132
Views
0
CrossRef citations to date
0
Altmetric
Research Article

Feasibility of overground exoskeleton gait training during inpatient rehabilitation after severe acquired brain injury

, , , , , & show all
Pages 459-466 | Received 18 Jan 2023, Accepted 07 Feb 2024, Published online: 18 Feb 2024

References

  • Teasell R, Bayona N, Marshall S, Cullen N, Bayley M, Chundamala J, Villamere J, Mackie D, Rees L, Hartridge C, et al. A systematic review of the rehabilitation of moderate to severe acquired brain injuries. Brain Inj. 2007;21(2):107–112. doi: 10.1080/02699050701201524
  • Latchem J, Kitzinger J, Kitzinger C. Physiotherapy for vegetative and minimally conscious state patients: family perceptions and experiences. Disabil Rehabil. 2016;38(1):22–29. doi: 10.3109/09638288.2015.1005759.
  • Giacino, JT, Katz, DI, Schiff, ND, Whyte J, Ashman, EJ, Ashwal S, Barbano R, Hammond, FM, Laureys S, Ling, GS, et al. Practice guideline update recommendations summary: disorders of consciousness: report of the guideline development, dissemination, and implementation subcommittee of the American academy of Neurology; the American congress of rehabilitation medicine; and the National institute on disability, Independent living, and rehabilitation research. Arch Phys Med Rehabil. 2018;99(9):1699–709. doi: 10.1016/j.apmr.2018.07.001
  • Elliott L, Walker L. Rehabilitation interventions for vegetative and minimally conscious patients. Neuropsychol Rehabil. 2005;15(3–4):480–493. doi: 10.1080/09602010443000506.
  • Farr E, Altonji K, Harvey RL. Locked‐in syndrome: practical rehabilitation management. PM&R. 2021;13(12):1418–28. doi: 10.1002/pmrj.12555
  • Martens G, Laureys S, Thibaut A. Spasticity management in disorders of consciousness. Brain Sci. 2017;7(12):162. doi: 10.3390/brainsci7120162.
  • Seel RT, Douglas J, Dennison AC, Heaner S, Farris K, Rogers C. Specialized early treatment for persons with disorders of consciousness: program components and outcomes. Arch Phys Med Rehab. 2013;94(10):1908–1923. doi: 10.1016/j.apmr.2012.11.052.
  • Riberholt CG, Thorlund JB, Mehlsen J, Nordenbo AM. Patients with severe acquired brain injury show increased arousal in tilt-table training. Dan Med J. 2013;60(12):A4739.
  • Giacino JT, Whyte J, Nakase-Richardson R, Katz DI, Arciniegas DB, Blum S, Day K, Greenwald BD, Hammond FM, Pape TB, et al. Minimum competency recommendations for programs that provide rehabilitation services for persons with disorders of consciousness: a position statement of the American Congress of rehabilitation medicine and the National institute on disability, Independent living and rehabilitation Research traumatic brain injury model systems. Arch Phys Med Rehabil. 2020 Jun;101(6):1072–1089. doi: 10.1016/j.apmr.2020.01.013
  • Williams K, Christenbury J, Niemeier JP, Newman M, Pinto S. Is robotic gait training feasible in adults with disorders of consciousness? J Head Trauma Rehabil. 2020;35(3):E266–E270. doi: 10.1097/HTR.0000000000000523.
  • Rosenfelder MJ, Helmschrott VC, Willacker L, Einhäupl B, Raiser TM, Bender A. Effect of robotic tilt table verticalization on recovery in patients with disorders of consciousness: a randomized controlled trial. J Neurol. 2023 Mar;270(3):1721–1734. doi: 10.1007/s00415-022-11508-x
  • Ng H, King A. A systematic review of head-up tilt to improve consciousness in people with a prolonged disorder of consciousness. Clin Rehabil. 2021 Jan;35(1):13–25. doi: 10.1177/0269215520946696
  • Lapitskaya N, Nielsen JF, Fuglsang-Frederiksen A. Robotic gait training in patients with impaired consciousness due to severe traumatic brain injury. Brain Inj. 2011;25(11):1070–1079. doi: 10.3109/02699052.2011.607782.
  • Calabrò, RS, Cacciola A, Bertè F, Manuli A, Leo A, Bramanti A, Naro A, Milardi D, Bramanti P. Robotic gait rehabilitation and substitution devices in neurological disorders: where are we now? Neurol Sci. 2016;37(4):503–14. doi: 10.1007/s10072-016-2474-4
  • Esquenazi A, Talaty M, Jayaraman A. Powered exoskeletons for walking assistance in persons with central nervous system injuries: a narrative review. PM&R. 2017;9(1):46–62. doi: 10.1016/j.pmrj.2016.07.534.
  • DiPasquale J, Trammell M, Clark K, et al. Intensity of usual care physical therapy during inpatient rehabilitation for people with neurologic diagnoses. PM&R. 2021;14(1):46–57 doi: 10.1002/pmrj.12577.
  • Rodríguez-Fernández A, Lobo-Prat J, Font-Llagunes JM. Systematic review on wearable lower-limb exoskeletons for gait training in neuromuscular impairments. J Neuroeng Rehabil. 2021;18(1):1–21. doi: 10.1186/s12984-021-00815-5.
  • Giacino JT, Kalmar K, Whyte J. The JFK coma recovery scale-revised: measurement characteristics and diagnostic utility. Arch Phys Med Rehab. 2004;85(12):2020–29. doi:10.1016/j.apmr.2004.02.033.
  • Medicare C, Services M. Medicare benefit policy manual. CMS Pub. 2012;100–03.
  • Gad P, Gerasimenko Y, Zdunowski S, Turner A, Sayenko D, Lu, DC, Edgerton, VR. Weight bearing over-ground stepping in an exoskeleton with non-invasive spinal cord neuromodulation after motor complete paraplegia. Front Neurosci. 2017;11:333.
  • Whyte J, Nordenbo AM, Kalmar K, Merges B, Bagiella E, Chang H, Yablon S, Cho S, Hammond F, Khademi A, et al. Medical complications during inpatient rehabilitation among patients with traumatic disorders of consciousness. Arch Phys Med Rehab. 2013;94(10):1877–1883. doi: 10.1016/j.apmr.2012.12.027
  • Food. Drug administration H. Medical devices; physical medicine devices; classification of the powered lower extremity exoskeleton; republication. Final order; republication. Fed Regist. 2015;80(85):25226–30.
  • Tickle-Degnen L. Nuts and bolts of conducting feasibility studies. Am J Occup Ther. 2013;67(2):171–176. doi:10.5014/ajot.2013.006270.
  • Tanaka H, Monahan KD, Seals DR. Age-predicted maximal heart rate revisited. J Am Coll Cardiol. 2001;37(1):153–156. doi: 10.1016/S0735-1097(00)01054-8.
  • Gouvier W, Blanton P, LaPorte K, Nepomuceno C. Reliability and validity of the disability rating scale and the levels of cognitive functioning scale in monitoring recovery from severe head injury. Arch Phys Med Rehab. 1987;68(2):94–97. doi: 10.1097/00001199-198712000-00015.
  • Bellon K, Wright J, Jamison L, Kolakowsky-Hayner S. Disability rating scale. J Head Trauma Rehabil. 2012;27(6):449–451. doi: 10.1097/HTR.0b013e31826674d6.
  • Gage B, Constantine R, Aggarwal J, Morley M, Kurlantzick V, Bernard S, Munevar D, Garrity M, Smith L, Barch D, Deutsch A. The development and testing of the continuity assessment record and evaluation (CARE) item set, Volume 1 of 3. 2012.
  • Lin K, Wroten M. Ranchos los amigos. 2017.
  • Giacino JT, Ashwal S, Childs N, Cranford R, Jennett B, Katz DI, Kelly JP, Rosenberg JH, Whyte J, Zafonte RD, et al. The minimally conscious state: definition and diagnostic criteria. Neurology. 2002;58(3):349–353. doi: 10.1212/WNL.58.3.349
  • Iazeva EG, Legostaeva LA, Zimin AA, Sergeev DV, Domashenko MA, Samorukov VY, Yusupova DG, Ryabinkina JV, Suponeva NA, Piradov MA, et al. A Russian validation study of the coma recovery scale-revised (CRS-R). Brain Inj. 2019;33(2):218–225. doi :10.1080/02699052.2018.1539248
  • Giacino J, Kalmar K. CRS-R COMA RECOVERY SCALEREVISED© 2004 administration and scoring guidelines center for head injuries Edison. New Jersey: The Center for Outcome Measurement in Brain Injury; 2004.
  • Boland MR, Karczewski KJ, Tatonetti NP. Ten Simple rules to enable multi-site collaborations through data sharing. PLoS Comput Biol. 2017;13(1):e1005278. doi: 10.1371/journal.pcbi.1005278.
  • Ekso Bionics I. Clinical training guide: EksoGTTM Robotic Exoskeleton With SmartAssist. Ekso Bionics; 2016. p. 108.
  • Snider SB, Kowalski RG, Hammond FM, Izzy S, Shih SL, Rovito C, Edlow BL, Zafonte RD, Giacino JT, Bodien YG, et al. Comparison of common outcome measures for assessing independence in patients diagnosed with disorders of consciousness: a traumatic brain injury model systems study. J Neurotrauma. 2022;39(17–18):1222–1230. doi: 10.1089/neu.2022.0076
  • Bagnato S, Boccagni C, Sant’angelo A, Prestandrea C, Mazzilli R, Galardi G. EEG predictors of outcome in patients with disorders of consciousness admitted for intensive rehabilitation. Clin Neurophysiol. 2015;126(5):959–966. doi: 10.1016/j.clinph.2014.08.005.
  • Kherkheulidze T, Beridze M, Khaburdzania M. EEG patterns as predictors of outcome in patients with vegetative state and minimally conscious state (P4. 171). AAN Enterprises; 2015.
  • Swank C, Galvan C, DiPasquale J, Callender L, Sikka S, Driver S. Lessons learned from robotic gait training during rehabilitation: therapeutic and medical severity considerations over 3 years. Technol Disabil. 2020;32(2):103–110. doi: 10.3233/TAD-190248.
  • Karunakaran KK, Gute S, Ames GR, Chervin K, Dandola CM, Nolan KJ. Effect of robotic exoskeleton gait training during acute stroke on functional ambulation. NeuroRehabilitation. 2021;48:1–11.
  • Goffredo M, Guanziroli E, Pournajaf S, Gaffuri M, Gasperini G, Filoni S, Baratta S, Damiani C, Franceschini M, Molteni F. Overground wearable powered exoskeleton for gait training in subacute stroke subjects: clinical and gait assessments. Eur J Phys Rehabil Med. 2019;55(6):710–21. doi: 10.23736/S1973-9087.19.05574-6
  • Heinemann AW, Jayaraman A, Mummidisetty CK, Spraggins J, Pinto D, Charlifue S, Tefertiller C, Taylor HB, Chang S-H, Stampas A, et al. Experience of robotic exoskeleton use at four spinal cord injury model systems centers. J Neurol Phys Ther. 2018;42(4):256–267. doi: 10.1097/NPT.0000000000000235
  • Bateman A, Culpan FJ, Pickering AD, Powell JH, Scott OM, Greenwood RJ. The effect of aerobic training on rehabilitation outcomes after recent severe brain injury: a randomized controlled evaluation. Arch Phys Med Rehab. 2001;82(2):174–182. doi: 10.1053/apmr.2001.19744.
  • Hornby TG, Reisman DS, Ward IG, Scheets PL, Miller A, Haddad D, Fox EJ, Fritz NE, Hawkins K, Henderson CE, et al. Clinical practice guideline to improve locomotor function following chronic stroke, incomplete spinal cord injury, and brain injury. J Neurol Phys Ther. 2020;44(1):49–100. doi: 10.1097/NPT.0000000000000303
  • George Hornby, T, Straube, DS, Kinnaird, CR, Holleran, CL, Echauz, AJ, Rodriguez, KS, Wagner, EJ, Narducci, EA. Importance of specificity, amount, and intensity of locomotor training to improve ambulatory function in patients poststroke. Top Stroke Rehabil. 2011;18(4):293–307. doi: 10.1310/tsr1804-293
  • Königs M, Beurskens EA, Snoep L, Scherder EJ, Oosterlaan J. Effects of timing and intensity of neurorehabilitation on functional outcome after traumatic brain injury: a systematic review and meta-analysis. Arch Phys Med Rehab. 2018;99(6):1149–59. e1. doi: 10.1016/j.apmr.2018.01.013.
  • Chin LM, Keyser RE, Dsurney J, Chan L. Improved cognitive performance following aerobic exercise training in people with traumatic brain injury. Arch Phys Med Rehab. 2015;96(4):754–759. doi: 10.1016/j.apmr.2014.11.009.
  • Slobounov SM, Teel E, Newell KM. Modulation of cortical activity in response to visually induced postural perturbation: combined VR and EEG study. Neurosci Lett. 2013;547:6–9. doi: 10.1016/j.neulet.2013.05.001.
  • Beretta E, Molteni E, Biffi E, Morganti R, Avantaggiato P, Strazzer S. Robotically-driven orthoses exert proximal-to-distal differential recovery on the lower limbs in children with hemiplegia, early after acquired brain injury. Eur J Paediatr Neurol. 2018;22(4):652–661. doi: 10.1016/j.ejpn.2018.03.002.
  • Hayes SC, White M, Wilcox CRJ, White HSF, Vanicek N, Masani K. Biomechanical differences between able-bodied and spinal cord injured individuals walking in an overground robotic exoskeleton. PloS One. 2022;17(1):e0262915. doi: 10.1371/journal.pone.0262915.
  • Hediger K, Boek F, Sachers J. Dog-assisted therapy in neurorehabilitation of children with severe neurological impairment: an explorative study. Neuropediatrics. 2020;51(4):267–74. doi: 10.1055/s-0040-1708545
  • Fisher A, Bellon M, Lawn S, Lennon S, Sohlberg M. Family-directed approach to brain injury (FAB) model: a preliminary framework to guide family-directed intervention for individuals with brain injury. Disabil Rehabil. 2019;41(7):854–860. doi: 10.1080/09638288.2017.1407966.
  • Labruyère R. Robot-assisted gait training: more randomized controlled trials are needed! Or maybe not? J Neuroeng Rehabil. 2022;19(1):1–5. doi: 10.1186/s12984-022-01037-z.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.