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Gait Rehabilitation with Exoskeletons

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Handbook of Human Motion

Abstract

The exoskeleton is a robotics-assisted, powered device that enables paralyzed patients to stand up and walk. This chapter examines the state of art concerning the use of active, powered, and wearable lower limb exoskeletons for aiding and rehabilitating paraplegic patients’ gait disorders resulting from serious central nervous system lesions. A qualitative analysis of the literature review found that the rehabilitative use of an exoskeleton is safe and practical, not physically exhausting, and requires just a little cognitive effort. In addition, exoskeleton use is easy to learn, increases mobility and functional abilities, and decreases the risk of secondary injuries, restoring a gait pattern comparable to normal when walking over ground. Nevertheless, the rehabilitative use of an exoskeleton has some important limitations: the wearability criteria are too restrictive, the training to use it autonomously at home is very complex, and the device is still extremely expensive. A further limitation is the scarcity of experimental designs that demonstrate the effectiveness of the exoskeleton compared to other rehabilitative techniques and technologies.

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Authors and Affiliations

  1. Department of Philosophy, Social & Human Sciences and Education, University of Perugia, Perugia, Italy

    Stefano Federici, Fabio Meloni & Marco Bracalenti

Authors
  1. Stefano Federici
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  2. Fabio Meloni
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  3. Marco Bracalenti
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Correspondence to Stefano Federici .

Editor information

Editors and Affiliations

  1. Motion & More, Barcelona, Spain

    Bertram Müller

  2. Klinik für Orthopädie und Unfallchirurgi, Universitätsklinikum Heidelberg, Heidelberg, Germany

    Sebastian I. Wolf

  3. Institut for Biomechanics und Orthopedic, German Sport University Cologne, Cologne, Germany

    Gert-Peter Brueggemann

  4. Houston, Texas, USA

    Zhigang Deng

  5. ACRISP, FedUniversity, Cremorne, New South Wales, Australia

    Andrew McIntosh

  6. Wilmington, Delaware, USA

    Freeman Miller

  7. Research, C-Motion, Inc., Germantown, Maryland, USA

    William Scott Selbie

Section Editor information

  1. Movement Analysis Laboratory, Clinic for Orthopedics and Trauma Surgery; Center for Orthopedics, Trauma Surgery and Spinal Cord Injury;Heidelberg University Hospital, Schlierbacher Landstr. 200a, 69118, Heidelberg, Germany

    Sebastian I. Wolf

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Federici, S., Meloni, F., Bracalenti, M. (2016). Gait Rehabilitation with Exoskeletons. In: Müller, B., et al. Handbook of Human Motion. Springer, Cham. https://doi.org/10.1007/978-3-319-30808-1_80-1

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