Influence of Reciprocating Link When Using an Isocentric Reciprocating Gait Orthosis (IRGO) on Walking in Patients with Spinal Cord Injury: A Pilot Study

Overview

Journal Top Spinal Cord Inj Rehabil

Specialties Emergency Medicine
Rehabilitation Medicine

Date 2018 Jan 18

PMID 29339901

Citations 3

Authors

Mokhtar Arazpour

Milad Gholami

Mahmood Bahramizadeh

Guive Sharifi

Monireh Ahmadi Bani

Affiliations

Soon will be listed here.

Abstract

Studies collectively imply that the reciprocal link has no effect on walking when using reciprocating gait orthoses (RGOs). There may be differences between the 2 configurations of the RGO (eg, isocentric reciprocating gait orthosis [IRGO] and IRGO without reciprocating link), but the specific benefits and problems encountered in their use must be understood. To highlight more evidence for the mechanical function of the reciprocal link in RGOs used for walking by individuals with spinal cord injury (SCI). Nine people with SCI participated in this study. Gait analysis was performed in 2 conditions (walking with IRGO and walking with IRGO without reciprocating link) in a random order. The Vicon digital capture system was used to obtain kinematic data. There were significant differences between each orthotic configuration in terms of speed of walking ( = .029), step length ( = .048), hip joint range of motion (ROM) ( ≤ .001), and lateral and vertical compensatory motions ( ≤ .001). There was no significant difference between each orthotic configuration in cadence ( = .162). The reciprocating link in IRGO improved the walking parameters in SCI patients.

Citing Articles

Advances in the clinical application of orthotic devices for stroke and spinal cord injury since 2013.

Cui Y, Cheng S, Chen X, Xu G, Ma N, Li H Front Neurol. 2023; 14:1108320.

PMID: 36873455 PMC: 9981677. DOI: 10.3389/fneur.2023.1108320.

The Effects of Lower Limb Orthoses on Health Aspects of the Spinal Cord Injury Patients: A Systematic Review Using International Classification of Functioning, Disability, and Health (ICF) as a Reference Framework.

Fallahzadeh Abarghuei A, Karimi M Med J Islam Repub Iran. 2023; 36:153.

PMID: 36654846 PMC: 9832937. DOI: 10.47176/mjiri.36.153.

Comparison of walking quality variables between incomplete spinal cord injury patients and healthy subjects by using a footscan plantar pressure system.

Yuan X, Liang W, Zhou F, Li H, Zhang L, Zhang Z Neural Regen Res. 2018; 14(2):354-360.

PMID: 30531020 PMC: 6301183. DOI: 10.4103/1673-5374.244798.

References

Walter J, Sola P, SACKS J, Lucero Y, Langbein E, Weaver F . Indications for a home standing program for individuals with spinal cord injury. J Spinal Cord Med. 2000; 22(3):152-8. DOI: 10.1080/10790268.1999.11719564. View

Johnson W, Fatone S, Gard S . Walking mechanics of persons who use reciprocating gait orthoses. J Rehabil Res Dev. 2009; 46(3):435-46. View

Genda E, Oota K, Suzuki Y, Koyama K, Kasahara T . A new walking orthosis for paraplegics: hip and ankle linkage system. Prosthet Orthot Int. 2004; 28(1):69-74. DOI: 10.3109/03093640409167929. View

IJzerman M, Baardman G, Hermens H, Veltink P, Boom H, Zilvold G . The influence of the reciprocal cable linkage in the advanced reciprocating gait orthosis on paraplegic gait performance. Prosthet Orthot Int. 1997; 21(1):52-61. DOI: 10.3109/03093649709164530. View

Cohen J . A power primer. Psychol Bull. 2009; 112(1):155-9. DOI: 10.1037//0033-2909.112.1.155. View

Dall P, Muller B, Stallard I, Edwards J, Granat M . The functional use of the reciprocal hip mechanism during gait for paraplegic patients walking in the Louisiana State University reciprocating gait orthosis. Prosthet Orthot Int. 1999; 23(2):152-62. DOI: 10.3109/03093649909071627. View

Bani M, Arazpour M, Tabatabai Ghomshe F, Mousavi M, Hutchins S . Gait evaluation of the advanced reciprocating gait orthosis with solid versus dorsi flexion assist ankle foot orthoses in paraplegic patients. Prosthet Orthot Int. 2012; 37(2):161-7. DOI: 10.1177/0309364612457704. View

Hirokawa S, Grimm M, Le T, Solomonow M, Baratta R, Shoji H . Energy consumption in paraplegic ambulation using the reciprocating gait orthosis and electric stimulation of the thigh muscles. Arch Phys Med Rehabil. 1990; 71(9):687-94. View

Gellman H, Chandler D, Petrasek J, Sie I, Adkins R, Waters R . Carpal tunnel syndrome in paraplegic patients. J Bone Joint Surg Am. 1988; 70(4):517-9. View

10.

Karimi M . Evidence-based evaluation of physiological effects of standing and walking in individuals with spinal cord injury. Iran J Med Sci. 2012; 36(4):242-53. PMC: 3470285. View

11.

Arazpour M, Bani M, Kashani R, Tabatabai Ghomshe F, Mousavi M, Hutchins S . Effect of powered gait orthosis on walking in individuals with paraplegia. Prosthet Orthot Int. 2012; 37(4):261-7. DOI: 10.1177/0309364612463164. View

12.

Baardman G, IJzerman M, Hermens H, Veltink P, Boom H, Zilvold G . The influence of the reciprocal hip joint link in the Advanced Reciprocating Gait Orthosis on standing performance in paraplegia. Prosthet Orthot Int. 1998; 21(3):210-21. DOI: 10.3109/03093649709164559. View

13.

Arazpour M, Samadian M, Bahramizadeh M, Joghtaei M, Maleki M, Bani M . The efficiency of orthotic interventions on energy consumption in paraplegic patients: a literature review. Spinal Cord. 2015; 53(3):168-175. DOI: 10.1038/sc.2014.227. View

14.

Bani M, Arazpour M, Farahmand F, Mousavi M, Hutchins S . The efficiency of mechanical orthoses in affecting parameters associated with daily living in spinal cord injury patients: a literature review. Disabil Rehabil Assist Technol. 2014; 10(3):183-90. DOI: 10.3109/17483107.2013.875067. View

15.

Arazpour M, Chitsazan A, Hutchins S, Mousavi M, Ebrahimi Takamjani E, Ghomshe F . Evaluation of a novel powered gait orthosis for walking by a spinal cord injury patient. Prosthet Orthot Int. 2012; 36(2):239-46. DOI: 10.1177/0309364611435690. View

16.

Arazpour M, Chitsazan A, Hutchins S, Tabatabai Ghomshe F, Mousavi M, Ebrahimi Takamjani E . Evaluation of a novel powered hip orthosis for walking by a spinal cord injury patient: a single case study. Prosthet Orthot Int. 2012; 36(1):105-12. DOI: 10.1177/0309364611431482. View

17.

Bernardi M, Canale I, Castellano V, di Filippo L, Felici F, Marchetti M . The efficiency of walking of paraplegic patients using a reciprocating gait orthosis. Paraplegia. 1995; 33(7):409-15. DOI: 10.1038/sc.1995.91. View

18.

Arazpour M, Bani M, Hutchins S . Reciprocal gait orthoses and powered gait orthoses for walking by spinal cord injury patients. Prosthet Orthot Int. 2012; 37(1):14-21. DOI: 10.1177/0309364612444665. View

19.

Arazpour M, Mehrpour S, Bani M, Hutchins S, Bahramizadeh M, Rahgozar M . Comparison of gait between healthy participants and persons with spinal cord injury when using a powered gait orthosis-a pilot study. Spinal Cord. 2013; 52(1):44-8. DOI: 10.1038/sc.2013.139. View

20.

Arazpour M, Bani M, Hutchins S, Jones R . The physiological cost index of walking with mechanical and powered gait orthosis in patients with spinal cord injury. Spinal Cord. 2012; 51(5):356-9. DOI: 10.1038/sc.2012.162. View