AI Article Synopsis
- Recent advancements in wearable powered exoskeletons (WPE) have enabled gait training (GT) for patients with spinal cord injury, but there's a lack of focus on tetraplegic patients.
- The review aimed to evaluate the feasibility and safety of GT using WPE for tetraplegic patients and identified 41 studies, showing that while minor adverse events occurred in some cases, major events were rare and less frequent in tetraplegic patients compared to paraplegics.
- The findings suggest that GT using WPE is a safe and effective treatment for tetraplegia, highlighting the need for careful patient selection and further research to confirm potential benefits.
Article Abstract
Background: Recent developments in wearable powered exoskeletons (WPE) allow gait training (GT) for patients after spinal cord injury (SCI). Two recent meta-analyses on GT using WPE showed promising results for paraplegic patients (PP). To this date, there is no review focusing on tetraplegic patients (TP).
Objectives: The main objective of this review was to assess feasibility and safety of GT using WPE in patients after tetraplegia.
Method: This systematic review was performed according to PRISMA-S guidelines. Two independent reviewers searched several databases for studies on GT using WPE for TP. Primary outcomes concerned the number, type and severity of reported adverse events (AE). Secondary outcomes examined potential additional health benefits (AHB).
Results: Forty-one studies (6 randomized trials, 24 cohorts and 11 cases series) were selected, including 166 TP, 26 with complete lesions (AIS A) and 71 with level of injury above C6. Minor AE were reported in 17 TP, concerning cutaneous, cardiovascular or musculoskeletal systems. Occurrence of AE is significantly higher in a PP population compared to TP (p value = 0.001). Only one major AE concerned a TP. Studies of low level of evidence suggest that GT using WPE could lead to improvements in walking parameters, cardiovascular efficiency and to a reduction of spasticity.
Discussion And Conclusion: GT using WPE is a feasible and safe intervention for TP. To minimize occurrence of AE, a good patient selection and preparation is proposed. Future clinical trials should be performed to confirm current trends in terms of efficacy and potential AHB.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s13760-022-02011-1 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Lightweight detection model for safe wear at worksites using GPD-YOLOv8 algorithm.
Sci Rep
January 2025
School of Electronic Information Technology, Northeast Forestry University, Harbin, 150040, People's Republic of China.
To address the significantly elevated safety risks associated with construction workers' improper use of helmets and reflective clothing, we propose an enhanced YOLOv8 model tailored for safety wear detection. Firstly, this study introduces the P2 detection layer within the YOLOv8 architecture, which substantially enriches semantic feature representation. Additionally, a lightweight Ghost module is integrated to replace the original backbone of YOLOv8, thereby reducing the parameter count and computational burden.
View Article and Find Full Text PDFTuning into urban birdsong: enhancing nature connectedness with an AI-powered wearable.
Sci Rep
January 2025
School of Computer Science and Engineering, Southeast University, Nanjing, China.
The rapid urbanization has led to the loss of natural spaces and a subsequent disconnection between humans and nature, negatively affecting residents' well-being and environmental awareness. There is a a growing interest in leveraging technology to address this gap in Human-Computer Interaction. This article introduces GoChirp, an AI-powered wearable device for enhancing nature relatedness within urban landscapes.
View Article and Find Full Text PDFExcellent Mechanical Performance of Cellulose Composite Papers for Flexible Self-Powered Photodetectors Using the ZnO/PbS Heterojunction.
ACS Appl Mater Interfaces
January 2025
Wuhan National Laboratory for Optoelectronics, Huazhong University of Science and Technology, Wuhan 430074, China.
Cellulose is attracting considerable attention in the field of flexible electronics due to its unique properties and environmental sustainability, particularly as a substrate for flexible devices. Flexible photodetectors are an integral part of cellulose-based devices and have become essential in optical communication, heart rate monitoring, and imaging systems. The performance and adaptability of these photodetectors depend significantly on the quality of the flexible substrates.
View Article and Find Full Text PDFPersonalized Clustering for Emotion Recognition Improvement.
Sensors (Basel)
December 2024
Instituto de Estudios de Género, Universidad Carlos III de Madrid, Calle Madrid, 126, 28903 Getafe, Spain.
Emotion recognition through artificial intelligence and smart sensing of physical and physiological signals (affective computing) is achieving very interesting results in terms of accuracy, inference times, and user-independent models. In this sense, there are applications related to the safety and well-being of people (sexual assaults, gender-based violence, children and elderly abuse, mental health, etc.) that require even more improvements.
View Article and Find Full Text PDFComparison of EEG Signal Spectral Characteristics Obtained with Consumer- and Research-Grade Devices.
Sensors (Basel)
December 2024
Abu Dhabi Maritime Academy, Abu Dhabi P.O. Box 54477, United Arab Emirates.
Electroencephalography (EEG) has emerged as a pivotal tool in both research and clinical practice due to its non-invasive nature, cost-effectiveness, and ability to provide real-time monitoring of brain activity. Wearable EEG technology opens new avenues for consumer applications, such as mental health monitoring, neurofeedback training, and brain-computer interfaces. However, there is still much to verify and re-examine regarding the functionality of these devices and the quality of the signal they capture, particularly as the field evolves rapidly.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!