Augmented Performance Feedback during Robotic Gait Therapy Results in Moderate Intensity Cardiovascular Exercise in Subacute Stroke

Prideaux, Nicole; Berg, Maayken van den; Drummond, Claire; Barr, Christopher

doi:10.1016/j.jstrokecerebrovasdis.2020.104758

Cited by 10 publications

(4 citation statements)

References 33 publications

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“…Along the same lines, research on patients with stroke and cerebral palsy suggests that an increase in gait speed increases the muscle activation [ 63 , 64 ]. Nevertheless, there is some evidence that supports a reduction in walking speed with the purpose of activating supraspinal centers [ 41 , 58 , 60 , 61 ].…”

Section: Discussionmentioning

confidence: 99%

Settings matter: a scoping review on parameters in robot-assisted gait therapy identifies the importance of reporting standards

Dellen

Labruyère

2022

J NeuroEngineering Rehabil

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Background Lokomat therapy for gait rehabilitation has become increasingly popular. Most evidence suggests that Lokomat therapy is equally effective as but not superior to standard therapy approaches. One reason might be that the Lokomat parameters to personalize therapy, such as gait speed, body weight support and Guidance Force, are not optimally used. However, there is little evidence available about the influence of Lokomat parameters on the effectiveness of the therapy. Nevertheless, an appropriate reporting of the applied therapy parameters is key to the successful clinical transfer of study results. The aim of this scoping review was therefore to evaluate how the currently available clinical studies report Lokomat parameter settings and map the current literature on Lokomat therapy parameters. Methods and results A systematic literature search was performed in three databases: Pubmed, Scopus and Embase. All primary research articles performing therapy with the Lokomat in neurologic populations in English or German were included. The quality of reporting of all clinical studies was assessed with a framework developed for this particular purpose. We identified 208 studies investigating Lokomat therapy in patients with neurologic diseases. The reporting quality was generally poor. Less than a third of the studies indicate which parameter settings have been applied. The usability of the reporting for a clinical transfer of promising results is therefore limited. Conclusion Although the currently available evidence on Lokomat parameters suggests that therapy parameters might have an influence on the effectiveness, there is currently not enough evidence available to provide detailed recommendations. Nevertheless, clinicians should pay close attention to the reported therapy parameters when translating research findings to their own clinical practice. To this end, we propose that the quality of reporting should be improved and we provide a reporting framework for authors as a quality control before submitting a Lokomat-related article.

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Section: Discussionmentioning

confidence: 99%

Settings matter: a scoping review on parameters in robot-assisted gait therapy identifies the importance of reporting standards

Dellen

Labruyère

2022

J NeuroEngineering Rehabil

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“…Modern devices using virtual reality and augmented reality (AR) technology have been developed, and the market is increasing. Devices using this modern technology have been reported effective to increase academic motivation and physical activity participation [ 19 , 20 ]. Training using AR which provides real-time feedback increases self-motivation and encouragement of patients with cerebral vascular diseases [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

“…Devices using this modern technology have been reported effective to increase academic motivation and physical activity participation [ 19 , 20 ]. Training using AR which provides real-time feedback increases self-motivation and encouragement of patients with cerebral vascular diseases [ 19 ]. Khan et al [ 20 ] showed that the application of AR improved the motivation of learning and academic achievement of students.…”

Section: Introductionmentioning

confidence: 99%

Improvements of Physical Activity Performance and Motivation in Adult Men through Augmented Reality Approach: A Randomized Controlled Trial

Nekar

Kang

2022

Journal of Environmental and Public Health

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The COVID-19 pandemic had a global impact, increasing the prevalence of physical inactivity, which is mostly due to the lockdown and social distancing measures adopted during the pandemic. Hence, this study aimed to compare the efficacy of augmented reality-based training on physical activity performance and motivation in healthy adults to mirror visual feedback training and conventional physical therapy. This study used the randomized control trial pretest-posttest research design. Forty-eight healthy men aged 18–35 years who were engaged in recreational physical activities were enrolled and randomly divided into four groups: augmented reality-based training reality (ART), mirror visual feedback training (MVFT), therapist-based training (TBT), and control group. The total training program was held for four weeks. The isokinetic dynamometer, sit-and-reach test, Y balance test, and the intrinsic motivation inventory-22 were used to measure the outcomes before and after the intervention. Paired sample t-test was used to compare the changes before and after the intervention within groups, while the one-way ANOVA was used for the comparison between the groups. Results of the study showed that, after four weeks of intervention, balance, muscle strength, and muscle endurance in all groups significantly improved except for the control group. The ART group showed the highest increase in muscle strength, muscle endurance, and balance compared to the other groups. The motivation level increased in all three feedback groups and was observed in the following order: ART group > MVFT group > TBT group > control group. This study highlighted the most effective method that may be applied for home training during and after this period of the pandemic. The findings revealed that training while receiving real-time feedback via AR devices improves both physical performance and motivation. Augmented reality-based training can be used as an effective training option for improving physical activity and motivation and can be suggested for home training programs.

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“…Following these systems' improvement, robotics is used in several fields such as neurosurgery, 2-9 cell biology, 10,11 rehabilitation, 12 orthopedic surgeries, 13,14 laparoscopies, 15 and cardiovascular surgeries. [16][17][18] In recent years, minimally invasive surgery methods have attracted much attention. In robotic surgery, the system has divided into two parts: master device, controlled by the surgeon or the surgery operator, and the commands from this part are transferred to the second part, slave.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Effectiveness of Two Types of Single Port Minimal Invasive Neurosurgical Robots to Ablation and Resection of Brain Tumor

Marvi

Sherafati

Tahery

et al. 2020

Int Clin Neurosci J

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Background:Using minimally invasive neurosurgical robots is one of the most desirable ablation methods and resection of brain tumors. In this study, forward kinematics and Jacobian matrix calculated for two single-port robots for comparing the effectiveness of two types of single port minimal invasive surgical robots to ablation and resection of brain tumor Methods: The motion analysis of robots type 1 and 2 has compared to each other. Ablation manipulator in robot type 1 has five degrees of freedom, but in robot type 2, three revolute degrees of freedom of this manipulator has replaced with a revolute joint perpendicular to the previous three revolute joints. Results: Results showed that for resection surgery, in the same conditions, robot type 2 damaged 58.9 mm 3 more of cerebral cortex tissue than robot type 1 to resect the brain tumors. To establish a static balance, robot type 2 needs to tolerate at least 41% more internal loading than robot type 1. The maximum velocity for robot type 1 in the contact location between the end-effector and the tumor is 1.7 times more than robot type 2. The maximum end-effector force of robot type 1 to apply the tumor for ablation surgery is more than 1.8 times in robot type 2, but the maximum moment and power for ablation surgery and resection of these two robots were the same less than 1% difference. Conclusion: Despite the more straightforward mechanism, a minimum number of joints, and better kinematics range of robot type 2, robot types 1 has the possibility for transformation, establishes the static balancing, and does a better ablation surgery with less damage to the brain.

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Augmented Performance Feedback during Robotic Gait Therapy Results in Moderate Intensity Cardiovascular Exercise in Subacute Stroke

Cited by 10 publications

References 33 publications

Settings matter: a scoping review on parameters in robot-assisted gait therapy identifies the importance of reporting standards

Settings matter: a scoping review on parameters in robot-assisted gait therapy identifies the importance of reporting standards

Improvements of Physical Activity Performance and Motivation in Adult Men through Augmented Reality Approach: A Randomized Controlled Trial

Comparison of the Effectiveness of Two Types of Single Port Minimal Invasive Neurosurgical Robots to Ablation and Resection of Brain Tumor

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