Background
Methods
The ARTIC network
Institutions | Patients / yeara | Patient diagnoses | Lokomat® since | Other technologies |
---|---|---|---|---|
Spaulding, Boston, USA | 50 | SCI, CP, stroke, TBI | 2006 | ArmeoSpring, ArmeoBoom, Erigo, FES bikes, ReWalk, Ekso, Bioness H200, Bioness L300 plus |
Shirley Ryan AbilityLabb, Chicago, USA | 30 | SCI, CP | 2007 | ArmeoSpring, Intelligent Stretcher |
MossRehab, Philadelphia, USA | 20 | SCI, TBI, stroke | 2008 | ArmeoSpring, ArmeoPower, Amadeo, Andago, Diego, G-eo, Reo, ReWalks, Safe Gait, Pablo, Tibion, Tymo, |
Sheltering Arms Physical Rehabilitation Center, Richmond, USA | 200 | SCI, TBI, stroke, MS | 2011 | Zero G, FES bikes, Bioness H200 and L300+, Balance Master, Alter G Bionic Leg, ArmeoPower, SAEBO, SAEBO MAS, Reo Go |
Wellington Hospital, London, UK | 30 | SCI, TBI, stroke | 2011 | ArmeoSpring, Erigo, Erigo Pro, FES bike, Bioness H200, Indego |
Tan Tock Seng Hospital Rehabilitation Centre, Singapore, Republic of Singapore | 20 | SCI, TBI, stroke, CP | 2008 | ArmeoSpring, ArmeoBoom, NeuroMove, Handtutor, Jintronix Gaming platform, Dynavision, MIT Manus (wrist robot), ReJoyce, SMART Balance Master |
Schön Klinik, Vogtareuth, Germany | 25 | SCI, TBI, stroke, CP | 2006 | ArmeoSpring, Biometrix, RehaMove |
Von Haunersches Kinderspital München, München, Germany | 30 | CP | 2006 | – |
Rehaklinik Zihlschlacht, Center for Neurological Rehabilitation, Zihlschlacht, Switzerland | 40 | SCI, stroke, TBI, Parkinson, MS | 2006 | Erigo FES, Andago, ArmeoSpring, ArmeoPower, ARMin, Bioness L300 Plus, Valedo, VICTOR and EMMA, Tipstim |
Rehabilitation Center for Children and Adolescents, University Children’s Hospital Zurich, Affoltern am Albis, Switzerland | 35 | SCI, CP, stroke, TBI | 2005 | Andago, Amadeo, ArmeoSpring, ChARMin, Diego, Erigo, Myro, YouGrabber |
Rehabilitation Centre Kladruby, Kladruby, Czech Republic | 80 | SCI, TBI, Stroke | 2009 | ArmeoPower, ReoGo, Gloreha glove Professional, Ekso, ErigoPro, Hand Tutor, FES bike, Balance Manager, Balance master, Thera Trainer Balance, Postural treadmill with dynamic weightless system |
Seoul National University Bundang Hospital, Seongnam, Republic of Korea | 40 | Stroke, TBI, SCI | 2015 | ArmeoPower |
University of Pittsburgh Medical Center, Pittsburgh, USA | Currently consultant | |||
Shepherd, Atlanta, USA | Currently consultant |
Common technological intervention: The Lokomat®
Database
Results
Patient groups | Proportion of patients [%] | ||||
---|---|---|---|---|---|
0–1 month | 1–3 months | 3–6 months | 6–12 months | > 12 months | |
Stroke (n = 71) | 28% | 30% | 15% | 8% | 18% |
SCI (n = 92) | 29% | 18% | 15% | 10% | 27% |
TBI (n = 28) | 29% | 14% | 29% | 7% | 21% |
Patients | Duration walking time per session [min] | Distance walked per session [m] | Average walking speed [km/h] | Guidance Force [%]a | Number of training sessions | |||||
---|---|---|---|---|---|---|---|---|---|---|
GMFCS | Onset | End | Onset | End | Onset | End | Onset | End | ||
Cerebral Palsy | II | 24.7 ± 9.3 | 31.6 ± 10.7 | 555 ± 282 | 918 ± 320 | 1.12 ± 0.53 | 1.45 ± 0.63 | 85.1 ± 14.5 | 69.4 ± 20.4 | 27.2 ± 28.8 |
III | 23.4 ± 12.2 | 33.3 ± 11.6 | 524 ± 355 | 917 ± 401 | 1.13 ± 0.51 | 1.41 ± 0.59 | 83.1 ± 17.4 | 73.1 ± 18.8 | 23.4 ± 17.2 | |
IV | 24.2 ± 9.9 | 33.9 ± 10.3 | 522 ± 295 | 980 ± 373 | 1.25 ± 0.38 | 1.68 ± 0.42 | 84.3 ± 14.6 | 74.6 ± 16.0 | 21.8 ± 13.7 | |
Stroke | Ischemic | 16.7 ± 9.0 | 29.3 ± 10.7 | 409 ± 258 | 886 ± 372 | 1.14 ± 0.57 | 1.42 ± 0.66 | 92.9 ± 16.4 | 85.4 ± 16.4 | 16.2 ± 14.5 |
Hemorrhagic | 16.1 ± 6.8 | 29.3 ± 9.9 | 386 ± 198 | 858 ± 374 | 1.05 ± 0.60 | 1.26 ± 0.64 | 90.0 ± 23.4 | 81.4 ± 19.5 | 17.9 ± 17.9 | |
Spinal cord injury | AIS C | 16.7 ± 6.6 | 24.0 ± 9.5 | 423 ± 247 | 759 ± 368 | 1.65 ± 0.44 | 1.88 ± 0.50 | 98.1 ± 5.0 | 84.2 ± 19.6 | 10.3 ± 14.8 |
AIS D | 19.1 ± 3.1 | 22.2 ± 4.5 | 536 ± 124 | 700 ± 113 | 1.55 ± 0.52 | 1.77 ± 0.58 | 98.0 ± 2.7 | 92.2 ± 10.3 | 30.5 ± 60.3 | |
Traumatic brain injury | 15.4 ± 7.7 | 21.8 ± 13.6 | 350 ± 162 | 624 ± 428 | 1.14 ± 0.68 | 1.37 ± 0.73 | 85.0 ± 22.4 | 79.3 ± 22.5 | 24.1 ± 29.4 |
Discussion
Cerebral palsy
Stroke
Spinal cord injury
Traumatic brain injury
Training dosage and parameters
Creating the database – Lessons learned
Limitations
Conclusions
Acknowledgements
Institutions | ARTIC Team members |
---|---|
Spaulding, Boston, USA | Paolo Bonato (PI), Eric Fabara, Anne O’Brien, Giacomo Severini (2013–2015), Alessandra Scarton (2015–2016), Catherine Adans-Dester, Jean O’Brien Murby, Lori Laliberte |
Shirley Ryan AbilityLab, Chicago, USA | Deborah Gaebler-Spira (PI), Tara Egan, Gadi Revivo |
Department of Physical Medicine and Rehabilitation, MossRehab, Philadelphia, USA | Alberto Esquenazi (PI), Stella Lee and Theresa Toczylowski |
University of Pittsburgh Medical Center, Pittsburgh, USA | Michael Boninger (PI) |
Sheltering Arms Physical Rehabilitation Center, Richmond, USA | Anne Chan (PI), Amber Devers |
Tan Tock Seng Hospital Rehabilitation Centre, Singapore, Republic of Singapore | Karen Sui Geok Chua (PI), Kay Fei Chan (left 2016), Seng Kwee Wee, Pang Hung Lim, Wei Sheong Lim, Juliana Yun Ying Wang, (until September 2016), Wing Kuen Lee (until 2016), Chui Ni Ong, Cheng Hong Ong, Charlene Cheryl Pereira, Siew Yee Lee |
Rehaklinik Zihlschlacht, Center for Neurological Rehabilitation, Zihlschlacht, Switzerland | Liliana P. Paredes (PI), Daniel Zutter, Raoul Schweinfurther, Alexander Dewor, Michael Urban (2013–2016), J. Carsten Möller |
Rehabilitation Center for Children and Adolescents, Affoltern am Albis, Switzerland | Hubertus van Hedel (PI), Andreas Meyer-Heim, Judith Graser, Tabea Aurich |
Wellington Hospital, London, UK | Tamsin Reed (PI), Anja Lucic |
Schön Klinik, Vogtareuth, Germany | Steffen Berweck (PI), Thomas Nastulla, Katharina Badura, Josephine Steinbichler (since 2016) |
Von Haunersches Kinderspital München, Germany | Sebastian Schröder (PI), Birgit Warken, Florian Heinen, Ingo Borggraefe, Helene Koenig, Raphael Weinberger |
Rehabilitation Centre Kladruby, Kladruby, Czech Republic | Jakub Petioky (PI) |
Seoul National University Bundang Hospital, Seongnam, Republic of Korea | Nam-Jong Paik (PI), Won-Seok Kim, Myungki Ji, Yunsung Oh |
IRCCS Centro Neurolesi “Bonino-Pulejo” Messina | Rocco Salvatore Calabrò (PI) |
Shepherd Center, Atlanta, USA | Leslie van Hiel (PI) (until 2016) |
Hocoma AG, Volketswil, Switzerland (company) | Martina Spiess, Lars Lünenburger, Gery Colombo, Irin Maier (until 2016) |