rehabilitation for Spinocerebellar Ataxia

Matsugi¹,

Bando²,

Kikuchi³

et al. 2022

Spinocerebellar Ataxia - Concepts, Particularities and Generalities

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Rehabilitation is an important treatment for spinocerebellar ataxia (SCA). The lack of improvement in ataxia, deficit of motor learning, and unstable balance causes disability for activities of daily living and restricts participation in social activities, further resulting in a disturbance of the restoration of quality of life. This narrative review describes physical rehabilitation, including measurement of movement disorder, associated with ataxia and possible interventions. Several lines of evidence suggest that high-intensity individualized physical rehabilitation programs, especially for gait and balance training, improve motor function. Continuous exercise at home contributes to the maintenance of the gait and balance function. Moreover, videography and mechanical technology contribute to the evaluation of ataxia and motor learning ability, and assistive robotic systems may improve gait stability. Neuromodulation montages, such as repetitive transcranial magnetic stimulation and transcranial electrical stimulation, can enhance the effect of physical rehabilitation. Further research aimed at developing a more-effective physical rehabilitation for these patients is expected.

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Evaluation of walking smoothness using wearable robotic system curara® for spinocerebellar degeneration patients

Cited by 9 publications

References 24 publications

Effectiveness of Robotic Exoskeleton-Assisted Gait Training in Spinocerebellar Ataxia: A Case Report

Effectiveness of Robotic Exoskeleton-Assisted Gait Training in Spinocerebellar Ataxia: A Case Report

The Effects of Over-Ground Robot-Assisted Gait Training for Children with Ataxic Cerebral Palsy: A Case Report

Rehabilitation for Spinocerebellar Ataxia

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