Effect of robotic gait training on cardiorespiratory system in incomplete spinal cord injury

The objectives in this study were to investigate the effect of robot-assisted gait training on cardiorespiratory fitness in subjects with motor incomplete spinal cord injury and document the exercise intensity of robotic walking in comparison with the recommended guidelines. Ten patients followed a...

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Bibliographic Details
Published in:Journal of rehabilitation research and development 2013-01, Vol.50 (10), p.1411-1422
Main Authors: Hoekstra, Femke, van Nunen, Michiel P M, Gerrits, Karin H L, Stolwijk-Swüste, Janneke M, Crins, Martine H P, Janssen, Thomas W J
Format: Article
Language:English
Subjects:
Adult
Aged
Analysis
Cardiovascular System - physiopathology
Care and treatment
Complications and side effects
Development and progression
Exercise
Exercise Therapy - standards
Female
Gait
Health aspects
Heart beat
Humans
Male
Middle Aged
Older people
Physical fitness
Prognosis
Respiratory System - physiopathology
Robotics
Spinal cord injuries
Spinal Cord Injuries - physiopathology
Spinal Cord Injuries - rehabilitation
Studies
Walking
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Summary:The objectives in this study were to investigate the effect of robot-assisted gait training on cardiorespiratory fitness in subjects with motor incomplete spinal cord injury and document the exercise intensity of robotic walking in comparison with the recommended guidelines. Ten patients followed a 24-session training program with a robotic gait orthosis in addition to physiotherapy sessions completed within 10 to 16 wk. Cardiorespiratory fitness was determined in a graded arm crank exercise test before and after the training program. To assess the intensity of robot-assisted walking, oxygen consumption (VO2) and heart rate (HR) were measured during a training session early in and at the end of the training program, and exercise intensity measures (percentage of VO2 reserve [%VO2R], percentage of HR reserve [%HRR], and metabolic equivalents [METs]) were calculated. Whereas no changes were found in peak VO2, the resting and submaximal HR at a constant work load were significantly lower after training. Most subjects exercised at low intensity (
ISSN:0748-7711
1938-1352
DOI:10.1682/JRRD.2012.10.0186