Intrinsic motivation for using a wearable hip exoskeleton

Roggeman, Stijn; Firouzi, Mahyar; Lefeber, Nina; Keersmaecker, Emma De; Cuypers, Lotte; Swinnen, Eva; Joos, Erika; Schiltz, M.; Hatem, Samar

doi:10.3233/tad-210362

Cited by 3 publications

(5 citation statements)

References 36 publications

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“…When rehabilitating with Honda Walking Assist (HWA), patients with walking di culty showed augmented motivation as measured by Intrinsic Motivation Inventory (IMI) [27]. Implementing on 50 chronic stroke patients, powered hip exoskeleton could enhance gait clinical outcomes (endurance (P .033), balance (P 0.036), step count (P 0.013) etc.…”

Section: Qualitative Resultsmentioning

confidence: 99%

Powered Hip Exoskeletons for Gait Rehabilitation: A Systematic Review and Meta-analysis

Daliri

Ghorbani

Akbarzadeh

et al. 2023

Preprint

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Background: Gait disorders and as a consequence, robotic rehabilitation techniques are becoming increasingly prevalent as the population ages. In the area of rehabilitation robotics, using lightweight single hip joint exoskeletons are of significance. Considering no prior systematic review article on clinical outcomes, we aim to systematically review powered hip exoskeletons in terms of gait parameters and metabolic expenditure effects. Methods: Three databases of PubMed, Scopus, and Web of science were searched for clinical articles comparing outcomes of gait rehabilitation using hip motorized exoskeleton with conventional methods, on patients with gait disorder or healthy individuals. Of total number of 37 reviewed articles, 14 trials were quantitatively analyzed. Analyses performed in terms of gait spatiotemporal parameters like speed (self-speed and maximum speed), step length, stride length, cadence, and oxygen consumption. Results: Improved clinical outcomes of gait spatiotemporal parameters with hip joint exoskeletons are what our review's findings show. In terms of gait values, meta-analysis indicates that rehabilitation with single hip joint exoskeleton enhanced parameters of max speed (P = 0.018) and stride length (P = 0.01). Subgroup analysis showed that cadence improved among healthy elderly people (P = 0.050). For the remaining investigated gait parameters, no statistically significant difference was observed. Regarding metabolic parameters, oxygen consumption was lower in individuals treated with hip exoskeleton (P = 0.007). Conclusion: Although the analysis demonstrated improvement with just specific gait measures utilizing powered hip exoskeletons, the lack of improvement in all parameters is likely caused by the high patient condition heterogeneity among the evaluated articles. We also noted in patients who rehabilitated with the hip exoskeleton, the oxygen cost was lower. More randomized controlled trials are needed to verify both the short- and long-term clinical outcomes, including patient-reported measures. Level of evidence: Level I (systematic review and meta-analysis)

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Section: Qualitative Resultsmentioning

confidence: 99%

Powered Hip Exoskeletons for Gait Rehabilitation: A Systematic Review and Meta-analysis

Daliri

Ghorbani

Akbarzadeh

et al. 2023

Preprint

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show abstract

“…A total of 22.2% of the included studies had a poor quality [32][33][34][35][36][37][38][39], 55.5% had a fair quality [24,[40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56][57][58] and 22.2% had a good quality [59][60][61][62][63][64][65][66] [Appendix B].…”

Section: Studies' Methodological Qualitymentioning

confidence: 99%

“…The included studies consisted of retrospective, prospective interventional, or observational research conducted in single or multi-center settings [Supplementary Materials (Tables S1-S3)]. A total of 17 studies investigated functional abilities [33,34,36,42,46,47,49,51,53,54,56,57,[59][60][61]63,65] [Table S1 in Supplementary Material], 23 investigated IC [32][33][34][35][36][37]42,45,47,49,50,52,53,[55][56][57][58][59][60][61][62][63]65] [Table S2 in Supplementary Material], and 26 investigated performance indicators [24,33,[35][36][37][38]…”

Section: Demographic and Study Characteristicsmentioning

confidence: 99%

“…These studies covered a range of conditions, with ten investigating LLE use in patients with stroke [24,45,46,51,54,56,59,[63][64][65], four focusing on patients with Parkinson's Disease (PD) [38,58,60,61], two examining patient cohorts with various other neurological conditions [50,52], three centered on patients with osteoarthritis [42,53,57], and one each for hip fracture [34], sarcopenia [49], and depression [55]. Additionally, there were 14 studies involving healthy older adults [32,33,[35][36][37][39][40][41]43,44,47,48,62,66] [Supplementary Materials (Tables S1-S3)].…”

Section: Demographic and Study Characteristicsmentioning

confidence: 99%

“…Roggeman et al ( 2022) [52] conducted a study in which older patients used the HWA ® while performing 30 min of walking; these authors reported the following median scores using the Intrinsic Motivation Inventory (IMI): 43 for interest/enjoyment, 36 for perceived competence, 19 for effort/importance, 6 for pressure/tension, 45 for value/usefulness, and 32 for relatedness.…”

Section: Lles To Improve Psychological Performance Indicatorsmentioning

confidence: 99%

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A State-of-the-Art of Exoskeletons in Line with the WHO’s Vision on Healthy Aging: From Rehabilitation of Intrinsic Capacities to Augmentation of Functional Abilities

Gavrila Laic,

Firouzi,

Claeys

et al. 2024

Sensors

Self Cite

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The global aging population faces significant health challenges, including an increasing vulnerability to disability due to natural aging processes. Wearable lower limb exoskeletons (LLEs) have emerged as a promising solution to enhance physical function in older individuals. This systematic review synthesizes the use of LLEs in alignment with the WHO’s healthy aging vision, examining their impact on intrinsic capacities and functional abilities. We conducted a comprehensive literature search in six databases, yielding 36 relevant articles covering older adults (65+) with various health conditions, including sarcopenia, stroke, Parkinson’s Disease, osteoarthritis, and more. The interventions, spanning one to forty sessions, utilized a range of LLE technologies such as Ekso®, HAL®, Stride Management Assist®, Honda Walking Assist®, Lokomat®, Walkbot®, Healbot®, Keeogo Rehab®, EX1®, overground wearable exoskeletons, Eksoband®, powered ankle–foot orthoses, HAL® lumbar type, Human Body Posturizer®, Gait Enhancing and Motivation System®, soft robotic suits, and active pelvis orthoses. The findings revealed substantial positive outcomes across diverse health conditions. LLE training led to improvements in key performance indicators, such as the 10 Meter Walk Test, Five Times Sit-to-Stand test, Timed Up and Go test, and more. Additionally, enhancements were observed in gait quality, joint mobility, muscle strength, and balance. These improvements were accompanied by reductions in sedentary behavior, pain perception, muscle exertion, and metabolic cost while walking. While longer intervention durations can aid in the rehabilitation of intrinsic capacities, even the instantaneous augmentation of functional abilities can be observed in a single session. In summary, this review demonstrates consistent and significant enhancements in critical parameters across a broad spectrum of health conditions following LLE interventions in older adults. These findings underscore the potential of LLE in promoting healthy aging and enhancing the well-being of older adults.

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Powered single hip joint exoskeletons for gait rehabilitation: a systematic review and Meta-analysis

Daliri,

Ghorbani,

Akbarzadeh

et al. 2024

BMC Musculoskelet Disord

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Background Gait disorders and as a consequence, robotic rehabilitation techniques are becoming increasingly prevalent as the population ages. In the area of rehabilitation robotics, using lightweight single hip joint exoskeletons are of significance. Considering no prior systematic review article on clinical outcomes, we aim to systematically review powered hip exoskeletons in terms of gait parameters and metabolic expenditure effects. Methods Three databases of PubMed, Scopus, and Web of science were searched for clinical articles comparing outcomes of gait rehabilitation using hip motorized exoskeleton with conventional methods, on patients with gait disorder or healthy individuals. Of total number of 37 reviewed articles, 14 trials were quantitatively analyzed. Analyses performed in terms of gait spatiotemporal parameters like speed (self-speed and maximum speed), step length, stride length, cadence, and oxygen consumption. Results Improved clinical outcomes of gait spatiotemporal parameters with hip joint exoskeletons are what our review’s findings show. In terms of gait values, meta-analysis indicates that rehabilitation with single hip joint exoskeleton enhanced parameters of maximum speed by 0.13 m/s (0.10–0.17) and step length by 0.06 m (0.05–0.07). For the remaining investigated gait parameters, no statistically significant difference was observed. Regarding metabolic parameters, oxygen consumption was lower in individuals treated with hip exoskeleton (− 1.23 ml/min/kg; range − 2.13 to − 0.32). Conclusion Although the analysis demonstrated improvement with just specific gait measures utilizing powered hip exoskeletons, the lack of improvement in all parameters is likely caused by the high patient condition heterogeneity among the evaluated articles. We also noted in patients who rehabilitated with the hip exoskeleton, the oxygen cost was lower. More randomized controlled trials are needed to verify both the short- and long-term clinical outcomes, including patient-reported measures. Level of evidence Level I (systematic review and meta-analysis).

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Intrinsic motivation for using a wearable hip exoskeleton

Cited by 3 publications

References 36 publications

Powered Hip Exoskeletons for Gait Rehabilitation: A Systematic Review and Meta-analysis

Powered Hip Exoskeletons for Gait Rehabilitation: A Systematic Review and Meta-analysis

A State-of-the-Art of Exoskeletons in Line with the WHO’s Vision on Healthy Aging: From Rehabilitation of Intrinsic Capacities to Augmentation of Functional Abilities

Powered single hip joint exoskeletons for gait rehabilitation: a systematic review and Meta-analysis

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