Robotic exoskeletons have emerged as a recovery tool that may enhance several of the actual health-related outcomes after spinal cord injury (SCI). However, proof to support its clinical application is still lacking considering its prohibitive cost. The current mini-review is formulated to highlight the main conditions and potential benefits of using exoskeletons in the improvement of persons with SCI. We have recognized two main areas related to the design of exoskeletons and their applications on significant health consequences after SCI. The design perspective refers to safety concerns, appropriate time and speed of exoskeletons. The health perspective refers to factors similar to body weight, physical activity, pressure fractures, and bone health.
Clinical examinations are currently underway to address some of these restrictions and to maximize the benefits in improvement settings. Future directions highlight the requirement to use exoskeletons in association with other existing and developing technologies similar to operative electrical stimulation and brain-computer interface to address significant limitations. Exoskeletons have the potential to reform reconstruction following SCI; however, it is still premature to make reliable recommendations about their clinical use after SCI.
Robotic exoskeletons are supposed wearable robotic units managed by computer boards to control a system of motors, pneumatics, levers, or hydraulics to restore movement. The topic of exoskeletons is appropriate given the number of designs currently being studied as well as acquired by facilities for rehabilitation purposes in medical centres or home use. Exoskeletons have emerged as a helpful rehabilitation tool for disabled individuals with spinal cord injury (SCI). Rehabilitation professionals, clinicians, researchers, and victims welcome their use for overground ambulation. Compared to previously existing locomotors training paradigms, exoskeletons may offer a great deal of independence in medical centres and communities including shopping malls, local parks, and movie theatres as well as improving the level of physical activity. There is a pressing need for this community to improve their levels of physical activity. This feature may inspire the continuous usage of exoskeletons in conjunction with wheelchairs.
Present applications of robotic exoskeletons:
Different kinds of powered exoskeletons are now commercially available for SCI restoration with varying levels of injury. However, there is still limited accessibility to exoskeletons in clinical perspectives, partly because of their prohibitive cost and the high level of training needed before supervising individuals with SCI. Despite these conditions, limited research and anecdotal evidence support the use of exoskeleton to improve the quality of life and health-related medical conditions after SCI. Previous excellent reviews have reviewed and highlighted the potential benefits of using exoskeleton for rehabilitation of persons with SCI. It is crucial before extending the applications of exoskeletons that we carefully investigate the available research and clinical evidence regarding this technology.
Clinical trials site indicated that out of 870 studies for SCIs, there are 28 studies (approximately 3%) directing different applications of exoskeletons in this community. These statistics may highlight our restricted knowledge and the need for additional clinical trials to address the significant limitations of exoskeletons. The current use of robotic exoskeletons endures investigational and unanticipated to decide whether exoskeletons are clinically useful in the rehabilitation of persons with SCI. The primary focus of the ongoing review is to allow critical analysis of the available research evidence and to encourage an interdisciplinary approach to advance the use of technology in clinical settings. The improvement community should not be discouraged from the use of exoskeletons, but rather to proceed with caution regarding their clinical applications.
Safety and efficiency of robotic exoskeletons:
From the clinical health-prospective, several reports have confirmed that exoskeleton training is safe and likely to be used in different settings to encourage overground ambulation. A recent study that included nine European rehabilitation centres demonstrated the safety, feasibility and training characteristics in persons with SCI following eight weeks of training. Out of 52 volunteers, three dropped out following ankle inflammation and four presented with grade II pressure injury but endured to continue the study. Personal communication indicated that fracture might occur at the distal tibia or calcaneus bone during exoskeleton walking. Potential health advantages have been highlighted for the use of exoskeletons in restoration settings, and studies have explored the effects of exoskeletons on different health-related outcomes.
These studies provided preliminary evidence on the potency of exoskeletons on cardiovascular health, energy outgo, body composition, gait parameters, level of physical action and quality of life. Robotic exoskeletons may prove an attractive recovery tool not only to restore locomotion but also to improve the level of physical activity years after injury. Robotic exoskeletons may reduce seated time, increase standing and walking time as well as social commitments with family and friends. Reduced sitting time is likely to improve several of the health-related outcomes that negatively impact this population. Here is more information about online robots and another working please check robots.net