Objective and subjective evaluation of walking ability with and without the use of a passive brace for hip flexor muscles in individuals with multiple sclerosis.

Autor:	Prada V; Fondazione Italiana Sclerosi Multipla, Genova, Italy., Grange E; Department of Rehabilitation, CRRF 'Mons. Luigi Novarese', Moncrivello, Italy., Sgarito C; Associazione Italiana Sclerosi Multipla, Genova, Italy., Pedrazzoli E; Servizio riabilitazione AISM Padova e Vicenza, Padova, Italy., Konrad G; Associazione Italiana Sclerosi Multipla, Genova, Italy., Di Giovanni R; Department of Rehabilitation, CRRF 'Mons. Luigi Novarese', Moncrivello, Italy., Brichetto G; Fondazione Italiana Sclerosi Multipla, Genova, Italy., Solaro C; Department of Rehabilitation, CRRF 'Mons. Luigi Novarese', Moncrivello, Italy.
Jazyk:	angličtina
Zdroj:	Prosthetics and orthotics international [Prosthet Orthot Int] 2024 Dec 01; Vol. 48 (6), pp. 672-676. Date of Electronic Publication: 2023 Nov 22.
DOI:	10.1097/PXR.0000000000000299
Abstrakt:	Background: Multiple sclerosis (MS) affects the cognitive and motor domains. Muscle weakness often leads to abnormal gait. Several solutions are rising, including the use of passive exoskeletons. Objective: The purpose of this study is to evaluate the effect of a first-ever use of a passive exoskeleton on walking ability in people with MS. Methods: We recruited 50 persons with MS. All subjects were assessed using the 2-min walking test, the timed 25-foot walk test, and a two-stage rate of perceived exertion (RPE) without the exoskeleton (T0) and with the exoskeleton (T1). Results: The data showed a significant decrease in walking endurance while the exoskeleton is worn (2-min walking test: T0: 65.19 ± 23.37 m; T1: 59.40 ± 22.99; p < 0.0001) and a not significant difference in walking speed on a shortened distance (T0: 15.71 ± 10.30 s; T1: 15.73 ± 11.86 s; p = 0.25). No significant differences were also found for the effort perception scale (RPE: T0: 13.24 ± 3.01; T1: 13.60 ± 2.9; p = 0.3). Seventy-two percent of subjects reported a positive or neutral global perceived effect. Conclusions: The exoskeleton does not add any fatiguing or negative effects. Although the walking performance decreases, the overall perception of the subjects is positive. Further studies are needed to evaluate the effect of the exoskeleton on gait quality. (Copyright © 2023 International Society for Prosthetics and Orthotics.)
Databáze:	MEDLINE
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