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Wearable Exoskeleton Assisted Rehabilitation in Multiple Sclerosis: Feasibility and Experience

  • Shuo-Hsiu ChangEmail author
  • Marcie Kern
  • Taimoor Afzal
  • Shih-Chiao Tseng
  • John Lincoln
  • Gerard Francisco
Conference paper
Part of the Biosystems & Biorobotics book series (BIOSYSROB, volume 16)

Abstract

Impaired ability to walk independently is a significant consequence of multiple sclerosis (MS) resulting in substantial limitation in mobility and performance of daily activities, thus restricting full participation and home and community re-integration. Gait training/restoration in MS is necessary but often limited due to the progress and severity of the disease and limitations of traditional strengthening exercises Much attention has been emphasized in developing pharmaceutical treatment to stop or delay the progress of the disease, but not in developing rehabilitation strategies to improve quality of life and facilitate community re-integration for this population. Recently, wearable lower extremity robotic exoskeletons have been developed to restore ambulation in paralyzed or weak individuals with spinal cord injuries. Utilizing exoskeleton in MS rehabilitation may provident difference users experience and improve rehabilitation outcomes. The purpose of this paper is to provide preliminary results and early experience in our MS exoskeleton assisted rehabilitation program.

Keywords

Multiple Sclerosis Multiple Sclerosis Patient Expand Disability Status Scale Tibialis Anterior Training Protocol 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgment

We want to thank participants for their time and efforts.

References

  1. 1.
    Shakespeare, D.T., Boggild, M., Young, C.: Anti-spasticity agents for multiple sclerosis. Cochrane Database Syst. Rev. 4, CD001332 (2003)Google Scholar
  2. 2.
    Briken, S., et al.: Effects of exercise on fitness and cognition in progressive MS: a randomized, controlled pilot trial. Mult. Scler. 20, 382–390 (2014)CrossRefGoogle Scholar
  3. 3.
    van den Berg, M., et al.: Treadmill training for individuals with multiple sclerosis: a pilot randomized trial. J. Neurol. Neurosurg. Psychiatry 77, 531–533 (2006)CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Shuo-Hsiu Chang
    • 1
    • 2
    Email author
  • Marcie Kern
    • 1
  • Taimoor Afzal
    • 1
    • 2
  • Shih-Chiao Tseng
    • 3
  • John Lincoln
    • 4
  • Gerard Francisco
    • 1
    • 2
  1. 1.NeuroRecovery Research Center at TIRR Memorial HermannHoustonUSA
  2. 2.Department of Physical Medicine and RehabilitationUTHealthHoustonUSA
  3. 3.School of Physical TherapyTexas Woman’s University HoustonHoustonUSA
  4. 4.Department of NeurologyUTHealthHoustonUSA

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