Safety and usability of the MAK exoskeleton in patients with stroke
[Background and purpose] Stroke is one of the leading causes of disability in adults worldwide, and one of the main objectives in the rehabilitation of these patients is to recover the gait. New technologies have emerged to cope with this issue, complementing conventional therapy with the use of dev...
| Autores: | , , , , , , , , , |
|---|---|
| Tipo de documento: | artigo |
| Estado: | Versão publicada |
| Data de publicação: | 2024 |
| País: | España |
| Recursos: | Consejo Superior de Investigaciones Científicas (CSIC) |
| Repositório: | DIGITAL.CSIC. Repositorio Institucional del CSIC |
| OAI Identifier: | oai:digital.csic.es:10261/396276 |
| Acesso em linha: | http://hdl.handle.net/10261/396276 https://api.elsevier.com/content/abstract/scopus_id/85165568525 |
| Access Level: | Acceso aberto |
| Palavra-chave: | Exoskeleton Knee Rehabilitation Stroke |
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Safety and usability of the MAK exoskeleton in patients with stroke |
| title |
Safety and usability of the MAK exoskeleton in patients with stroke |
| spellingShingle |
Safety and usability of the MAK exoskeleton in patients with stroke Cumplido Trasmonte, Carlos Exoskeleton Knee Rehabilitation Stroke |
| title_short |
Safety and usability of the MAK exoskeleton in patients with stroke |
| title_full |
Safety and usability of the MAK exoskeleton in patients with stroke |
| title_fullStr |
Safety and usability of the MAK exoskeleton in patients with stroke |
| title_full_unstemmed |
Safety and usability of the MAK exoskeleton in patients with stroke |
| title_sort |
Safety and usability of the MAK exoskeleton in patients with stroke |
| dc.creator.none.fl_str_mv |
Cumplido Trasmonte, Carlos Barquín Santos, Eva Garces-Castellote, E. Gor García Fogeda, María Dolores Plaza Flores, Alberto Hernández Melero, Mar Gutiérrez Ayala, Alba Cano de la Cuerda, Roberto López Morón, A.L. García Armada, Elena |
| author |
Cumplido Trasmonte, Carlos |
| author_facet |
Cumplido Trasmonte, Carlos Barquín Santos, Eva Garces-Castellote, E. Gor García Fogeda, María Dolores Plaza Flores, Alberto Hernández Melero, Mar Gutiérrez Ayala, Alba Cano de la Cuerda, Roberto López Morón, A.L. García Armada, Elena |
| author_role |
author |
| author2 |
Barquín Santos, Eva Garces-Castellote, E. Gor García Fogeda, María Dolores Plaza Flores, Alberto Hernández Melero, Mar Gutiérrez Ayala, Alba Cano de la Cuerda, Roberto López Morón, A.L. García Armada, Elena |
| author2_role |
author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Agencia Estatal de Investigación (España) Comunidad de Madrid Universidad de Alcalá Cumplido Trasmonte, Carlos [0000-0002-2878-9272] Barquín Santos, Eva [0000-0002-9517-5262] Gor García Fogeda, María Dolores [0000-0001-6791-813X] Plaza Flores, Alberto [0000-0003-3126-9048] Hernández Melero, Mar [0000-0002-2937-1150] Gutiérrez Ayala, Alba [0000-0003-0202-8181] Cano de la Cuerda, Roberto [0000-0002-1118-4234] García Armada, Elena [0000-0001-7349-250X] Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72] |
| dc.subject.none.fl_str_mv |
Exoskeleton Knee Rehabilitation Stroke |
| topic |
Exoskeleton Knee Rehabilitation Stroke |
| description |
[Background and purpose] Stroke is one of the leading causes of disability in adults worldwide, and one of the main objectives in the rehabilitation of these patients is to recover the gait. New technologies have emerged to cope with this issue, complementing conventional therapy with the use of devices such as exoskeletons. The Marsi Active Knee (MAK) exoskeleton (Marsi Bionics SL, Madrid, Spain) has already been tested, but an updated version was improved to allow the patients to perform functional exercises. The aim of this study was to assess the safety and usability of the MAK in the stroke population as well as its potential clinical effects. |
| publishDate |
2024 |
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2024 2025 2025 |
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info:eu-repo/semantics/article http://purl.org/coar/resource_type/c_6501 Publisher's version info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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http://hdl.handle.net/10261/396276 https://api.elsevier.com/content/abstract/scopus_id/85165568525 |
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http://hdl.handle.net/10261/396276 https://api.elsevier.com/content/abstract/scopus_id/85165568525 |
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Inglés |
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Inglés |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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John Wiley & Sons |
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John Wiley & Sons |
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reponame:DIGITAL.CSIC. Repositorio Institucional del CSIC instname:Consejo Superior de Investigaciones Científicas (CSIC) |
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Consejo Superior de Investigaciones Científicas (CSIC) |
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DIGITAL.CSIC. Repositorio Institucional del CSIC |
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DIGITAL.CSIC. Repositorio Institucional del CSIC |
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Safety and usability of the MAK exoskeleton in patients with strokeCumplido Trasmonte, CarlosBarquín Santos, EvaGarces-Castellote, E.Gor García Fogeda, María DoloresPlaza Flores, AlbertoHernández Melero, MarGutiérrez Ayala, AlbaCano de la Cuerda, RobertoLópez Morón, A.L.García Armada, ElenaExoskeletonKneeRehabilitationStroke[Background and purpose] Stroke is one of the leading causes of disability in adults worldwide, and one of the main objectives in the rehabilitation of these patients is to recover the gait. New technologies have emerged to cope with this issue, complementing conventional therapy with the use of devices such as exoskeletons. The Marsi Active Knee (MAK) exoskeleton (Marsi Bionics SL, Madrid, Spain) has already been tested, but an updated version was improved to allow the patients to perform functional exercises. The aim of this study was to assess the safety and usability of the MAK in the stroke population as well as its potential clinical effects.[Methods] A single-group open label intervention trial was conducted. The device was used twice a week for 5 weeks during 1 h per visit. During the visits, sit-to-stand transitions, walking, stair climbing, trunk rotations, and weight-transfer exercises were performed using the device. Adverse events were collected from participants and therapists to assess safety. The Quebec User Evaluation of the Satisfaction with assistive Technology (QUEST 2.0) was used by both therapists and participants to assess usability. To evaluate its clinical effects, active range of motion (ROM) and muscle strength were assessed in the lower limb.[Results] Six participants with stroke were recruited. The device was shown to be safe since no serious adverse events were reported neither by patients nor by therapists. Every proposed exercise was performed. Regarding clinical effects, overall muscle strength showed an increase after the treatment, although ROM measurements did not show any difference.[Discussion] Our results suggest that the MAK device is safe for stroke patients. Nevertheless, further changes to enhance usability are recommended, such as an improvement of the attachment system and an adaptation for the drop foot. Beneficial effects regarding increases in muscle strength were obtained. Further trials with a larger sample size, longer intervention periods, and a control group are needed to verify these results. Also, future research should focus on the usability of the MAK as an assistive technology.This work was partially funded by Agencia Estatal de Investigación through grant PID2019-110492RB-I00 and from Comunidad de Madrid through Grant IND2018/TIC9618. C-T acknowledges support from Consejería de Educación e Investigación de la Comunidad de Madrid through Grant PEJ-2019-AI_TIC-15202. G-Ca acknowledges support from Comunidad de Madrid through Grant IND2018/TIC9618 and the University of Alcala. P-F acknowledges support from Comunidad de Madrid through Grant IND2017_TIC-7698.Peer reviewedJohn Wiley & SonsAgencia Estatal de Investigación (España)Comunidad de MadridUniversidad de AlcaláCumplido Trasmonte, Carlos [0000-0002-2878-9272]Barquín Santos, Eva [0000-0002-9517-5262]Gor García Fogeda, María Dolores [0000-0001-6791-813X]Plaza Flores, Alberto [0000-0003-3126-9048]Hernández Melero, Mar [0000-0002-2937-1150]Gutiérrez Ayala, Alba [0000-0003-0202-8181]Cano de la Cuerda, Roberto [0000-0002-1118-4234]García Armada, Elena [0000-0001-7349-250X]Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]202520252024info:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_6501Publisher's versioninfo:eu-repo/semantics/publishedVersionapplication/pdfhttp://hdl.handle.net/10261/396276https://api.elsevier.com/content/abstract/scopus_id/85165568525reponame:DIGITAL.CSIC. Repositorio Institucional del CSICinstname:Consejo Superior de Investigaciones Científicas (CSIC)Inglés#PLACEHOLDER_PARENT_METADATA_VALUE##PLACEHOLDER_PARENT_METADATA_VALUE##PLACEHOLDER_PARENT_METADATA_VALUE##PLACEHOLDER_PARENT_METADATA_VALUE#info:eu-repo/grantAgreement/AEI/Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020/PID2019-110492RB-I00IND2018/TIC9618PEJ-2019-AI/TIC15202IND2017/TIC7698The underlying dataset has been published as supplementary material of the article in the publisher platform at DOI https://doi.org/10.1002/pri.2038https://doi.org/10.1002/pri.2038Síinfo:eu-repo/semantics/openAccessoai:digital.csic.es:10261/3962762026-05-22T06:33:51Z |
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15.81155 |