![](/images/graphics-bg.png)
Hybrid Assistive Limb Intervention in a Patient with Late Neurological Deterioration after Thoracic Myelopathy Surgery due to Ossification of the Ligamentum Flavum
Joint Authors
Yamazaki, Masashi
Kubota, Shigeki
Taketomi, Masakazu
Shimizu, Yukiyo
Kadone, Hideki
Abe, Tetsuya
Marushima, Aiki
Ueno, Tomoyuki
Endo, Ayumu
Kawamoto, Hiroaki
Sankai, Yoshiyuki
Hada, Yasushi
Matsumura, Akira
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-02-08
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Purpose.
We evaluated improvements in gait after using the Hybrid Assistive Limb (HAL®) exoskeleton robot in a patient with late-onset neurological deterioration of lower extremity function after undergoing thoracic spine surgery for a myelopathy due to ossification of the ligamentum flavum.
Case Presentation.
A 70-year-old man participated in ten 20 min sessions of HAL intervention, twice weekly for five weeks.
The effects of each HAL session were evaluated based on changes in performance on the 10 m walk test (10 MWT), lower limb kinematics quantified from motion capture, and the activation ratio of the gastrocnemius, measured before and after the intervention.
Muscle activity was recorded using surface electromyography and synchronized to measured kinematics.
The HAL intervention improved gait speed and step length, with an increase in the hip flexion angle during the swing phase and a decrease in the activation ratio of the gastrocnemius.
The modified Ashworth scale improved from 1+ to 1 and International Standards for Neurological and Functional Classification of Spinal Cord Injury motor scores from 34 to 49.
Conclusion.
Intervention using the HAL exoskeleton robot may be an effective method to improve functional ambulation in patients with chronic spinal disorders.
American Psychological Association (APA)
Taketomi, Masakazu& Shimizu, Yukiyo& Kadone, Hideki& Kubota, Shigeki& Abe, Tetsuya& Marushima, Aiki…[et al.]. 2018. Hybrid Assistive Limb Intervention in a Patient with Late Neurological Deterioration after Thoracic Myelopathy Surgery due to Ossification of the Ligamentum Flavum. Case Reports in Orthopedics،Vol. 2018, no. 2018, pp.1-10.
https://search.emarefa.net/detail/BIM-1147758
Modern Language Association (MLA)
Taketomi, Masakazu…[et al.]. Hybrid Assistive Limb Intervention in a Patient with Late Neurological Deterioration after Thoracic Myelopathy Surgery due to Ossification of the Ligamentum Flavum. Case Reports in Orthopedics No. 2018 (2018), pp.1-10.
https://search.emarefa.net/detail/BIM-1147758
American Medical Association (AMA)
Taketomi, Masakazu& Shimizu, Yukiyo& Kadone, Hideki& Kubota, Shigeki& Abe, Tetsuya& Marushima, Aiki…[et al.]. Hybrid Assistive Limb Intervention in a Patient with Late Neurological Deterioration after Thoracic Myelopathy Surgery due to Ossification of the Ligamentum Flavum. Case Reports in Orthopedics. 2018. Vol. 2018, no. 2018, pp.1-10.
https://search.emarefa.net/detail/BIM-1147758
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147758