A framework for clinical utilization of robotic exoskeletons in rehabilitation
| Résumé | Exoskeletons are externally worn motorized devices that assist with sit-to-stand and walking in individuals with motor and functional impairments. The Food & Drug Administration (FDA) has approved several of these technologies for clinical use however, there is limited evidence to guide optimal utilization in every day clinical practice. With the diversity of technologies & equipment available, it presents a challenge for clinicians to decide which device to use, when to initiate, how to implement these technologies with different patient presentations, and when to wean of the devices. Thus, we present a clinical utilization framework specific to exoskeletons with four aims. These aims are to assist with clinical decision making of when exoskeleton use is clinically indicated, identification of which device is most appropriate based on patient deficits and device characteristics, providing guidance on dosage parameters within a plan of care and guidance for refection following utilization. This framework streamlines how clinicians can approach implementation through the synthesis of published evidence with appropriate clinical assessment & device selection to refection for success and understanding of these innovative & complex technologies |
| Auteurs | Kristen Hohl, Matt Gifhorn, Steven Jackson et Arun Jayaraman. |
| Titre de revue/journal, volume et numéro | Journal of NeuroEngineering and Rehabilitation, volume 19, numéro 115 |
| Langue de la publication et/ou de traduction | Anglais (langue d’origine) |
| Année de parution | 2022 |
| Pays | États Unis |
| Institutions affiliées | Northwestern University de Chicago |
| Lien vers la publication | https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-022-01083-7 |
| Type d’accès à la publication | Gratuit |
| Mots clés | Gait, Robotics, Exoskeleton device, Technology |
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