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• W4387053018 abstract "Overground robotic exoskeletons (ORE) may be a unique modality to allow non-ambulatory individuals with tetraplegia to stand and perform walking exercise. However, the ability of ORE training to elicit moderate to vigorous levels of intensity (MVI) in non-ambulatory individuals with tetraplegia is unknown. PURPOSE: To examine the level of intensity achieved during three different ORE training conditions in a non-ambulatory adult with chronic, motor-complete tetraplegia. METHODS: A 29-year-old male (BMI 11.2 kg/m2) with a 13-year history of traumatic spinal cord injury (AIS A, C5-C6) resulting in motor-complete tetraplegia, completed ORE training consisting of three conditions performed consecutively in a single treatment session. Intensity of each condition was assessed using direct breath-by-breath expired gas analysis and the participant was asked to identify which conditions were most challenging. Prior to training, a five-minute ORE warm-up was completed with device software settings individualized to promote a more typical gait pattern and allow for acclimation to the device and being in an upright position. In Condition 1, the participant was instructed to walk in the device “as quickly as possible”. In Condition 2, the participant was instructed to walk with an active arm swing with 2-lb cuff weights placed on each wrist. In Condition 3, the participant was instructed to focus on making complete steps as the device software was adjusted to minimize device assistance. RESULTS: The participant completed 320 steps in approximately two minutes during warm-up and each condition. METs were 3.10 ± 0.61 during warm-up, 3.05 ± 0.53 Condition 1, 4.76 ± 0.58 Condition 2, and 3.16 ± 0.38 Condition 3. All conditions allowed the participant to achieve moderate intensity for part of the ORE training session, but MVI was sustained throughout during Conditions 2 and 3 with minimum METs of 3.6 and 3.1, respectively. The participant’s subjective report of intensity indicated Condition 2 was as the most challenging. CONCLUSIONS: ORE training elicited MVI in the non-ambulatory adult with chronic, motor-complete tetraplegia. The ability to modulate intensity demand through additional conditions, such as the use of bilateral upper-extremity weights, may allow for development of a progressive ORE exercise prescription." @default.
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• W4387053018 date "2023-09-01" @default.
• W4387053018 modified "2023-09-27" @default.
• W4387053018 title "Intensity Of Overground Robotic Exoskeleton Exercise Training Conditions In An Adult With Chronic, Motor-Complete Tetraplegia" @default.
• W4387053018 doi "https://doi.org/10.1249/01.mss.0000988768.55655.64" @default.
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