Robot-Assisted Gait Training with Trexo Home: Users, Usage and Initial Impacts

Robotic gait training has the potential to improve secondary health conditions for people with severe neurological impairment. The purpose of this study was to describe who is using the Trexo robotic gait trainer, how much training is achieved in the home and community, and what impacts are observed...

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Main Authors: Christa M. Diot, Jessica L. Youngblood, Anya H. Friesen, Tammy Wong, Tyler A. Santos, Benjamin M. Norman, Kelly A. Larkin-Kaiser, Elizabeth G. Condliffe
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/3/437
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author Christa M. Diot
Jessica L. Youngblood
Anya H. Friesen
Tammy Wong
Tyler A. Santos
Benjamin M. Norman
Kelly A. Larkin-Kaiser
Elizabeth G. Condliffe
author_facet Christa M. Diot
Jessica L. Youngblood
Anya H. Friesen
Tammy Wong
Tyler A. Santos
Benjamin M. Norman
Kelly A. Larkin-Kaiser
Elizabeth G. Condliffe
author_sort Christa M. Diot
collection DOAJ
description Robotic gait training has the potential to improve secondary health conditions for people with severe neurological impairment. The purpose of this study was to describe who is using the Trexo robotic gait trainer, how much training is achieved in the home and community, and what impacts are observed after the initial month of use. In this prospective observational single-cohort study, parent-reported questionnaires were collected pre- and post-training. Of the 70 participants, the median age was 7 years (range 2 to 24), 83% had CP, and 95% did not walk for mobility. Users trained 2–5 times/week. After the initial month, families reported a significant reduction in sleep disturbance (<i>p</i> = 0.0066). Changes in bowel function, positive affect, and physical activity were not statistically significant. These findings suggest that families with children who have significant mobility impairments can use a robotic gait trainer frequently in a community setting and that sleep significantly improves within the first month of use. This intervention holds promise as a novel strategy to impact multi-modal impairments for this population. Future work should include an experimental study design over a longer training period to begin to understand the relationship between training volume and its full potential.
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spelling doaj.art-6a75ef292f0a4d388bc045cf722c6e6c2023-11-17T10:20:16ZengMDPI AGChildren2227-90672023-02-0110343710.3390/children10030437Robot-Assisted Gait Training with Trexo Home: Users, Usage and Initial ImpactsChrista M. Diot0Jessica L. Youngblood1Anya H. Friesen2Tammy Wong3Tyler A. Santos4Benjamin M. Norman5Kelly A. Larkin-Kaiser6Elizabeth G. Condliffe7Alberta Children’s Hospital, Calgary, AB T3B 6A8, CanadaCumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, CanadaCumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, CanadaCumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, CanadaSchulich School of Engineering, University of Calgary, Calgary, AB T2N 4N1, CanadaCumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, CanadaCumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, CanadaCumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, CanadaRobotic gait training has the potential to improve secondary health conditions for people with severe neurological impairment. The purpose of this study was to describe who is using the Trexo robotic gait trainer, how much training is achieved in the home and community, and what impacts are observed after the initial month of use. In this prospective observational single-cohort study, parent-reported questionnaires were collected pre- and post-training. Of the 70 participants, the median age was 7 years (range 2 to 24), 83% had CP, and 95% did not walk for mobility. Users trained 2–5 times/week. After the initial month, families reported a significant reduction in sleep disturbance (<i>p</i> = 0.0066). Changes in bowel function, positive affect, and physical activity were not statistically significant. These findings suggest that families with children who have significant mobility impairments can use a robotic gait trainer frequently in a community setting and that sleep significantly improves within the first month of use. This intervention holds promise as a novel strategy to impact multi-modal impairments for this population. Future work should include an experimental study design over a longer training period to begin to understand the relationship between training volume and its full potential.https://www.mdpi.com/2227-9067/10/3/437roboticscerebral palsyneurological rehabilitationsleepbowel function
spellingShingle Christa M. Diot
Jessica L. Youngblood
Anya H. Friesen
Tammy Wong
Tyler A. Santos
Benjamin M. Norman
Kelly A. Larkin-Kaiser
Elizabeth G. Condliffe
Robot-Assisted Gait Training with Trexo Home: Users, Usage and Initial Impacts
Children
robotics
cerebral palsy
neurological rehabilitation
sleep
bowel function
title Robot-Assisted Gait Training with Trexo Home: Users, Usage and Initial Impacts
title_full Robot-Assisted Gait Training with Trexo Home: Users, Usage and Initial Impacts
title_fullStr Robot-Assisted Gait Training with Trexo Home: Users, Usage and Initial Impacts
title_full_unstemmed Robot-Assisted Gait Training with Trexo Home: Users, Usage and Initial Impacts
title_short Robot-Assisted Gait Training with Trexo Home: Users, Usage and Initial Impacts
title_sort robot assisted gait training with trexo home users usage and initial impacts
topic robotics
cerebral palsy
neurological rehabilitation
sleep
bowel function
url https://www.mdpi.com/2227-9067/10/3/437
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