Knowledge Gaps in Biophysical Changes After Powered Robotic Exoskeleton Walking by Individuals With Spinal Cord...

Area of Science:

• Rehabilitation Engineering
• Biomedical Engineering
• Neuroscience

Background:

• Robotic exoskeletons offer mobility for individuals with spinal cord injury (SCI).
• Beyond ambulation, exoskeletons may mitigate secondary health issues from immobilization.
• Existing research on exoskeleton benefits for SCI is often small-scale and varied.

Purpose of the Study:

• To provide an overview of overground exoskeleton use effects in SCI.
• To assess exoskeleton impact on secondary health complications and quality of life (QOL).
• To evaluate exoskeleton influence on community independence and identify research gaps.

Main Methods:

• Scoping review of existing literature on exoskeleton use in SCI.
• Analysis of studies reporting on secondary health complications, QOL, and independence.
• Identification of research gaps and recommendations for future studies.

Main Results:

• Exoskeletons show potential for improving upper body fitness, circulation, bowel function, and reducing pain/spasticity.
• Reported improvements in quality of life (QOL) linked to increased daily activity participation.
• Evidence suggests exoskeletons can enhance community independence for SCI individuals.

Conclusions:

• Overground exoskeleton use presents significant secondary health and QOL benefits for SCI.
• Further research is needed to consolidate findings and explore long-term impacts.
• Standardized methodologies are recommended for future investigations into exoskeleton efficacy.