Design and evaluation of an independent 4‐week, exosuit‐assisted, post‐stroke community walking program
Design and evaluation of an independent 4‐week, exosuit‐assisted, post‐stroke community walking program
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DOI：
10.1111/nyas.14998
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发表时间：
2023-05
影响因子：
5.2
通讯作者：
R. Nuckols;Chih-Kang Chang;Daekyum Kim;A. Eckert-Erdheim;Dorothy Orzel;L. Baker;Teresa C. Baker;Nicholas Wendel;Brendan T. Quinlivan;Patrick Murphy;Jesse Grupper;Jacqueline Villalobos;L. Awad;T. Ellis;C. Walsh
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文献类型：
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作者：
R. Nuckols;Chih-Kang Chang;Daekyum Kim;A. Eckert-Erdheim;Dorothy Orzel;L. Baker;Teresa C. Baker;Nicholas Wendel;Brendan T. Quinlivan;Patrick Murphy;Jesse Grupper;Jacqueline Villalobos;L. Awad;T. Ellis;C. Walsh
中风后瘫痪踝关节的慢性损伤通常需要个人使用补偿模式，如不对称推进，以达到社区参与所需的有效步行速度。踝关节外装护具辅助可以在实验室中提供踝关节生物力学益处，但这样的环境固有地限制了可用的练习量。没有外装服的社区步行研究可以提供大规模的练习并有益于步行速度，但它们辅助适当力学的能力有限。在这项研究中，我们结合了社区训练的积极方面与运动服援助。我们开发并评估了一个社区机器人Exosuit增强运动（cREAL）计划。中风慢性期的四名参与者独立地使用我们的社区踝关节外装护具在社区中行走3-5天/周，持续4周。我们在4周计划前后进行了实验室评估。两名参与者显着改善了他们的无辅助瘫痪推进平均27%后，程序和走了平均4001步/天以上，在一周后的程序。尽管参与者人数很少，但这项研究为运动服在社区中增强步态训练和康复的潜力提供了初步证据。
Chronic impairment in the paretic ankle following stroke often requires that individuals use compensatory patterns such as asymmetric propulsion to achieve effective walking speeds needed for community engagement. Ankle exosuit assistance can provide ankle biomechanical benefit in the lab, but such environments inherently limit the amount of practice available. Community walking studies without exosuits can provide massed practice and benefit walking speed but are limited in their ability to assist proper mechanics. In this study, we combined the positive aspects of community training with those of exosuit assistance. We developed and evaluated a community Robotic Exosuit Augmented Locomotion (cREAL) program. Four participants in the chronic stage of stroke independently used our community ankle exosuit for walking in the community 3–5 days/week for 4 weeks. We performed lab evaluations before and after the 4‐week program. Two participants significantly improved their unassisted paretic propulsion by an average of 27% after the program and walked on average 4001 steps/day more in the week following the program. Despite the small number of participants, this study provides preliminary evidence for the potential of exosuits to augment gait training and rehabilitation in the community.