PM&R
Volume 2, Issue 3 , Pages 214-221 , March 2010

Manually-Assisted Versus Robotic-Assisted Body Weight−Supported Treadmill Training in Spinal Cord Injury: What Is the Role of Each?

  • T. George Hornby, PT, PhD (Guest Discussant)

      Affiliations

    • Rehabilitation Institute of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL†
    • ,
  • David J. Reinkensmeyer, PhD (Guest Discussant)

      Affiliations

    • Department of Mechanical and Aerospace Engineering, Department of Biomedical Engineering, University of California at Irvine, Irvine, CA‡
    • ,
  • David Chen, MD (Senior Editor)

      Affiliations

    • Northwestern University Feinberg School of Medicine, Rehabilitation Institute of Chicago, Chicago, IL§

References 

    T. George Hornby, PT, PhD, Responds
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    David J. Reinkensmeyer, PhD, Responds
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  2. Mehrholz J, Kugler J, Pohl M. Locomotor training for walking after spinal cord injury. Spine. 2008;33:E768–E777
  3. Colombo G, Joerg M, Schreier R, Dietz V. Treadmill training of paraplegic patients with a robotic orthosis. J Rehabil Res Devel. 2000;37:693–700
  4. Hesse S, Uhlenbrock D. A mechanized gait trainer for restoration of gait. J Rehabil Res Devel. 2000;37:701–708
  5. Wirz M, Zemon DH, Rupp R, et al. Effectiveness of automated locomotor training in patients with chronic incomplete spinal cord injury: A multicenter trial. Arch Phys Med Rehabil. 2005;86:672–680
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  7. Hornby TG, Zemon DH, Campbell D. Robotic-assisted, body-weight-supported treadmill training in individuals following motor incomplete spinal cord injury. Phys Ther. 2005;85:52–66
  8. Winchester P, McColl R, Querry R, et al. Changes in supraspinal activation patterns following robotic locomotor therapy in motor-incomplete spinal cord injury. Neurorehabil Neural Repair. 2005;19:313–324
  9. Nooijen CF, Ter Hoeve N, Field-Fote EC. Gait quality is improved by locomotor training in individuals with SCI regardless of training approach. J Neuroeng Rehabil. 2009;2:36
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  12. Husemann B, Müller F, Krewer C, Heller S, Koenig E. Effects of locomotion training with assistance of a robot-driven gait orthosis in hemiparetic patients after stroke: A randomized controlled pilot study. Stroke. 2007;38:394-354
  13. Mayr A, Kofler M, Quirbach E, Matzak H, Fröhlich K, Saltuari L. Prospective, blinded, randomized crossover study of gait rehabilitation in stroke patients using the Lokomat gait orthosis. Neurorehabil Neural Repair. 2007;21:307–314
  14. Schwartz I, Sajin A, Fisher I, Neeb M, Shochina M, Katz-Leurer M, et al. The effectiveness of locomotor therapy using robotic-assisted gait training in subacute stroke patients: a randomized controlled trial. PM R. 2009;1:516–523
  15. Hidler J, Nichols D, Pelliccio M, et al. Multicenter randomized clinical trial evaluating the effectiveness of the Lokomat in subacute stroke. Neurorehabil Neural Repair. 2009;23:5–13
  16. Westlake KP, Patten C. Pilot study of Lokomat versus manual-assisted treadmill training for locomotor recovery post-stroke. J Neuroeng Rehabil. 2009;12:18
  17. Hornby TG, Campbell DD, Kahn JH, Demott T, Moore JL, Roth HR. Enhanced gait-related improvements after therapist- versus robotic-assisted locomotor training in subjects with chronic stroke: a randomized controlled study. Stroke. 2008;39:1786–1792
  18. Israel JF, Campbell DD, Kahn JH, Hornby TG. Metabolic costs and muscle activity patterns during robotic- and therapist-assisted treadmill walking in individuals with incomplete spinal cord injury. Phys Ther. 2006;86:1466–1478
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PII: S1934-1482(10)00138-3

doi: 10.1016/j.pmrj.2010.02.013

PM&R
Volume 2, Issue 3 , Pages 214-221 , March 2010

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