The efficacy of exoskeleton robotic training on ambulation recovery in patients with spinal cord injury: A meta-analysis

Spinal cord injury can significantly impair motor function and quality of life. Many patients struggle to regain the ability to walk and rely on wheelchairs for mobility. Conventional gait training is labor-intensive and requires multiple therapists. Robot-assisted gait training (RAGT) can provide more intensive and longer training while maintaining the patient’s physiological gait pattern. This meta-analysis explores how exoskeleton robotic training affects walking recovery in patients with spinal cord injuries, looking at factors like injury severity and timing of rehabilitation.

• 1
  Exoskeleton robotic training significantly improved LEMS in SCI patients compared with CGT [MD = 4.64, 95%CI = (3.58, 5.70), P<0.05].
• 2
  Exoskeleton robotic training outperformed CGT in improving FIM in SCI patients [SMD = 0.58, 95%CI = (0.07, 1.10), P = 0.03].
• 3
  Exoskeleton robotic training significantly improved lower limb muscle tension in SCI patients compared with CGT [MD = 0.76, 95%CI = (0.48, 1.03), P<0.05].