Journal of Rehabilitation and Assistive Technologies Engineering最新文献

Comparing the effect of off-loading knee brace with and without local muscle vibration on clinical and biomechanical outcomes in patients with medial knee osteoarthritis: A randomized clinical trial. 比较带和不带局部肌肉振动的卸载膝托对膝关节内侧骨关节炎患者临床和生物力学结果的影响：一项随机临床试验。

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Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2026-04-20 eCollection Date: 2026-01-01 DOI: 10.1177/20556683261440481

Mahsa Zangi, Mahmood Bahramizadeh, Mobina Khosravi, Farzam Farahmand, Mokhtar Arazpour, Koorosh Barati

{"title":"Comparing the effect of off-loading knee brace with and without local muscle vibration on clinical and biomechanical outcomes in patients with medial knee osteoarthritis: A randomized clinical trial.","authors":"Mahsa Zangi, Mahmood Bahramizadeh, Mobina Khosravi, Farzam Farahmand, Mokhtar Arazpour, Koorosh Barati","doi":"10.1177/20556683261440481","DOIUrl":"https://doi.org/10.1177/20556683261440481","url":null,"abstract":"Background: Medial knee osteoarthritis (KOA) is a prevalent degenerative joint disease causing pain and functional impairment. Off-loading knee braces reduce pain but may decrease muscle activity, leading to weakness. Integrating local muscle vibration (LMV) into off-loading braces may enhance muscle activation and clinical outcomes.Objective: To design a portable LMV system synchronized with gait phases and compare its efficacy to a conventional off-loading brace in patients with medial KOA.Methods: In this randomized clinical trial, 16 patients with medial KOA were assigned to either an LMV-equipped off-loading brace group or a conventional brace group for 4 weeks. Clinical outcomes (Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC], Visual Analog Scale [VAS]) and biomechanical parameters (knee adduction moment [KAM1, KAM2], impulse, range of motion [ROM], cadence, stride length) were assessed pre- and post-intervention using validated questionnaires and a motion analysis system.Results: The LMV-equipped brace group demonstrated a significantly greater reduction in KAM impulse (-24.79% vs. -7.68%, p=0.050) and improved knee ROM (p=0.048) compared to the conventional brace group. Significant improvements in WOMAC (p=0.001) and VAS (p=0.011) scores were observed in the LMV group, indicating enhanced functional status and pain relief.Conclusion: The LMV-equipped off-loading brace provides superior biomechanical (KAM impulse, ROM) and clinical outcomes compared to conventional braces, offering a promising intervention for medial KOA.","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"13 ","pages":"20556683261440481"},"PeriodicalIF":2.0,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13110341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anthropometric, muscle power and kinematic characteristics of visually impaired sprinters and their guides: Case studies. 视力受损短跑运动员及其指南的人体测量学、肌肉力量和运动学特征：案例研究。

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Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2026-04-05 eCollection Date: 2026-01-01 DOI: 10.1177/20556683261431332

Leonardo Mendes Barbosa, Thiago Fernando Lourenço, Mateus Rossato, João Otacílio Libardoni Dos Santos

{"title":"Anthropometric, muscle power and kinematic characteristics of visually impaired sprinters and their guides: Case studies.","authors":"Leonardo Mendes Barbosa, Thiago Fernando Lourenço, Mateus Rossato, João Otacílio Libardoni Dos Santos","doi":"10.1177/20556683261431332","DOIUrl":"https://doi.org/10.1177/20556683261431332","url":null,"abstract":"This study aimed to characterize the anthropometric, muscle power, and kinematic profiles of visually impaired sprinters (AVI) and their guides (GA) during the 100-meter dash. Three male guide pairs participated, all with national and international experience: Pair 1: AVI (T12); Pair 2: AVI (T11); Pair 3: (T11). Assessments included: (a) anthropometry, (b) lower-limb muscle power via countermovement jump (CMJ), and (c) kinematic analysis during an official 100-meter race using a global positioning system (GPS). GAs generally exhibited greater height, body mass, and longer lower limbs compared to AVIs. Except for Pair 3, GAs demonstrated superior CMJ performance and lower-limb power output. Peak running velocity (PV) was comparable across pairs, but AVI in Pair 1 and 2 achieved PV faster than their GAs. Pair 3 displayed pronounced asymmetries in instantaneous velocity and acceleration between AVI and GA during the race. The synchronization is influenced by experience duration, anthropometric compatibility, and muscle power disparities.","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"13 ","pages":"20556683261431332"},"PeriodicalIF":2.0,"publicationDate":"2026-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Biomechanical effects of foot orthoses in children with flexible flat foot; a systematic review. 软性平足儿童足部矫形器的生物力学效果系统回顾。

IF 2

Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2026-03-13 eCollection Date: 2026-01-01 DOI: 10.1177/20556683261429364

Mahsa Zangi, Mohammadyasin Taheri, Obeydollah Ahmadi, Forough Khalili Dehkordi, Arash Maleki, Mobina Khosravi

{"title":"Biomechanical effects of foot orthoses in children with flexible flat foot; a systematic review.","authors":"Mahsa Zangi, Mohammadyasin Taheri, Obeydollah Ahmadi, Forough Khalili Dehkordi, Arash Maleki, Mobina Khosravi","doi":"10.1177/20556683261429364","DOIUrl":"10.1177/20556683261429364","url":null,"abstract":"Background: Flexible flatfoot, characterized by a collapsed medial longitudinal arch during weight-bearing, was a common pediatric condition associated with pain, balance deficits, and an increased risk of musculoskeletal complications. Foot orthoses were frequently prescribed, but their biomechanical effects in children had not been fully established. This systematic review aimed to synthesize evidence on the biomechanical effects of foot orthoses in children with flexible flatfoot.Methods: Following the PRISMA 2020 guidelines, four databases (PubMed, Scopus, Web of Science, and ProQuest) were searched from inception to July 2025. Eligible studies included randomized controlled trials, cohort studies, quasi-experimental studies, and cross-sectional studies that evaluated biomechanical outcomes of orthotic interventions. Due to heterogeneity, a narrative synthesis was conducted. Risk of bias was assessed using the Modified Downs and Black checklist.Results: Twenty-two studies (n = 844; mean age: 8.9 years; 52% male) were included. Orthoses reduced midfoot plantar pressure (up to -48.5 kPa), ankle inversion moments (-0.3 Nm/kg), and center of pressure displacement (-5 mm), while improving step length (+5 cm), balance, muscle activity, and radiographic indices (e.g., talonavicular coverage angle improved by 5°). Predictors of better outcomes included low navicular height (<1 cm), high arch index (>0.26), and higher pain scores (>3).Conclusion: Foot orthoses offered measurable biomechanical benefits in pediatric flexible flatfoot. Clinical use should be individualized and guided by objective assessment. Further high-quality RCTs with standardized outcome measures and longer follow-up are warranted.","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"13 ","pages":"20556683261429364"},"PeriodicalIF":2.0,"publicationDate":"2026-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13009668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparative analysis of fixed and individualised speed zones for quantifying external match load in female wheelchair basketball. 女子轮椅篮球固定速度区与个性化速度区量化外场比赛负荷的比较分析。

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Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2026-03-11 eCollection Date: 2026-01-01 DOI: 10.1177/20556683261430315

Pippa Bailey, Richard C Blagrove, Thomas Rietveld, Rienk M A Van Der Slikke, Vicky L Goosey-Tolfrey

{"title":"Comparative analysis of fixed and individualised speed zones for quantifying external match load in female wheelchair basketball.","authors":"Pippa Bailey, Richard C Blagrove, Thomas Rietveld, Rienk M A Van Der Slikke, Vicky L Goosey-Tolfrey","doi":"10.1177/20556683261430315","DOIUrl":"https://doi.org/10.1177/20556683261430315","url":null,"abstract":"Introduction: This study compared fixed and individualized speed zone methods for quantifying external match load (EML) across classification and playing levels in women's wheelchair basketball (WB) and examined their relationship with internal match load (IML) measures.Methods: EML of 31 well trained female players (age: 28 ± 7 years, experience: 11 ± 5 years, weekly training: 12 ± 4 h) were quantified across 13 international (INT) and 5 Women's Premier League (WPL) games using two inertial measurement units. A linear mixed model compared the percentage time in fixed and individualized speed zones and correlations with IML (eTRIMP, sRPE) using Pearson and Spearman Rho.Results: Individualized zones recorded more time (10%) in low speed (Z3) and less time (0.3-5.9%) in moderate to very high-speed zones (Z4-Z6) versus fixed (p < 0.0001). Differences and effect sizes were greater in INT games (+0.8-1.1 pp) and highest classifications (+9.5 pp). Both methods correlated poorly with IML, except weak Z3 correlations at the INT level (p ≤ 0.020).Conclusions: Speed zone method influences high-intensity movement assessments, varying by playing level and classification. Neither method optimally related to IML, highlighting the need for calibrated, consistent thresholds.","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"13 ","pages":"20556683261430315"},"PeriodicalIF":2.0,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12982848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147469659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Overground to omnidirectional: Spatiotemporal and muscle activation pattern adaptations across walking modalities, virtual reality, and pace constraints. 从地面到全方位：时空和肌肉激活模式在步行方式、虚拟现实和速度限制方面的适应。

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Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2026-03-09 eCollection Date: 2026-01-01 DOI: 10.1177/20556683261433969

Gwendolyn R Retzinger, Wendy T Pham, Blake A Bingham, Kayla E Hori, Jacob W Hinkel-Lipsker

{"title":"Overground to omnidirectional: Spatiotemporal and muscle activation pattern adaptations across walking modalities, virtual reality, and pace constraints.","authors":"Gwendolyn R Retzinger, Wendy T Pham, Blake A Bingham, Kayla E Hori, Jacob W Hinkel-Lipsker","doi":"10.1177/20556683261433969","DOIUrl":"https://doi.org/10.1177/20556683261433969","url":null,"abstract":"The rapid expansion of virtual reality (VR) technology has led to the development of low-friction, slip-style omnidirectional treadmills (OTs), which have great promise for implementation into VR-based gait rehabilitation protocols. However, previous work indicates that use of these treadmills leads to unique gait patterns that may differ from overground gait, and there is a lack of research examining how OT gait differs from a conventional, belt-driven treadmill (CT). Thus, the purpose of this study was to characterize spatiotemporal and electromyographic gait patterns on an OT and to compare them with overground and CT walking. Fourteen healthy participants walked in these three conditions in both the real-world and in VR, as well as at fixed and preferred paces. Results indicate that use of the CT promoted significantly longer stride lengths (mean = 1.838 m) and reduced variability (coefficient of variation (CV) = 14.7%) compared to overground walking (mean = 1.578 m, CV = 21.4%). Moreover, the use of CT in VR at a fixed pace led to reduced biceps femoris (CV = 20.4%) and medial gastrocnemius (CV = 14.9%) variability compared to overground walking (biceps femoris CV = 26.4%, medial gastrocnemius CV = 22.2%), while use of the OT demonstrated variability similar to that of overground walking across measures. These results indicate that the user-driven aspect of OTs may elicit gait patterns more similar to overground walking than traditional belt-driven treadmills.","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"13 ","pages":"20556683261433969"},"PeriodicalIF":2.0,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12972554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patterns and unmet needs in wheelchair utilization: A mixed-method study of user experience at a tertiary hospital in India. 轮椅使用的模式和未满足的需求：印度一家三级医院用户体验的混合方法研究。

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Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2026-02-26 eCollection Date: 2026-01-01 DOI: 10.1177/20556683251397326

Jain Srishti, Bansal Avijit, Handa Gita

{"title":"Patterns and unmet needs in wheelchair utilization: A mixed-method study of user experience at a tertiary hospital in India.","authors":"Jain Srishti, Bansal Avijit, Handa Gita","doi":"10.1177/20556683251397326","DOIUrl":"https://doi.org/10.1177/20556683251397326","url":null,"abstract":"Background and aim: The study investigated the present state of awareness, unmet needs, and barriers faced by participants using wheelchairs in a tertiary care hospital in India.Methods: This sequential explanatory mixed-method study explored the participants' experiences in two parts. Part one presents the result analysis of user experience and wheelchair service provision using rATA (n=100). Part two presents a thematic analysis of 100 in-depth semi-structured interviews.Result: The study and interviews define barriers to wheelchair access provision, including assessment, prescription, customization, training, wheelchair maintenance, and follow-up. The study reported that most participants procured their wheelchairs from the private sector (35%) while 10% received them from the public sector. The main reasons for not having the appropriate wheelchair were affordability (78%), lack of support (64%), and lack of awareness (41%), while road/transport accessibility (63%) and home accessibility (53%) were the main obstacles for the wheelchair non-use.Conclusion: The study provided insights into wheelchair provision and user satisfaction within healthcare delivery system. Integration of Wheelchair service and delivery into the health care system can strengthen the rehabilitation health system per the WHO guidelines.","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"13 ","pages":"20556683251397326"},"PeriodicalIF":2.0,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12949313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Characterization and control of air cell cushion behavior in different environments. 不同环境下气囊缓冲性能的表征与控制。

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Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2026-02-05 eCollection Date: 2026-01-01 DOI: 10.1177/20556683261421166

Inderjeet Singh, Alexandra Jamieson, Yixin Gu, Muthu B J Wijesundara

{"title":"Characterization and control of air cell cushion behavior in different environments.","authors":"Inderjeet Singh, Alexandra Jamieson, Yixin Gu, Muthu B J Wijesundara","doi":"10.1177/20556683261421166","DOIUrl":"10.1177/20556683261421166","url":null,"abstract":"Air cell cushions are widely used in wheelchair seating and medical support surfaces to reduce interface pressure and prevent pressure injuries. Their effectiveness depends on maintaining proper internal air pressure, which can fluctuate with environmental changes such as temperature and atmospheric pressure. These fluctuations pose a risk in clinical and transport settings where cushions may be exposed to extreme conditions. This study examines the behavior of air cell cushions made from silicone, polyurethane, and TPU-coated fabric under different environmental conditions. Using a proportional-integral-derivative (PID) control algorithm, we regulated the internal air-cell pressure to remain constant under changing temperature (15-35 °C) and atmospheric pressure (101-75 kPa) conditions. Results indicate that the cushion material significantly influences pressure stability, with TPU-coated fabric being the most sensitive to environmental changes. Applying the closed-loop control algorithm, it is possible to maintain the set pressure within ±0.05 kPa regardless of the cushion material, loading conditions, and environmental variations.","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"13 ","pages":"20556683261421166"},"PeriodicalIF":2.0,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12876647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Design of a low-cost mechanical 3D-Printed hand orthosis for grasping assistance in activities of daily living. 设计一种低成本的机械3d打印手部矫形器，用于日常生活活动中的抓取辅助。

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Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2026-02-04 eCollection Date: 2026-01-01 DOI: 10.1177/20556683261422642

Juliette Boucher Grenon, Charles Doyon, Thierry Laliberté, Alexandre Campeau-Lecours

{"title":"Design of a low-cost mechanical 3D-Printed hand orthosis for grasping assistance in activities of daily living.","authors":"Juliette Boucher Grenon, Charles Doyon, Thierry Laliberté, Alexandre Campeau-Lecours","doi":"10.1177/20556683261422642","DOIUrl":"10.1177/20556683261422642","url":null,"abstract":"The ability to grasp objects has a significant impact on the independence of individuals following a stroke, a spinal cord injury, or for those who are living with amyotrophic lateral sclerosis. In most cases, physical rehabilitation is not sufficient to regain the hand function necessary for day-to-day life. Hand orthoses capable of providing grasping assistance in activities of daily living are therefore crucial to a more independent lifestyle. However, most available options struggle to offer an acceptable balance between cost, size, weight and functionality, resulting in limited use in practice. This article presents a low-cost, 3D-printed hand orthosis that relies solely on mechanical elements to aid in finger flexion. An underactuated, flexible design for the fingers with nylon strips as spring blades was used to achieve a design that costs only 27% of the price of comparable commercially available options, as well as being very lightweight and easily customizable. It was also demonstrated that rigid thumb supports allowed the orthosis to be used in the majority of daily grasping tasks. Finally, the use of the proposed mechanism was shown to be able to provide up to 4 N of flexion assistance to the finger when using a medium wrap grip.","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"13 ","pages":"20556683261422642"},"PeriodicalIF":2.0,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12873083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing the feasibility of interactions within a computer-generated virtual reality for people with dementia. 评估在计算机生成的虚拟现实中与痴呆症患者互动的可行性。

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Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2025-11-27 eCollection Date: 2025-01-01 DOI: 10.1177/20556683251393992

Alexander Prinz, Dan Bürger, Marvin Schmidt, Richard Jesse, Kerstin Witte

{"title":"Assessing the feasibility of interactions within a computer-generated virtual reality for people with dementia.","authors":"Alexander Prinz, Dan Bürger, Marvin Schmidt, Richard Jesse, Kerstin Witte","doi":"10.1177/20556683251393992","DOIUrl":"10.1177/20556683251393992","url":null,"abstract":"Background: The global prevalence of dementia is increasing, necessitating effective non-pharmacological interventions due to the limitations and side effects of pharmacological treatments. Digital health interventions, including Virtual Reality (VR), offer promising alternatives. This study assessed the feasibility, safety, and potential side effects of interactive computer-generated VR (CGVR) for individuals with dementia (IwD), focusing on reaction tests of varying complexity.Methods: In the feasibility study recruited 32 participants with mild to moderate dementia, assessed by the Mini-Mental-State-Examination (MMSE). Participants underwent a single CGVR session involving virtual reaction wall tasks of varying difficulty. Pre- and post-exposure assessments, alongside feedback forms, evaluated cognitive and motor functions, mood, anxiety, and balance (paired t-test).Results: Of the 32 participants, 29 completed the study (9% drop-out). Observational data indicated high levels of engagement and enjoyment. No adverse effects on cognitive or motor functions were observed, with slight non-significant improvements across most parameters. MMSE scores correlated significantly with task feasibility and reaction/motor times, highlighting the influence of cognitive status on performance.Conclusions: CGVR demonstrated high feasibility and acceptability among IwD, with no adverse effects and potential to enhance cognitive and motor skills. Further research is required to explore long-term efficacy and optimize therapeutic applications.","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"12 ","pages":"20556683251393992"},"PeriodicalIF":2.0,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12660644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145649604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of an exosuit on kinematics in individuals with incomplete spinal cord injury. 外伤服对不完全性脊髓损伤患者运动学的影响。

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Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2025-10-16 eCollection Date: 2025-01-01 DOI: 10.1177/20556683251375068

Lara Visch, Brenda E Groen, Alexander C H Geurts, Ilse J W van Nes, Noël L W Keijsers

{"title":"Effect of an exosuit on kinematics in individuals with incomplete spinal cord injury.","authors":"Lara Visch, Brenda E Groen, Alexander C H Geurts, Ilse J W van Nes, Noël L W Keijsers","doi":"10.1177/20556683251375068","DOIUrl":"10.1177/20556683251375068","url":null,"abstract":"Background: Anti-gravity exosuits supporting hip and knee extension have emerged for overground training. This study investigated their effect on kinematics in individuals with incomplete spinal cord injury (iSCI) compared to regular walking and to walking with an overground BWS system.Methods: Fourteen individuals with iSCI were tested during overground walking in three conditions: regular, exosuit, and BWS. Kinematics were assessed using the Xsens MVN motion capture system.Results: Maximum hip extension was larger for exosuit compared to regular walking (Δ4.7°, 95% CI [1.4, 7.9]), but was not different compared to BWS. Mean knee flexion was smaller for exosuit compared to regular walking (Δ-1.7°, 95% CI [-3.0, -0.4]) and compared to BWS (Δ-3.5°, 95% CI [-5.4, -1.6]). Most secondary outcome measures (e.g. walking speed, stride length, step width, ML COM excursion) showed no differences between exosuit and regular walking. Comparing exosuit to BWS, most secondary outcome measures (e.g., walking speed, stride length, stride time, trunk inclination) favored BWS.Conclusions: An anti-gravity exosuit resulted in increased hip and knee extension, but did not translate into other gait improvements. Given the more favorable outcomes of the BWS system compared to the exosuit, exosuit design improvements are needed to be effectively implemented in gait rehabilitation after iSCI.","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"12 ","pages":"20556683251375068"},"PeriodicalIF":2.0,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12536207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0