Ilias Theofilou
Centre ITS, SwitzerlandPresentation Title:
Gait Rehabilitation Techniques In IncompleteCervical Spinal Cord Injuries
Abstract
Objective: Incomplete cervical spinal cord injuries can lead to severe functional loss, with mobility deficits of the lower limbs and motor control. Contemporary gait rehabilitation techniques focus on the motor reprogramming of neuronic circuits. This systematic review aims to compare the results of different rehabilitation techniques, ranging from robotic exoskeleton systems, to new and improves weight- bearing systems, and other methods including virtual reality, on their ability to achieve measurable therapeutic goals.
Methods: Three electronic databases (MEDLINE, PEDro και GoogleScholar) were systematically searched for clinical trials, up until May 2022. The following search terms were used: “Incomplete Cervical Spinal Cord Injury” AND “Gait Training” OR “Rehabilitation” OR “Exoskeletal assisted walking” OR “Lokomat” OR “Robot- assisted gait training”.
Results: Of the initial 2.411 papers, 54 were selected to be review for eligibility to this systematic review, leading to the final 20 that were included. The most common evaluation tools were 6MWT, 10MWT, TUG, LEMS και WISCI-II. In all 20 papers significant or very significant changes were noted between the time of the first assessment and the last. 13 of them noted statistically significant differences between the control groups and the intervention groups at the end of the trial period, regardless of the method used. In this systematic review, 409 patients were recruited for trials on robotic exoskeletons, 70 participated in Weight- Bearing trials, and another 55 completed trials on interventions including WBV, OLT and GRAIL. In regards to the use of a robotic exoskeleton system, 10 out of 13 trials noted statistically significant differences between groups, a result shared by 2 out of 3 trials on weight-bearing systems.
Conclusion: Contemporary interventions using the latest technological advances, whether they be robotic exoskeletons, advanced weight-bearing systems or enhanced virtual reality, may contribute to a faster and more efficient gait rehabilitation of patients suffering from incomplete cervical spinal cord injuries.
Biography
Ilias Theofilou, born and raised in Athens on February 12, 1995, graduated from the department of physiotherapy at the University of West Attica in 2019 earning a very good grade, completing his internship at the General Hospital of Attica KAT. He pursued postgraduate studies starting in 2020 at the National and Kapodistrian University of Athens in the department of medicine, focusing on "Rehabilitation following spinal cord lesions and spinal pain management", and graduated with an excellent grade in 2023. Alongside his studies, he participated in various seminars and presented at the 77th Congress of the Hellenic Society of Orthopaedic Surgery and Traumatology in 2021 on “Hip fractures and SARS-COV 2: Research data and management strategies.” His professional journey began in 2020 at a nursing home, where he specialized in geriatric and neurological care. He then moved to a rehabilitation center, focusing on neurological cases, followed by roles in two physiotherapy clinics, specializing in musculoskeletal conditions. Since June 2023, he has resided in Fribourg, Switzerland, and works at the Centre ITS musculoskeletal clinic, where he provides treatment for both musculoskeletal and neurological disorders
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