Comparison of energy efficiency between Wearable Power-Assist Locomotor (WPAL) and two types of knee-ankle-foot orthoses with a medial single hip joint (MSH-KAFO)
Objective: To compare the energy efficiency of Wearable Power-Assist Locomotor (WPAL) with conventional knee-ankle-foot orthoses (MSH-KAFO) such as Hip and Ankle Linked Orthosis (HALO) or Primewalk. Study design: Cross over case-series. Setting: Chubu Rosai Hospital, Aichi, Japan, which is affiliate...
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Veröffentlicht in: | The journal of spinal cord medicine 2018-01, Vol.41 (1), p.48-54 |
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container_title | The journal of spinal cord medicine |
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creator | Yatsuya, Kanan Hirano, Satoshi Saitoh, Eiichi Tanabe, Shigeo Tanaka, Hirotaka Eguchi, Masayuki Katoh, Masaki Shimizu, Yasuhiro Uno, Akito Kagaya, Hitoshi |
description | Objective: To compare the energy efficiency of Wearable Power-Assist Locomotor (WPAL) with conventional knee-ankle-foot orthoses (MSH-KAFO) such as Hip and Ankle Linked Orthosis (HALO) or Primewalk.
Study design: Cross over case-series.
Setting: Chubu Rosai Hospital, Aichi, Japan, which is affiliated with the Japan Organization of Occupational Health and Safety.
Methods: Six patients were trained with MSH-KAFO (either HALO or Primewalk) and WPAL. They underwent 6-minute walk tests with each orthosis. Energy efficiency was estimated using physiological cost index (PCI) as well as heart rate (HR) and modified Borg score. Trial energy efficiency with MSH-KAFO was compared with WPAL to assess if differences in PCI became greater between MSH-KAFO and WPAL as time goes on during the 6-minute walk. Spearman correlation coefficient of time (range: 0.5-6.0 minutes) with the difference was calculated. The same statistical procedures were repeated for HR and modified Borg score.
Results: Greater energy efficiency, representing a lower gait demand, was observed in trials with WPAL compared with MSH-KAFO (Spearman correlation coefficients for PCI, HR and modified Borg were 0.93, 0.90 and 0.97, respectively, all P |
doi_str_mv | 10.1080/10790268.2016.1226701 |
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fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5810806</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1835439034</sourcerecordid><originalsourceid>FETCH-LOGICAL-c552t-ab950656d12a37808d8250cc2da6eac00dd05793e8d79e05b273e1fe236c70e83</originalsourceid><addsrcrecordid>eNp9kU1vEzEQhlcIREPhJ4B8TA8b_BGvdy-IKKIUEdRKgHq0HO9s4nbXk9oOq_wdfim7SlrBhdMc5nmfGenNsreMzhgt6XtGVUV5Uc44ZcWMcV4oyp5lE07nMleKi-fZZGTyETrLXsV4R6msKiFeZmdcqXnJCj7Jfi-x25ngInqCDQEPYXMg0DTOOvD2QNaQegBPbsEEs26B3GAPIV_E6GIiK7TYYcJAprc3i9UFMb4mqUeSDjuIo_HeA-TG37eQN4iJYEhbjMOud2lLDOmgdqYl0fnNIN-6HblD5xOZfvt-lX9dXF5fvM5eNKaN8OY0z7Ofl59-LK_y1fXnL8vFKrdS8pSbdSVpIYuacSNUScu65JJay2tTgLGU1jWVqhJQ1qoCKtdcCWANcFFYRaEU59mHo3e3Xw9fWfApmFbvgutMOGg0Tv-78W6rN_hLy3JspBgE05Mg4MMeYtKdixba1njAfdSsFHIuKirmAyqPqA0YY4Dm6QyjerTpx3712K8-9Tvk3v3941PqsdAB-HgEnG8wdKbH0NY6mUOLoQnGWxe1-P-NP54Otq4</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1835439034</pqid></control><display><type>article</type><title>Comparison of energy efficiency between Wearable Power-Assist Locomotor (WPAL) and two types of knee-ankle-foot orthoses with a medial single hip joint (MSH-KAFO)</title><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Yatsuya, Kanan ; Hirano, Satoshi ; Saitoh, Eiichi ; Tanabe, Shigeo ; Tanaka, Hirotaka ; Eguchi, Masayuki ; Katoh, Masaki ; Shimizu, Yasuhiro ; Uno, Akito ; Kagaya, Hitoshi</creator><creatorcontrib>Yatsuya, Kanan ; Hirano, Satoshi ; Saitoh, Eiichi ; Tanabe, Shigeo ; Tanaka, Hirotaka ; Eguchi, Masayuki ; Katoh, Masaki ; Shimizu, Yasuhiro ; Uno, Akito ; Kagaya, Hitoshi</creatorcontrib><description>Objective: To compare the energy efficiency of Wearable Power-Assist Locomotor (WPAL) with conventional knee-ankle-foot orthoses (MSH-KAFO) such as Hip and Ankle Linked Orthosis (HALO) or Primewalk.
Study design: Cross over case-series.
Setting: Chubu Rosai Hospital, Aichi, Japan, which is affiliated with the Japan Organization of Occupational Health and Safety.
Methods: Six patients were trained with MSH-KAFO (either HALO or Primewalk) and WPAL. They underwent 6-minute walk tests with each orthosis. Energy efficiency was estimated using physiological cost index (PCI) as well as heart rate (HR) and modified Borg score. Trial energy efficiency with MSH-KAFO was compared with WPAL to assess if differences in PCI became greater between MSH-KAFO and WPAL as time goes on during the 6-minute walk. Spearman correlation coefficient of time (range: 0.5-6.0 minutes) with the difference was calculated. The same statistical procedures were repeated for HR and modified Borg score.
Results: Greater energy efficiency, representing a lower gait demand, was observed in trials with WPAL compared with MSH-KAFO (Spearman correlation coefficients for PCI, HR and modified Borg were 0.93, 0.90 and 0.97, respectively, all P < 0.0001).
Conclusions: WPAL is a practical and energy efficient type of robotics that may be used by patients with paraplegia.</description><identifier>ISSN: 1079-0268</identifier><identifier>EISSN: 2045-7723</identifier><identifier>DOI: 10.1080/10790268.2016.1226701</identifier><identifier>PMID: 27748162</identifier><language>eng</language><publisher>England: Taylor & Francis</publisher><subject>Energy efficiency ; Original ; Orthosis ; Physiological cost index ; Rehabilitation ; Spinal cord injury ; Wearable power-assist locomotor</subject><ispartof>The journal of spinal cord medicine, 2018-01, Vol.41 (1), p.48-54</ispartof><rights>The Academy of Spinal Cord Injury Professionals, Inc. 2018 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c552t-ab950656d12a37808d8250cc2da6eac00dd05793e8d79e05b273e1fe236c70e83</citedby><cites>FETCH-LOGICAL-c552t-ab950656d12a37808d8250cc2da6eac00dd05793e8d79e05b273e1fe236c70e83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5810806/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5810806/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27748162$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yatsuya, Kanan</creatorcontrib><creatorcontrib>Hirano, Satoshi</creatorcontrib><creatorcontrib>Saitoh, Eiichi</creatorcontrib><creatorcontrib>Tanabe, Shigeo</creatorcontrib><creatorcontrib>Tanaka, Hirotaka</creatorcontrib><creatorcontrib>Eguchi, Masayuki</creatorcontrib><creatorcontrib>Katoh, Masaki</creatorcontrib><creatorcontrib>Shimizu, Yasuhiro</creatorcontrib><creatorcontrib>Uno, Akito</creatorcontrib><creatorcontrib>Kagaya, Hitoshi</creatorcontrib><title>Comparison of energy efficiency between Wearable Power-Assist Locomotor (WPAL) and two types of knee-ankle-foot orthoses with a medial single hip joint (MSH-KAFO)</title><title>The journal of spinal cord medicine</title><addtitle>J Spinal Cord Med</addtitle><description>Objective: To compare the energy efficiency of Wearable Power-Assist Locomotor (WPAL) with conventional knee-ankle-foot orthoses (MSH-KAFO) such as Hip and Ankle Linked Orthosis (HALO) or Primewalk.
Study design: Cross over case-series.
Setting: Chubu Rosai Hospital, Aichi, Japan, which is affiliated with the Japan Organization of Occupational Health and Safety.
Methods: Six patients were trained with MSH-KAFO (either HALO or Primewalk) and WPAL. They underwent 6-minute walk tests with each orthosis. Energy efficiency was estimated using physiological cost index (PCI) as well as heart rate (HR) and modified Borg score. Trial energy efficiency with MSH-KAFO was compared with WPAL to assess if differences in PCI became greater between MSH-KAFO and WPAL as time goes on during the 6-minute walk. Spearman correlation coefficient of time (range: 0.5-6.0 minutes) with the difference was calculated. The same statistical procedures were repeated for HR and modified Borg score.
Results: Greater energy efficiency, representing a lower gait demand, was observed in trials with WPAL compared with MSH-KAFO (Spearman correlation coefficients for PCI, HR and modified Borg were 0.93, 0.90 and 0.97, respectively, all P < 0.0001).
Conclusions: WPAL is a practical and energy efficient type of robotics that may be used by patients with paraplegia.</description><subject>Energy efficiency</subject><subject>Original</subject><subject>Orthosis</subject><subject>Physiological cost index</subject><subject>Rehabilitation</subject><subject>Spinal cord injury</subject><subject>Wearable power-assist locomotor</subject><issn>1079-0268</issn><issn>2045-7723</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kU1vEzEQhlcIREPhJ4B8TA8b_BGvdy-IKKIUEdRKgHq0HO9s4nbXk9oOq_wdfim7SlrBhdMc5nmfGenNsreMzhgt6XtGVUV5Uc44ZcWMcV4oyp5lE07nMleKi-fZZGTyETrLXsV4R6msKiFeZmdcqXnJCj7Jfi-x25ngInqCDQEPYXMg0DTOOvD2QNaQegBPbsEEs26B3GAPIV_E6GIiK7TYYcJAprc3i9UFMb4mqUeSDjuIo_HeA-TG37eQN4iJYEhbjMOud2lLDOmgdqYl0fnNIN-6HblD5xOZfvt-lX9dXF5fvM5eNKaN8OY0z7Ofl59-LK_y1fXnL8vFKrdS8pSbdSVpIYuacSNUScu65JJay2tTgLGU1jWVqhJQ1qoCKtdcCWANcFFYRaEU59mHo3e3Xw9fWfApmFbvgutMOGg0Tv-78W6rN_hLy3JspBgE05Mg4MMeYtKdixba1njAfdSsFHIuKirmAyqPqA0YY4Dm6QyjerTpx3712K8-9Tvk3v3941PqsdAB-HgEnG8wdKbH0NY6mUOLoQnGWxe1-P-NP54Otq4</recordid><startdate>20180102</startdate><enddate>20180102</enddate><creator>Yatsuya, Kanan</creator><creator>Hirano, Satoshi</creator><creator>Saitoh, Eiichi</creator><creator>Tanabe, Shigeo</creator><creator>Tanaka, Hirotaka</creator><creator>Eguchi, Masayuki</creator><creator>Katoh, Masaki</creator><creator>Shimizu, Yasuhiro</creator><creator>Uno, Akito</creator><creator>Kagaya, Hitoshi</creator><general>Taylor & Francis</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180102</creationdate><title>Comparison of energy efficiency between Wearable Power-Assist Locomotor (WPAL) and two types of knee-ankle-foot orthoses with a medial single hip joint (MSH-KAFO)</title><author>Yatsuya, Kanan ; Hirano, Satoshi ; Saitoh, Eiichi ; Tanabe, Shigeo ; Tanaka, Hirotaka ; Eguchi, Masayuki ; Katoh, Masaki ; Shimizu, Yasuhiro ; Uno, Akito ; Kagaya, Hitoshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c552t-ab950656d12a37808d8250cc2da6eac00dd05793e8d79e05b273e1fe236c70e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Energy efficiency</topic><topic>Original</topic><topic>Orthosis</topic><topic>Physiological cost index</topic><topic>Rehabilitation</topic><topic>Spinal cord injury</topic><topic>Wearable power-assist locomotor</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yatsuya, Kanan</creatorcontrib><creatorcontrib>Hirano, Satoshi</creatorcontrib><creatorcontrib>Saitoh, Eiichi</creatorcontrib><creatorcontrib>Tanabe, Shigeo</creatorcontrib><creatorcontrib>Tanaka, Hirotaka</creatorcontrib><creatorcontrib>Eguchi, Masayuki</creatorcontrib><creatorcontrib>Katoh, Masaki</creatorcontrib><creatorcontrib>Shimizu, Yasuhiro</creatorcontrib><creatorcontrib>Uno, Akito</creatorcontrib><creatorcontrib>Kagaya, Hitoshi</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The journal of spinal cord medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yatsuya, Kanan</au><au>Hirano, Satoshi</au><au>Saitoh, Eiichi</au><au>Tanabe, Shigeo</au><au>Tanaka, Hirotaka</au><au>Eguchi, Masayuki</au><au>Katoh, Masaki</au><au>Shimizu, Yasuhiro</au><au>Uno, Akito</au><au>Kagaya, Hitoshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of energy efficiency between Wearable Power-Assist Locomotor (WPAL) and two types of knee-ankle-foot orthoses with a medial single hip joint (MSH-KAFO)</atitle><jtitle>The journal of spinal cord medicine</jtitle><addtitle>J Spinal Cord Med</addtitle><date>2018-01-02</date><risdate>2018</risdate><volume>41</volume><issue>1</issue><spage>48</spage><epage>54</epage><pages>48-54</pages><issn>1079-0268</issn><eissn>2045-7723</eissn><abstract>Objective: To compare the energy efficiency of Wearable Power-Assist Locomotor (WPAL) with conventional knee-ankle-foot orthoses (MSH-KAFO) such as Hip and Ankle Linked Orthosis (HALO) or Primewalk.
Study design: Cross over case-series.
Setting: Chubu Rosai Hospital, Aichi, Japan, which is affiliated with the Japan Organization of Occupational Health and Safety.
Methods: Six patients were trained with MSH-KAFO (either HALO or Primewalk) and WPAL. They underwent 6-minute walk tests with each orthosis. Energy efficiency was estimated using physiological cost index (PCI) as well as heart rate (HR) and modified Borg score. Trial energy efficiency with MSH-KAFO was compared with WPAL to assess if differences in PCI became greater between MSH-KAFO and WPAL as time goes on during the 6-minute walk. Spearman correlation coefficient of time (range: 0.5-6.0 minutes) with the difference was calculated. The same statistical procedures were repeated for HR and modified Borg score.
Results: Greater energy efficiency, representing a lower gait demand, was observed in trials with WPAL compared with MSH-KAFO (Spearman correlation coefficients for PCI, HR and modified Borg were 0.93, 0.90 and 0.97, respectively, all P < 0.0001).
Conclusions: WPAL is a practical and energy efficient type of robotics that may be used by patients with paraplegia.</abstract><cop>England</cop><pub>Taylor & Francis</pub><pmid>27748162</pmid><doi>10.1080/10790268.2016.1226701</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Energy efficiency Original Orthosis Physiological cost index Rehabilitation Spinal cord injury Wearable power-assist locomotor |
title | Comparison of energy efficiency between Wearable Power-Assist Locomotor (WPAL) and two types of knee-ankle-foot orthoses with a medial single hip joint (MSH-KAFO) |
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