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. 2016 Apr 7:2:15033.
doi: 10.1038/scsandc.2015.33. eCollection 2016.

The influence of new medial linkage orthosis on walking and independence in spinal cord injury patients: a pilot study

Monireh Ahmadi Bani  1 , Mokhtar Arazpour  1 , Farzam Farahmand  2 , Mohammad Ebrahim Mousavi  1 , Mohammad Samadian  3 , Reza Vahab Kashani  1 , Stephen William Hutchins  4
Affiliations

The influence of new medial linkage orthosis on walking and independence in spinal cord injury patients: a pilot study

Monireh Ahmadi Bani et al. Spinal Cord Ser Cases. .

Erratum in

Abstract

In an effort to overcome the disadvantages of reciprocating gait orthoses (RGOs) and medial linkage orthoses (MLOs), a new design of MLO was developed. Therefore the aim of this study was comparison effect of a new reciprocating MLO and traditional isocentric RGO on gait parameters and functional independence (orthosis donning and doffing time) in spinal cord injury (SCI) subjects to provide more evidence of its efficacy. Four people with motor incomplete SCI participated in this study. Each participant was fitted with an MLO and isocentric reciprocating gait orthosis (IRGO) to enable a comparison of walking speed, cadence and endurance to be performed. There were no statistically significant differences demonstrated in temporal-spatial parameters between the orthotic walking conditions in this study, but walking with the MLO improved the stride length and speed of walking by 28.57 and 40.9% compared with walking with an IRGO as a control condition. Hip flexion occurred predominantly during single-support phases, with negligible motion during double-support phases. The first and second Subjects had hip kinematic pattern more near normal when they walked with medial linkage reciprocal gait orthosis (MLRGO) in comparison with IRGO. There was significant difference between donning and doffing in two conditions (P=0.046) but there was not significant difference between two conditions in standing and sitting although these two conditions improved by new MLO. The new MLO provided a quicker and more independent gait compared with IRGO, in addition the new MLO made it easier for subjects to get from sitting to standing and from standing to sitting.

Keywords: Health care; Rehabilitation.

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Figures

Figure 1
Figure 1
The orthoses that were used in this study (a) IRGO and (b) MLRGO.
Figure 2
Figure 2
Mean sagittal plane kinematic for the hip from right heel strike to subsequent right heel strike for each subject.
Figure 3
Figure 3
The median levels of assistance required by subjects to perform each cluster of skills (donning, doffing, standing and sitting). (1) Independent, (2) stand by assistance, (3) minimal assistance and (4) moderate assistance.
See this image and copyright information in PMC

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