Multiple sclerosis and related disorders · 2026
The effects of hybrid assistive limb (HAL) application on locomotor function and balance parameters in individuals with multiple sclerosis.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Açar Görkem, Baser Miray, Özkeskin Mehmet, Özden Fatih, Seyhan Sinan, Kavak Muhammed Fatih, Sarı Zübeyir, Aktürk Adem
Аннотация
BACKGROUND: Multiple Sclerosis (MS) often causes walking and balance impairments, limiting daily independence. Hybrid Assistive Limb (HAL), a wearable robotic exoskeleton, may assist in improving these functions.
OBJECTIVE: To investigate the effect of HAL-assisted rehabilitation on locomotor function, balance performance, and functional mobility in individuals with MS.
METHODS: Thirteen individuals with MS were included in this single-group pre-post quasi-experimental study. This study did not include a control group. Participants underwent gait rehabilitation using a lower-limb HAL device for 1 h per day, 5 days a week, for 2 months. Locomotor function and balance were assessed using the 10-Meter Walk Test (10MWT), the Timed Up and Go (TUG) test, and the 6-Minute Walk Test (6MWT). Spatiotemporal parameters of the gait were analyzed using the Tecnobody Walker View system. Static balance was evaluated using the Tecnobody d-Wall system.
RESULTS: Thirteen adults with MS (mean age 46.2 ± 7.5 years) completed the 2-month HAL-assisted rehabilitation program. Significant improvements were observed in locomotor function and functional mobility: TUG time decreased from 18.85 ± 12.20 s to 14.04 ± 11.04 s (p < 0.001), 10MWT time decreased from 25.64 ± 21.54 s to 21.05 ± 21.08 s (p = 0.001), and 6MWT distance increased from 174.62 ± 58.68 m to 261.54 ± 95.03 m (p = 0.001). EDSS scores showed a decrease from 4.62 ± 1.33 to 2.62 ± 1.85 (p = 0.002). Static balance improved under both eyes-open and eyes-closed conditions, and step length increased significantly bilaterally. Cadence and hip/lumbar ROM showed no significant changes, while left knee ROM improved significantly (p = 0.008). These findings should be interpreted as preliminary, given the absence of a control group.
CONCLUSIONS: HAL-assisted rehabilitation may be a feasible and promising approach for improving walking performance, balance, and functional mobility in individuals with MS. However, these preliminary findings from a single-group pre-post design without a control group should be interpreted with caution, and further randomized controlled trials are needed to confirm these results.
OBJECTIVE: To investigate the effect of HAL-assisted rehabilitation on locomotor function, balance performance, and functional mobility in individuals with MS.
METHODS: Thirteen individuals with MS were included in this single-group pre-post quasi-experimental study. This study did not include a control group. Participants underwent gait rehabilitation using a lower-limb HAL device for 1 h per day, 5 days a week, for 2 months. Locomotor function and balance were assessed using the 10-Meter Walk Test (10MWT), the Timed Up and Go (TUG) test, and the 6-Minute Walk Test (6MWT). Spatiotemporal parameters of the gait were analyzed using the Tecnobody Walker View system. Static balance was evaluated using the Tecnobody d-Wall system.
RESULTS: Thirteen adults with MS (mean age 46.2 ± 7.5 years) completed the 2-month HAL-assisted rehabilitation program. Significant improvements were observed in locomotor function and functional mobility: TUG time decreased from 18.85 ± 12.20 s to 14.04 ± 11.04 s (p < 0.001), 10MWT time decreased from 25.64 ± 21.54 s to 21.05 ± 21.08 s (p = 0.001), and 6MWT distance increased from 174.62 ± 58.68 m to 261.54 ± 95.03 m (p = 0.001). EDSS scores showed a decrease from 4.62 ± 1.33 to 2.62 ± 1.85 (p = 0.002). Static balance improved under both eyes-open and eyes-closed conditions, and step length increased significantly bilaterally. Cadence and hip/lumbar ROM showed no significant changes, while left knee ROM improved significantly (p = 0.008). These findings should be interpreted as preliminary, given the absence of a control group.
CONCLUSIONS: HAL-assisted rehabilitation may be a feasible and promising approach for improving walking performance, balance, and functional mobility in individuals with MS. However, these preliminary findings from a single-group pre-post design without a control group should be interpreted with caution, and further randomized controlled trials are needed to confirm these results.