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A wearable robotic knee orthosis for gait training : a case-series of hemiparetic stroke survivors

Until recently, robotic devices for stroke rehabilitation had
multi-joint designs that were often tethered to a treadmill for gait training. A
new single-joint wearable robotic knee orthosis (RKO) has been designed that
provides patient-initiated powered-assistance in untethered functional mobility.
This case-series documents application of the wearable RKO in untethered
functional training with stroke survivors. TECHNIQUE: Three ambulatory adult
stroke survivors used a wearable RKO during 18 one-hour sessions within a
six-week physical therapy programme. Subjects were assessed with a variety of
balance, gait and functional tests including the Berg Balance Scale (BBS);
six-minute walk test (6MWT); and Emory Functional Ambulation Profile (EFAP) at
pre-treatment, post-treatment, one-month and three-month follow-up. DISCUSSION:
All subjects improved balance, gait and functional performances with mean
individual improvements of 12.6% for BBS, 12.0% for 6MWT and 16.7% for EFAP
post-treatment. No adverse events occurred. These three stroke survivors may have
benefited from the task-specific functional training programme augmented by RKO
use.

Langue : ANGLAIS

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