Document Detail


The Case Western Reserve University hybrid gait orthosis.
MedLine Citation:
PMID:  10914350     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Six individuals with paraplegia and injury levels from C-1 through T-12 participated in a study to evaluate the functional capabilities of a hybrid gait orthotic system. Subjects learned to use a custom-built reciprocal gait orthosis without stimulation and with electrical stimulation activating between 4 and 16 muscles. Outcomes were scored with standard physical therapy measures including the Tinetti test, a timed get up and go, Borg rating of perceived exertion, and the Functional Index Measure (FIM). Subjects have successfully accomplished sit to stand, stand to sit, and walking maneuvers measured for time, speed, and distance. Metabolic consumption was measured for walking in the light work region of 5.1 to 6.5 metabolic equivalents (METs) 1 MET = 3.5 ml of O2/kg/min with hybrid gait orthosis. Perceived exertion as measured with the Borg scale indicated that use of the bracing system with functional electrical stimulation was "easier" than without stimulation. Subjects using a hybrid system were able to walk up to 350 m at average speeds of 0.25 m/s. Walking speeds for 30- and 50-meter distances reached 0.45 m/s. Additionally, walking distances with stimulation were 2 times greater than those of non-stimulated reciprocal gait. FIM scores indicated that system users would become slightly more independent in mobility. Results were used to determine the most useful brace modifications for the next generation of Case Western Reserve University hybrid gait orthoses to allow an expanded function that will include stair climbing and side stepping.
Authors:
E B Marsolais; R Kobetic; G Polando; K Ferguson; S Tashman; R Gaudio; S Nandurkar; H R Lehneis
Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The journal of spinal cord medicine     Volume:  23     ISSN:  1079-0268     ISO Abbreviation:  J Spinal Cord Med     Publication Date:  2000  
Date Detail:
Created Date:  2000-12-11     Completed Date:  2000-12-11     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9504452     Medline TA:  J Spinal Cord Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  100-8     Citation Subset:  IM    
Affiliation:
Department of Orthopedic Surgery, Case Western Reserve University School of Medicine, University Hospitals of Cleveland, Ohio, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Braces*
Combined Modality Therapy
Electric Stimulation Therapy
Equipment Design
Female
Gait*
Humans
Male
Middle Aged
Paraplegia / rehabilitation*
Patient Satisfaction
Spinal Cord Injuries / rehabilitation*
Grant Support
ID/Acronym/Agency:
NS/HD 33287/NS/NINDS NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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