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KMID : 1024720220120010040
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Geriatric Rehabilitation
2022 Volume.12 No. 1 p.40 ~ p.45
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Effects of Robot-Assisted Gait Training in Spinal Cord Injury Patient with Impaired Proprioception: A Case Report
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Yoo Jee-Hyun
Lim Kil-Byung
Kim Ji-Yong
Cho Sung-Il
Lee Sang-Wan
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Abstract
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Spinal cord injury (SCI) commonly impairs proprioception and tactile sensation, significantly affecting incomplete SCI patient’s walking ability. Robot-assisted gait training (RAGT) is an alternative treatment method of conventional overground gait training. It provides repetitive, interactive, intensive and task-specific practice that may help improve the walking ability of patients by accelerating neuroplasticity. We report a case of a 76-year-old patient with damage to the dorsal column of the spinal cord during neurosurgery. Although conventional physiotherapy was performed five months after injury, he could not ambulate with a walker because of persistently impaired proprioception. After the patient was received 19 sessions of RAGT using the Morning Walkⓡ, the patient’s proprioception showed improvement, allowing the patient to independently ambulate with a walker. This case shows that for SCI patients with reduced proprioception, the end-effector type RAGT using the Morning Walkⓡ improves proprioception and their functional level about walking ability.
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KEYWORD
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Proprioception, Robotics, Spinal cord injuries
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