The Outcomes of Robotic Rehabilitation Assisted Devices Following Spinal Cord Injury and the Prevention of Secondary Associated Complications

Spinal cord injuries (SCIs) have major consequences on the patient’s health and life. Voluntary muscle paralysis caused by spinal cord damage affects the patient’s independence. Following SCI, an irreversible motor and sensory deficit occurs (spasticity, muscle paralysis, atrophy, pain, gait disorde...

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Main Authors: Carmen Delia Nistor-Cseppento, Anamaria Gherle, Nicoleta Negrut, Simona Gabriela Bungau, Anca Maria Sabau, Andrei-Flavius Radu, Alexa Florina Bungau, Delia Mirela Tit, Bogdan Uivaraseanu, Timea Claudia Ghitea, Diana Uivarosan
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/58/10/1447
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author Carmen Delia Nistor-Cseppento
Anamaria Gherle
Nicoleta Negrut
Simona Gabriela Bungau
Anca Maria Sabau
Andrei-Flavius Radu
Alexa Florina Bungau
Delia Mirela Tit
Bogdan Uivaraseanu
Timea Claudia Ghitea
Diana Uivarosan
author_facet Carmen Delia Nistor-Cseppento
Anamaria Gherle
Nicoleta Negrut
Simona Gabriela Bungau
Anca Maria Sabau
Andrei-Flavius Radu
Alexa Florina Bungau
Delia Mirela Tit
Bogdan Uivaraseanu
Timea Claudia Ghitea
Diana Uivarosan
author_sort Carmen Delia Nistor-Cseppento
collection DOAJ
description Spinal cord injuries (SCIs) have major consequences on the patient’s health and life. Voluntary muscle paralysis caused by spinal cord damage affects the patient’s independence. Following SCI, an irreversible motor and sensory deficit occurs (spasticity, muscle paralysis, atrophy, pain, gait disorders, pain). This pathology has implications on the whole organism: on the osteoarticular, muscular, cardiovascular, respiratory, gastrointestinal, genito-urinary, skin, metabolic disorders, and neuro-psychic systems. The rehabilitation process for a subject having SCIs can be considered complex, since the pathophysiological mechanism and biochemical modifications occurring at the level of spinal cord are not yet fully elucidated. This review aims at evaluating the impact of robotic-assisted rehabilitation in subjects who have suffered SCI, both in terms of regaining mobility as a major dysfunction in patients with SCI, but also in terms of improving overall fitness and cardiovascular function, respiratory function, as well as the gastrointestinal system, bone density and finally the psychosocial issues, based on multiple clinical trials, and pilot studies. The researched literature in the topic revealed that in order to increase the chances of neuro-motor recovery and to obtain satisfactory results, the combination of robotic therapy, a complex recovery treatment and specific medication is one of the best decisions. Furthermore, the use of these exoskeletons facilitates better/greater autonomy for patients, as well as optimal social integration.
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spelling doaj.art-54e99830bce247818db806631cce5c2f2023-11-24T01:11:19ZengMDPI AGMedicina1010-660X1648-91442022-10-015810144710.3390/medicina58101447The Outcomes of Robotic Rehabilitation Assisted Devices Following Spinal Cord Injury and the Prevention of Secondary Associated ComplicationsCarmen Delia Nistor-Cseppento0Anamaria Gherle1Nicoleta Negrut2Simona Gabriela Bungau3Anca Maria Sabau4Andrei-Flavius Radu5Alexa Florina Bungau6Delia Mirela Tit7Bogdan Uivaraseanu8Timea Claudia Ghitea9Diana Uivarosan10Department of Psycho Neuroscience and Recovery, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, RomaniaPresident Medcenter Baile Felix, 417500 Baile Felix, RomaniaDepartment of Psycho Neuroscience and Recovery, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, RomaniaDoctoral School of Biological and Biomedical Sciences, University of Oradea, 410087 Oradea, RomaniaDepartment of Physical Education, Sport and Physical Therapy, Faculty of Geography, Tourism and Sport, University of Oradea, 410087 Oradea, RomaniaDoctoral School of Biological and Biomedical Sciences, University of Oradea, 410087 Oradea, RomaniaDoctoral School of Biological and Biomedical Sciences, University of Oradea, 410087 Oradea, RomaniaDoctoral School of Biological and Biomedical Sciences, University of Oradea, 410087 Oradea, RomaniaDoctoral School of Biological and Biomedical Sciences, University of Oradea, 410087 Oradea, RomaniaDepartment of Pharmacy, Faculty of Medicine and Pharmacy, University of Oradea, 410028 Oradea, RomaniaDepartment of Preclinical Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, RomaniaSpinal cord injuries (SCIs) have major consequences on the patient’s health and life. Voluntary muscle paralysis caused by spinal cord damage affects the patient’s independence. Following SCI, an irreversible motor and sensory deficit occurs (spasticity, muscle paralysis, atrophy, pain, gait disorders, pain). This pathology has implications on the whole organism: on the osteoarticular, muscular, cardiovascular, respiratory, gastrointestinal, genito-urinary, skin, metabolic disorders, and neuro-psychic systems. The rehabilitation process for a subject having SCIs can be considered complex, since the pathophysiological mechanism and biochemical modifications occurring at the level of spinal cord are not yet fully elucidated. This review aims at evaluating the impact of robotic-assisted rehabilitation in subjects who have suffered SCI, both in terms of regaining mobility as a major dysfunction in patients with SCI, but also in terms of improving overall fitness and cardiovascular function, respiratory function, as well as the gastrointestinal system, bone density and finally the psychosocial issues, based on multiple clinical trials, and pilot studies. The researched literature in the topic revealed that in order to increase the chances of neuro-motor recovery and to obtain satisfactory results, the combination of robotic therapy, a complex recovery treatment and specific medication is one of the best decisions. Furthermore, the use of these exoskeletons facilitates better/greater autonomy for patients, as well as optimal social integration.https://www.mdpi.com/1648-9144/58/10/1447spinal cord injuriesassociated complicationsrobotic devicesneuro-motor rehabilitationrecovery
spellingShingle Carmen Delia Nistor-Cseppento
Anamaria Gherle
Nicoleta Negrut
Simona Gabriela Bungau
Anca Maria Sabau
Andrei-Flavius Radu
Alexa Florina Bungau
Delia Mirela Tit
Bogdan Uivaraseanu
Timea Claudia Ghitea
Diana Uivarosan
The Outcomes of Robotic Rehabilitation Assisted Devices Following Spinal Cord Injury and the Prevention of Secondary Associated Complications
Medicina
spinal cord injuries
associated complications
robotic devices
neuro-motor rehabilitation
recovery
title The Outcomes of Robotic Rehabilitation Assisted Devices Following Spinal Cord Injury and the Prevention of Secondary Associated Complications
title_full The Outcomes of Robotic Rehabilitation Assisted Devices Following Spinal Cord Injury and the Prevention of Secondary Associated Complications
title_fullStr The Outcomes of Robotic Rehabilitation Assisted Devices Following Spinal Cord Injury and the Prevention of Secondary Associated Complications
title_full_unstemmed The Outcomes of Robotic Rehabilitation Assisted Devices Following Spinal Cord Injury and the Prevention of Secondary Associated Complications
title_short The Outcomes of Robotic Rehabilitation Assisted Devices Following Spinal Cord Injury and the Prevention of Secondary Associated Complications
title_sort outcomes of robotic rehabilitation assisted devices following spinal cord injury and the prevention of secondary associated complications
topic spinal cord injuries
associated complications
robotic devices
neuro-motor rehabilitation
recovery
url https://www.mdpi.com/1648-9144/58/10/1447
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