{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T03:21:02Z","timestamp":1777864862787,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,3,23]],"date-time":"2025-03-23T00:00:00Z","timestamp":1742688000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,3,23]],"date-time":"2025-03-23T00:00:00Z","timestamp":1742688000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Rehabilitation and Assistive Technologies Engineering"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Individuals with spinal cord injuries (SCI) face substantial mobility challenges that affect their independence and quality of life. Traditional medial linkage reciprocal gait orthoses (MLRGO) often lack efficiency in enhancing mobility and stability. This study introduces the Advanced MLRGO, designed to overcome these limitations and improve walking function for SCI patients.\n                    <jats:bold>Material and methods:<\/jats:bold>\n                    The Advanced MLRGO was developed using orthopedic engineering and biomechanics principles, with detailed simulations performed in COMSOL Multi-physics to evaluate force distribution and resistance. A clinical trial involving five individuals with SCI was conducted to compare the performance of the Advanced MLRGO against the Prime-Walk orthosis and the standard MLRGO.\n                    <jats:bold>Results:<\/jats:bold>\n                    Results showed that the MLRGO system significantly improved walking speed (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.03) and distance traveled (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.04) compared to the Prime-Walk. The Advanced MLRGO also exhibited notable enhancements over the standard MLRGO, showing increased walking speed (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.033) and distance (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.026), as well as reduced donning time (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.048).\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    These findings indicate that the Advanced MLRGO significantly enhances mobility and independence for individuals with thoracic SCI. Future research should focus on improving doffing efficiency and assessing individual user experiences to maximize these benefits.\n                  <\/jats:p>","DOI":"10.1177\/20556683251329789","type":"journal-article","created":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T02:17:34Z","timestamp":1742782654000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Advanced design and fabrication of a medial linkage reciprocal orthosis for patients with spinal cord injury"],"prefix":"10.1177","volume":"12","author":[{"given":"Fariba","family":"Fallah Cham Asmani","sequence":"first","affiliation":[{"name":"Islamic Azad University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mokhtar","family":"Arazpour","sequence":"additional","affiliation":[{"name":"University of Social Welfare and Rehabilitation Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mobina","family":"Khosravi","sequence":"additional","affiliation":[{"name":"Shahid Beheshti University of Medical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1374-1647","authenticated-orcid":false,"given":"Zeinab","family":"Gasavi Nezhad","sequence":"additional","affiliation":[{"name":"University of Social Welfare and Rehabilitation Sciences"},{"name":"Shahid Beheshti University of Medical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahdi","family":"Shafieian","sequence":"additional","affiliation":[{"name":"Amirkabir University of Technology"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7556-1849","authenticated-orcid":false,"given":"Armen","family":"Adamian","sequence":"additional","affiliation":[{"name":"Islamic Azad University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,3,23]]},"reference":[{"issue":"5","key":"e_1_3_4_2_2","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1016\/j.neurol.2021.02.385","article-title":"Spinal cord injury: a multisystem physiological impairment\/dysfunction","volume":"177","author":"Perrouin-Verbe B","year":"2021","unstructured":"Perrouin-Verbe B, Lefevre C, Kieny P, et al. Spinal cord injury: a multisystem physiological impairment\/dysfunction. Rev Neurol 2021; 177(5): 594\u2013605.","journal-title":"Rev Neurol"},{"issue":"4","key":"e_1_3_4_3_2","first-page":"100237","article-title":"Modernization of a large spinal cord injuries and disorders registry: the veterans administration experience","volume":"4","author":"Sippel JL","year":"2022","unstructured":"Sippel JL, Daly JE, Poggensee L, et al. Modernization of a large spinal cord injuries and disorders registry: the veterans administration experience. Arch Rehabil Res Clin Transl 2022; 4(4): 100237.","journal-title":"Arch Rehabil Res Clin Transl"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049732313494119"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40719-015-0023-x"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/10790268.2015.1114228"},{"issue":"3","key":"e_1_3_4_7_2","first-page":"183","article-title":"Efficiency of mechanical orthoses in affecting parameters associated with daily living in patients with spinal cord injury: a literature review. Disability and Rehabilitation","volume":"10","author":"Ahmadi BM","year":"2015","unstructured":"Ahmadi BM, Arazpour M, Farahmand F, et al. Efficiency of mechanical orthoses in affecting parameters associated with daily living in patients with spinal cord injury: a literature review. Disability and Rehabilitation. Assist Technol 2015; 10(3): 183\u2013190.","journal-title":"Assist Technol"},{"issue":"1","key":"e_1_3_4_8_2","doi-asserted-by":"crossref","first-page":"S10","DOI":"10.1038\/sc.2014.196","article-title":"The effect of a new reciprocating link medial linkage orthosis on walking and independence in a spinal cord injury patient","volume":"53","author":"Ahmadi BM","year":"2015","unstructured":"Ahmadi BM, Arazpour M, Farahmand F, et al. The effect of a new reciprocating link medial linkage orthosis on walking and independence in a spinal cord injury patient. Spinal Cord 2015; 53(1): S10\u2013S12.","journal-title":"Spinal Cord"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2019.00272"},{"issue":"2","key":"e_1_3_4_10_2","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1080\/10790268.2007.11753918","article-title":"Donald Munro Lecture. Spinal cord injury-past, present, and future","volume":"30","author":"Donovan WH","year":"2007","unstructured":"Donovan WH. Donald Munro Lecture. Spinal cord injury-past, present, and future. J Spinal Cord Med 2007; 30(2): 85\u2013100.","journal-title":"J Spinal Cord Med"},{"issue":"7","key":"e_1_3_4_11_2","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1016\/j.apmr.2011.02.010","article-title":"The relationship between quality of life and change in mobility 1 year postinjury in individuals with spinal cord injury","volume":"92","author":"Riggins MS","year":"2011","unstructured":"Riggins MS, Kankipati P, Oyster ML, et al. The relationship between quality of life and change in mobility 1 year postinjury in individuals with spinal cord injury. Arch Phys Med Rehabil 2011; 92(7): 1027\u20131033.","journal-title":"Arch Phys Med Rehabil"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-444-63916-5.00024-0"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1997.tb00946.x"}],"container-title":["Journal of Rehabilitation and Assistive Technologies Engineering"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20556683251329789","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20556683251329789","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20556683251329789","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:49:56Z","timestamp":1777528196000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20556683251329789"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,23]]},"references-count":12,"alternative-id":["10.1177\/20556683251329789"],"URL":"https:\/\/doi.org\/10.1177\/20556683251329789","relation":{},"ISSN":["2055-6683","2055-6683"],"issn-type":[{"value":"2055-6683","type":"print"},{"value":"2055-6683","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,23]]},"article-number":"20556683251329789"}}