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Titre : | Effect of Exoskeletal-Assisted Walking on Soft Tissue Body Composition in Persons With Spinal Cord Injury (2021) |
Auteurs : | Pierre K. Asselin ; Christopher M. Cirnigliaro ; Stephen Kornfeld ; Steven Knezevic ; Rachel Lackow ; Michael Elliott ; William A. Bauman |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 2, 2020) |
Article en page(s) : | p. 196-202 |
Note générale : | https://doi.org/10.1016/j.apmr.2020.07.018 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Composition corporelle ; Dispositif d'exosquelette ; Graisse intra-abdominale ; Réadaptation ; Traitement par les exercices physiques ; Traumatismes de la moelle épinière |
Résumé : |
Objective
To determine the effect of overground walking using a powered exoskeleton on soft tissue body composition in persons with spinal cord injury (SCI). Design A prospective, single group observational pilot study. Setting Medical center. Participants Persons (N=8) with chronic (>6mo) SCI between 18 and 65 years old who weighed less than 100 kg. Interventions Overground ambulation training using a powered exoskeleton (ReWalk) for 40 sessions, with each session lasting up to 2 hours, with participants training 3 times per week. Main Outcome Measure(s) Dual-energy x-ray absorptiometry (DXA) was used to measure lean mass (LM) and fat mass (FM) from the whole body, arms, legs and trunk. DXA was also used to assess visceral adipose tissue (VAT). Walking performance was measured by 6-minute walk test. Results Participants significantly lost total body FM (−1.8±1.2kg, P=.004) with the loss of adiposity distributed over several regional sites. Six of the 8 participants lost VAT, with the average loss in VAT trending toward significance (−0.141kg, P=.06). LM for the group was not significantly changed. Conclusions Sustained and weekly use of powered exoskeletons in persons with SCI has the potential to reduce FM with inferred improvements in health. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999320312223#! |