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December 17, 2024Frontiers in Bioengineering and BiotechnologyOpen Access

Exoskeleton gait training on real-world terrain improves spatiotemporal performance in cerebral palsy

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Authors

ETEmmanuella A. TagoeYFYing FangJWJack R. Williams

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Overview

Feasibility study demonstrates that real-world ankle exoskeleton training improves walking speed and cadence in cerebral palsy, suggesting potential for wearable mobility rehabilitation.

Key Points

  • To determine whether low-frequency gait training on real-world terrain using an untethered, adaptive ankle exoskeleton improves spatiotemporal walking outcomes in individuals with cerebral palsy.
  • Conducted a feasibility study involving eight individuals with cerebral palsy (N=8) undergoing low-frequency gait training on real-world terrain.
  • Utilized an untethered ankle exoskeleton equipped with an adaptable controller to assess assisted and unassisted spatiotemporal gait metrics and lower-limb electromyography.
  • Comparing post- to pre-training, assisted walking speed increased by 11% (p = 0.003) and cadence by 7% (p = 0.006), while unassisted walking speed increased by 8% (p = 0.009) and cadence by 5% (p = 0.012).
  • During post-assessment, assisted walking improved speed by 9% (p < 0.001) and stride length by 8% (p < 0.001) relative to unassisted walking, with speed gains associating more strongly with stride length (R² = 0.92) than cadence (R² = 0.68).
  • Neuromuscular activation, specifically co-contraction between the soleus and tibialis anterior muscles, showed no statistically significant change following training.

Cite This Study

Tagoe et al. (2024) studied this question.

synapsesocial.com/papers/6aa3c7d022af0bded4f42e04https://doi.org/10.3389/fbioe.2024.1503050
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Walking on Real-World Terrain With an Ankle Exoskeleton in Cerebral Palsy2023 · 30 citations
  2. 2Exoskeleton therapy in cerebral palsy: improved gait endurance without kinematic change2025
  3. 3Effects of powered exoskeleton-assisted gait training in spinal cord injury: a randomized controlled pilot study2026
  4. 4Effects of Exoskeleton-Assisted Rehabilitation in Children with Cerebral Palsy According to Ambulatory Status2026
  5. 5Exoskeleton-Assisted Gait Rehabilitation in Neurological Disorders: A Pilot Feasibility Study2026