Lower Limb Voluntary Movement Improvement Following a Robot-Assisted Locomotor Training in Spinal Cord Injury

Abstract

Individuals with spinal cord injury (SCI) suffer from severe impairments in voluntary movements. Literature reports a reduction in major kinematic and kinetic parameters of lower limbs' joints. A body weight support treadmill training with robotic assistance has been widely used to improve lower-extremity function and locomotion in persons with SCI. Our objective was to explore the effects of 4-weeks robot-assisted locomotor training on voluntary movement of the ankle musculature in patients with incomplete SCI. In particular, we aimed to characterize the therapeutic effects of Lokomat training on kinematic measures (range of motion, velocity, smoothness) during a dorsiflexion movement. We hypothesized that training would improve these measures. Preliminary results show an improvement of kinematic parameters during ankle dorsiflexion voluntary movement after a 4-weeks training in the major part of our participants. Complementary investigations are in progress to confirm these results and understand underlying mechanisms associated with the recovery.

The Effect of Using a Powered Exoskeleton Training Programme on Joint Range of Motion on Spinal Injured Individuals: A Pilot Study

“…With specific reference to the focus of our study, lower limb joint ROM is commonly reduced in SCI individuals [15] and requires regular stretching to maintain [16], particularly at the hip [17] and ankle [18]. Reduced ROM into hip extension can result in contractures which may cause dysplasia, dislocation and ankylosis of the hip joint [17].…”