Definition in the context of rehabilitation: as soon as possible after the neurological injury, as soon as the initial medical stabilization phase is obtained.
Early mobilization and verticalization would result in improved functional recovery, the more frequent the sessions 1,2, and a decreased risk of complications related to loss of mobility.
The design of Atalante X, a self-balancing, hands-free device with autonomous lifting and sitting and assisted ambulation, allows patients to be raised effortlessly in the early stages of their care. A study conducted by Wandercraft, in a population of hemiparetic patients in the acute phase of their stroke, suggests that the use of Atalante could improve the patient's ability to ambulate and balance 3. Wandercraft will initiate its first comparative, randomized, international, multicenter study in 2022 to confirm these findings.
(1) Bernhardt. Neurology, 2016
(2) Nelles. Restorative Neurology and Neuroscience, 2004
(3) INSPIRE study, 2022, available upon request
Definition in the context of rehabilitation: Number of repetitions per unit (e.g. number of steps per session). Intensity can also translate the intensity of the effort provided by the patient.
In a population of post-stroke hemiparetic patients, the realization of an intense gait workout, by increasing the number of repetitions and increasing the effort provided by the patient, would allow improvements in the motor function of the lower limbs, walking speed, muscle tone, balance in sitting and standing position, depression, anxiety, quality of life and autonomy in the activities of daily living 1. Atalante allows for hundreds, even thousands of steps per session (on average 600 steps per session and up to 2300 steps max); and promotes active patient participation through variable assistance (on average 37% of working time in Atalante is in active mode).
(1) Verbeek, Kwakkel et al. PLoS One 2014
EarlyExo is the first benefit study to demonstrate the efficacy of using Atalante in a clinical routine.
A document that centralizes all data on the use of Atalante in hemiparetic or hemiplegic patients.
Evaluation of the use of Atalante in patients with hemiplegia following a stroke
Review of the results of the first clinical studies and our usage data
With almost 500,000 new cases worldwide each year, paraplegia is one of the most important causes of permanent disability.
Spinal cord injuries account for between 250,000 and 500,000 new cases...
This collective work concerns a 72-year-old patient with left hemiparesis and significant hemineglect...
In a case of paraparesis secondary to post-traumatic ponytail syndrome.
physiatrist and clinical director at Wandercraft
Gait training exoskeletons, such as Atalante X, are innovative tools in the management of people with walking impairment. They maximize rehabilitation training; in the hope of improving recovery after a neurological lesion; and in preventing the appearance of complications secondary to prolonged immobilization. Clinical studies comparing Atalante to conventional rehabilitation are undergoing to prove the potential clinical benefits.
In the long term and taking into consideration the current progress in terms of the management of Neurological lesions, particularly with the appearance of new treatments that give hope of repairing or supplementing the nervous system, exoskeletons have their place in maintaining the body in a state of general good health for people in wheelchairs.