54 -8 (82) 2025 - Gulomjon A.B., Yadgarova Sh.Sh. - USE OF EXOSKELETON-ASSISTED REHABILITATION IN PATIENTS WITH COMPLICATED THORACOLUMBAR SPINAL INJURIES

USE OF EXOSKELETON-ASSISTED REHABILITATION IN PATIENTS WITH COMPLICATED THORACOLUMBAR SPINAL INJURIES

Gulomjon A.B. - National Center for Rehabilitation and Prosthetics for Persons with Disabilities, Tashkent, Uzbekistan

Yadgarova Sh.Sh. - Tashkent Medical University

Resume

Patients with complicated thoracolumbar spinal injuries post-surgery require assistive devices to stabilize the body. Traditional corsets have been replaced by advanced fixators that not only provide stabilization but also enhance mobility for walking. Exoskeletons represent a promising solution in this regard. This study aims to enhance rehabilitation outcomes in patients with complicated spinal injuries through early-stage exoskeleton-assisted therapy. We evaluated the inpatient treatment outcomes of 82 patients with complicated thoracolumbar spinal injuries, treated at the Vertebrology Department of the National Center for Rehabilitation and Prosthetics of Persons with Disabilities, Uzbekistan, from 2023 to 2025. The cohort included 66 men and 16 women, divided into two groups: the main group (n=42) received conservative treatment, physical therapy, and exoskeleton-assisted therapy (E-Helper), while the control group (n=40) received only conservative treatment and physical therapy. Outcomes were assessed using the Frankel scale (A–E). Pre-treatment, the main group had 8 patients in category A, 12 in B, and 22 in C; the control group had 7 in A, 18 in B, and 15 in C. Post-treatment results showed superior outcomes in the main group compared to the control group, demonstrating the efficacy of exoskeleton-assisted rehabilitation.

Keywords: Exoskeleton, thoracolumbar spine, complicated injury, rehabilitation, disability.

First page

265

Last page

272

For citation:Gulomjon A.B., Yadgarova Sh.Sh. - USE OF EXOSKELETON-ASSISTED REHABILITATION IN PATIENTS WITH COMPLICATED THORACOLUMBAR SPINAL INJURIES//New Day in Medicine 8(82)2025 265-272 https://newdayworldmedicine.com/en/new_day_medicine/8-82-2025

List of References

  1. Louie, D. R., Eng, J. J., Lam, T. (2015). Gait speed using powered robotic exoskeletons after spinal cord injury: a systematic review and correlational study. //Journal of NeuroEngineering and Rehabilitation, 2015;12(1):82.
  2. Miller L. E., Zimmermann, A. K., Herbert, W. G. (2016). Clinical effectiveness and safety of powered exoskeleton-assisted walking in patients with spinal cord injury: systematic review with meta-analysis. // Medical Devices: Evidence and Research, 9, 455–466.
  3. Afaunov, A. A., Usikov, V. D., Afaunov, A. I. (2004). Possibilities of transpedicular osteosynthesis in the treatment of injuries of the thoracic and lumbar spine. // Vestnik Travmatologii i Ortopedii, 2004;(4):68–74.
  4. Bekov, M. M. (2010). Surgical treatment of injury of the thoracic and adjacent spine and spinal cord [dissertation]. // St. Petersburg. 2010;112 p.
  5. Esquenazi A., Talaty M., Packel, A., Saulino M. (2012). The ReWalk powered exoskeleton to restore ambulatory function to individuals with thoracic-level motor-complete spinal cord injury. //American Journal of Physical Medicine Rehabilitation, 2012;91(11): 911–921.
  6. Kozlowski, A. J., Bryce, T. N., Dijkers, M. P. (2015). Time and effort required by persons with spinal cord injury to learn to use a powered exoskeleton for assisted walking. // Topics in Spinal Cord Injury Rehabilitation 2015;21(2):110–121.
  7. Yang, A., Asselin, P., Knezevic, S., Kornfeld, S., Spungen, A. M. (2015). Assessment of in-hospital walking velocity and level of assistance in a powered exoskeleton in persons with spinal cord injury. // Topics in Spinal Cord Injury Rehabilitation, 2015;21(2):100-109.
  8. Hartigan C., Kandilakis C., Dalley S., Clausen M., Wilson, E., Morrison S., ... Farris, R. (2015). Mobility outcomes following five training sessions with a powered exoskeleton. // Topics in Spinal Cord Injury Rehabilitation, 2015;21(2):93–99.
  9. Gagnon, D. H., Vermette, M., Duclos, C., Aubertin-Lehëudre, M., Ahmed, S. (2019). Cardiorespiratory demands and physical workload of robotic-assisted walking in non-ambulatory patients with spinal cord injury. // Journal of NeuroEngineering and Rehabilitation, 2019;16(1):131.
  10. Baunsgaard, C. B., Nissen, U. V., Brust, A. K., Frotzler, A., Ribelli, M., Kalke, Y. B., ... Norbye, J. M. (2018). Exoskeleton gait training after spinal cord injury: an overview of the field and critical appraisal of the state of the art. // Journal of NeuroEngineering and Rehabilitation, 2018;15(1):117.
  11. Moberg, W. T., Harvey, L. A. (2021). The use of exoskeletons in rehabilitation of spinal cord injury: A narrative review. // Journal of Spinal Cord Medicine, 2021;44(1):1-9.
  12. van Dijsseldonk, R. B., van Nes, I. J. W., Geurts, A. C. H., Keijsers, N. L. W. (2020). Exoskeleton home use for people with spinal cord injury: A qualitative study of the benefits and barriers. // Journal of NeuroEngineering and Rehabilitation, 2020;17(1):25.

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