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Use of Robot-Assisted Ankle Training in a Patient with an Incomplete Spinal Cord Injury: A Case Report

Rehabilitation interventions are crucial in promoting neuroplasticity after spinal cord injury (SCI). We provided rehabilitation with a single-joint hybrid assistive limb (HAL-SJ) ankle joint unit (HAL-T) in a patient with incomplete SCI. The patient had incomplete paraplegia and SCI (neurological i...

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Autores principales: Koseki, Kazunori, Takahashi, Kazushi, Yamamoto, Satoshi, Yoshikawa, Kenichi, Abe, Atsushi, Mutsuzaki, Hirotaka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10054573/
https://www.ncbi.nlm.nih.gov/pubmed/36976128
http://dx.doi.org/10.3390/jfmk8010031
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author Koseki, Kazunori
Takahashi, Kazushi
Yamamoto, Satoshi
Yoshikawa, Kenichi
Abe, Atsushi
Mutsuzaki, Hirotaka
author_facet Koseki, Kazunori
Takahashi, Kazushi
Yamamoto, Satoshi
Yoshikawa, Kenichi
Abe, Atsushi
Mutsuzaki, Hirotaka
author_sort Koseki, Kazunori
collection PubMed
description Rehabilitation interventions are crucial in promoting neuroplasticity after spinal cord injury (SCI). We provided rehabilitation with a single-joint hybrid assistive limb (HAL-SJ) ankle joint unit (HAL-T) in a patient with incomplete SCI. The patient had incomplete paraplegia and SCI (neurological injury height: L1, ASIA Impairment Scale: C, ASIA motor score (R/L) L4:0/0, S1:1/0) following a rupture fracture of the first lumbar vertebra. The HAL-T consisted of a combination of ankle plantar dorsiflexion exercises in the sitting position, knee flexion, and extension exercises in the standing position, and stepping exercises in the standing position with HAL assistance. The plantar dorsiflexion angles of the left and right ankle joints and electromyograms of the tibialis anterior and gastrocnemius muscles were measured and compared using a three-dimensional motion analyzer and surface electromyography before and after HAL-T intervention. Phasic electromyographic activity was developed in the left tibialis anterior muscle during plantar dorsiflexion of the ankle joint after the intervention. No changes were observed in the left and right ankle joint angles. We experienced a case in which intervention using HAL-SJ induced muscle potentials in a patient with a spinal cord injury who was unable to perform voluntary ankle movements due to severe motor–sensory dysfunction.
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spelling pubmed-100545732023-03-30 Use of Robot-Assisted Ankle Training in a Patient with an Incomplete Spinal Cord Injury: A Case Report Koseki, Kazunori Takahashi, Kazushi Yamamoto, Satoshi Yoshikawa, Kenichi Abe, Atsushi Mutsuzaki, Hirotaka J Funct Morphol Kinesiol Case Report Rehabilitation interventions are crucial in promoting neuroplasticity after spinal cord injury (SCI). We provided rehabilitation with a single-joint hybrid assistive limb (HAL-SJ) ankle joint unit (HAL-T) in a patient with incomplete SCI. The patient had incomplete paraplegia and SCI (neurological injury height: L1, ASIA Impairment Scale: C, ASIA motor score (R/L) L4:0/0, S1:1/0) following a rupture fracture of the first lumbar vertebra. The HAL-T consisted of a combination of ankle plantar dorsiflexion exercises in the sitting position, knee flexion, and extension exercises in the standing position, and stepping exercises in the standing position with HAL assistance. The plantar dorsiflexion angles of the left and right ankle joints and electromyograms of the tibialis anterior and gastrocnemius muscles were measured and compared using a three-dimensional motion analyzer and surface electromyography before and after HAL-T intervention. Phasic electromyographic activity was developed in the left tibialis anterior muscle during plantar dorsiflexion of the ankle joint after the intervention. No changes were observed in the left and right ankle joint angles. We experienced a case in which intervention using HAL-SJ induced muscle potentials in a patient with a spinal cord injury who was unable to perform voluntary ankle movements due to severe motor–sensory dysfunction. MDPI 2023-02-27 /pmc/articles/PMC10054573/ /pubmed/36976128 http://dx.doi.org/10.3390/jfmk8010031 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Koseki, Kazunori
Takahashi, Kazushi
Yamamoto, Satoshi
Yoshikawa, Kenichi
Abe, Atsushi
Mutsuzaki, Hirotaka
Use of Robot-Assisted Ankle Training in a Patient with an Incomplete Spinal Cord Injury: A Case Report
title Use of Robot-Assisted Ankle Training in a Patient with an Incomplete Spinal Cord Injury: A Case Report
title_full Use of Robot-Assisted Ankle Training in a Patient with an Incomplete Spinal Cord Injury: A Case Report
title_fullStr Use of Robot-Assisted Ankle Training in a Patient with an Incomplete Spinal Cord Injury: A Case Report
title_full_unstemmed Use of Robot-Assisted Ankle Training in a Patient with an Incomplete Spinal Cord Injury: A Case Report
title_short Use of Robot-Assisted Ankle Training in a Patient with an Incomplete Spinal Cord Injury: A Case Report
title_sort use of robot-assisted ankle training in a patient with an incomplete spinal cord injury: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10054573/
https://www.ncbi.nlm.nih.gov/pubmed/36976128
http://dx.doi.org/10.3390/jfmk8010031
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