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This article and any supplementary material should be cited as follows: Craven CT, Gollee H, Coupad S, Purcell MA, Allan DB. Investigation of robotic-assisted.

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Presentation on theme: "This article and any supplementary material should be cited as follows: Craven CT, Gollee H, Coupad S, Purcell MA, Allan DB. Investigation of robotic-assisted."— Presentation transcript:

1 This article and any supplementary material should be cited as follows: Craven CT, Gollee H, Coupad S, Purcell MA, Allan DB. Investigation of robotic-assisted tilt-table therapy for early-stage spinal cord injury rehabilitation. J Rehabil Res Dev. 2013:50(3):367-78. http://dx.doi.org/10.1682/JRRD.2012.02.0027 Slideshow Project DOI:10.1682/JRRD.2012.02.0027JSP Investigation of robotic-assisted tilt-table therapy for early-stage spinal cord injury rehabilitation Colm T. D. Craven, MEngSc; Henrik Gollee, PhD; Sylvie Coupaud, PhD; Mariel A. Purcell, MRCGP; David B. Allan, FRCS

2 This article and any supplementary material should be cited as follows: Craven CT, Gollee H, Coupad S, Purcell MA, Allan DB. Investigation of robotic-assisted tilt-table therapy for early-stage spinal cord injury rehabilitation. J Rehabil Res Dev. 2013:50(3):367-78. http://dx.doi.org/10.1682/JRRD.2012.02.0027 Slideshow Project DOI:10.1682/JRRD.2012.02.0027JSP Aim – Investigate physical exertion rate of robotic-assisted tilt- table therapy (RATTT) in patients with spinal cord injury (SCI). – Compare response of patients with motor-complete SCI (cSCI) and motor-incomplete SCI (iSCI). Relevance – RATTT may provide strong training stimulus to complement conventional physiotherapy. – RATTT may both increase orthostatic tolerance and attenuate decline in aerobic fitness.

3 This article and any supplementary material should be cited as follows: Craven CT, Gollee H, Coupad S, Purcell MA, Allan DB. Investigation of robotic-assisted tilt-table therapy for early-stage spinal cord injury rehabilitation. J Rehabil Res Dev. 2013:50(3):367-78. http://dx.doi.org/10.1682/JRRD.2012.02.0027 Slideshow Project DOI:10.1682/JRRD.2012.02.0027JSP Method Participants – 3 cSCI. – 3 iSCI. Protocol – 5 discrete phases, 5 min each Measures – Continuous: pulmonary gas exchange, ventilator, heart rate. – Final 30 s: blood pressure.

4 This article and any supplementary material should be cited as follows: Craven CT, Gollee H, Coupad S, Purcell MA, Allan DB. Investigation of robotic-assisted tilt-table therapy for early-stage spinal cord injury rehabilitation. J Rehabil Res Dev. 2013:50(3):367-78. http://dx.doi.org/10.1682/JRRD.2012.02.0027 Slideshow Project DOI:10.1682/JRRD.2012.02.0027JSP Method Testing phases: – 1. Subject supine; no stepping profile imposed. – 2. Subject tilted to 70  from horizontal at 0.06 rad/s. – 3. Robotic orthoses provided full guidance force. cSCI: No volitional effort. – 4a. iSCI only. Guidance force reduced, volitional effort increased. – 4b. Functional electrical stimulation (FES) applied. iSCI subjects instructed to continue volitional participation.

5 This article and any supplementary material should be cited as follows: Craven CT, Gollee H, Coupad S, Purcell MA, Allan DB. Investigation of robotic-assisted tilt-table therapy for early-stage spinal cord injury rehabilitation. J Rehabil Res Dev. 2013:50(3):367-78. http://dx.doi.org/10.1682/JRRD.2012.02.0027 Slideshow Project DOI:10.1682/JRRD.2012.02.0027JSP Results iSCI – O 2 uptake, respiratory exchange ratio (RER), minute ventilation, heart rate: Significantly increased in Phases 4a and 4b only. cSCI – Minute ventilation: Small but significant increase. iSCI vs cSCI – O 2 uptake, RER, minute ventilation, heart rate: No difference in Phases 1-3. Significantly larger in Phase 4b for iSCI. – Mean arterial pressure significantly larger in all phases for iSCI.

6 This article and any supplementary material should be cited as follows: Craven CT, Gollee H, Coupad S, Purcell MA, Allan DB. Investigation of robotic-assisted tilt-table therapy for early-stage spinal cord injury rehabilitation. J Rehabil Res Dev. 2013:50(3):367-78. http://dx.doi.org/10.1682/JRRD.2012.02.0027 Slideshow Project DOI:10.1682/JRRD.2012.02.0027JSP Conclusion Volitional effort led to increased cardio- pulmonary and ventilatory response during RATTT. – Sustained or improved with addition of FES. Patients with iSCI: – Period of training with volitional contribution could improve cardiopulmonary and ventilatory fitness. Patients with cSCI: – FES-assisted RATTT may be sufficient to attenuate fitness losses.

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