Experience of robotic exoskeleton use at four spinal cord injury model systems centers

Model System:

SCI

Reference Type:

Journal article

Accession No.:

J79746

Journal:

Journal of Neurologic Physical Therapy

Year, Volume, Issue, Page(s):

2018 , 42, 4, 256-267

Publication Website:

Abstract:

Study examined clinicians' experiences, evaluations, and training strategies using robotic exoskeletons in spinal cord injury (SCI) rehabilitation and wellness settings and assessed clinicians' perceptions of exoskeleton benefits and risks and developments that would enhance utility. Focus groups were conducted at 4 SCI Model System (SCIMS) centers. A court reporter took verbatim notes and provided a transcript. Research staff used a thematic coding approach to summarize discussions. Thirty clinicians participated in the focus groups. Clinicians at each SCIMS center shared similar and distinct practices in terms of how they integrate robotic exoskeletons into physical therapy services. They reported using exoskeletons primarily in outpatient and wellness settings; 1 center used exoskeletons during inpatient rehabilitation. A typical episode of outpatient exoskeleton therapy comprised 20 to 30 sessions and at least 2 staff members were involved in each session. Treatment focused on standing, stepping, and gait training; therapists measured progress with standardized assessments. Beyond improved gait, participants attributed physiological, psychological, and social benefits to exoskeleton use. Potential risks included falls, skin irritation, and disappointed expectations. Participants identified enhancements that would be of value including greater durability and adjustability, lighter weight, 1-hand controls, ability to navigate stairs and uneven surfaces, and ability to balance without upper-extremity support. For more insights from the authors, a video abstract is available at: http://links.lww.com/JNPT/A231).

Author(s):