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Performance of Spinal Cord Injury Individuals While Standing With the Mohammad Taghi Karimi Reciprocal Gait Orthosis (Mtk-Rgo) Publisher Pubmed



Karimi MT1 ; Amiri P2 ; Esrafilian A2 ; Sedigh J2 ; Fatoye F3
Authors
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Authors Affiliations
  1. 1. Musculoskeletal Research Centre, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Isfahan University of Technology, Isfahan, Iran
  3. 3. Department of Health Professions, Manchester Metropolitan University, Manchester, United Kingdom

Source: Australasian Physical and Engineering Sciences in Medicine Published:2013


Abstract

Most patients with spinal cord injury use a wheelchair to transfer from place to place, however they need to stand and walk with orthosis to improve their health status. Although many orthoses have been designed for paraplegic patients, they have experienced various problems while in use. A new type of reciprocal gait orthosis was designed in the Bioengineering Unit of Strathclyde University to solve the problems of the available orthoses. Since there was no research undertaken regarding testing of the new orthosis on paraplegic subjects, this study was aimed to evaluate the new orthosis during standing of paraplegic subjects. Five paraplegic patients with lesion level between T12 and L1 and aged matched normal subjects were recruited into this study. The stability of subjects was evaluated during quiet standing and while undertaking hand tasks during standing with the new orthosis and the knee ankle foot orthosis (KAFO). The difference between the performances of paraplegic subjects while standing with both orthoses, and between the function of normal and paraplegic subjects were compared using the paired t test and independent sample t test, respectively. The stability of paraplegic subjects in standing with the new orthosis was better than that of the KAFO orthosis (p < 0.05). Moreover, the force applied on the crutch differed between the orthoses. The functional performance of paraplegic subjects was better with the new orthosis compared with normal subjects. The performance of paraplegic subjects while standing with the new orthosis was better than the KAFO. Therefore, the new orthosis may be useful to improve standing and walking in patients with paraplegia. © 2013 Australasian College of Physical Scientists and Engineers in Medicine.
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