Effects of Lokomat Training on Dynamic Postural Stability in Incomplete Spinal Cord Injury

Evaluation of the Effects of Robotic Training on Dynamic Postural Stability, Symmetry, and Gait Smoothness in Subjects With Incomplete Spinal Cord Injury: a Randomized Controlled Trial

The study aims to evaluate the effects of robotic-assisted gait training (Lokomat) on dynamic postural stability in patients with incomplete spinal cord injury (SCI). Participants will be randomized into two groups: one receiving robotic training and another receiving conventional postural stability exercises. The primary evaluation will use the Mini-BESTest, supplemented by objective gait analysis using wearable inertial sensors (IMUs) to measure symmetry, fluidity, and stability. A secondary objective is to compare these gait indices between SCI patients and healthy individuals.

Inclusion Criteria:

• Incomplete Spinal Cord Injury (ASIA scale C or D).
• Traumatic or non-traumatic, subacute or chronic.
• Walking Index for Spinal Cord Injury (WISCI) score > 5.
• Height ≤ 200 cm and Weight ≤ 135 kg.

Exclusion Criteria:

• Cognitive impairments preventing task comprehension.
• Grade 2 or higher pressure ulcers.
• Severe spasticity (Modified Ashworth Scale > 2).
• Orthopedic, vestibular, or other neurological comorbidities affecting gait.
• Severe heart failure or cardiovascular instability.