Highest ambulatory speed using Lokomat gait training for individuals with a motor-complete spinal cord injury: a clinical pilot study

Silfhout, Lysanne van; Váňa, Zdenĕk; Pětioký, Jakub; Edwards, Michael J.; Bartels, Ronald H. M. A.; Meent, Henk van de; Hosman, Allard J. F.

doi:10.1007/s00701-019-04189-5

Cited by 6 publications

(3 citation statements)

References 5 publications

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“…In their pilot study of six patients, van Silfhout et al ., [13] included only patients with complete SCI and investigated the effect of RAGT on the highest ambulatory speed, pain and spasticity. The highest walking speed achieved in Lokomat was 0.63 m/s on average.…”

Section: Discussionmentioning

confidence: 99%

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Effect of robotic-assisted gait training on functional status, walking and quality of life in complete spinal cord injury

Çınar¹,

Öneş²,

Gökşenoğlu³

2021

International Journal of Rehabilitation Research

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The purpose of this study was to investigate the effect of robotic-assisted gait training (RAGT) on functional status and the quality of life in patients with subacute complete spinal cord injury (SCI). Thirty-seven patients with complete SCI were included in this study. All patients underwent conventional rehabilitation 5 days a week for 8 weeks. The patients were divided into two groups: those who received RAGT (group I, n = 17) and those who received only conventional rehabilitation (group II, n = 20) for 30 min twice a week for a total of 8 weeks. Evaluations were performed using the Walking Index SCI II (WISCI II) for ambulation, Functional Independence Measure (FIM) for functional status and Short Form 36 (SF-36) for the quality of life at the beginning and end of rehabilitation. The mean duration of injury was 3.5 ± 2.1 months in group I and 3.8 ± 2.6 months in group II (P > 0.05). Significant improvement was observed in both groups as per WISCI II and FIM scores (P < 0.05). However, no significant inter-group difference was noted in pre- and post-treatment FIM and WISCI II change scores (P > 0.05). In groups I and II, there was significant improvement only in physical activity scores of SF-36 compared with baseline scores (P < 0.05); however, other SF-36 subparameter scores did not differ significantly between pre- and post-treatment (P > 0.05). Treatment with RAGT has positive effects on functional independence, ambulation and the quality of life in patients with subacute complete SCI. RAGT combined with conventional therapy in patients with complete SCI may facilitate the improvement of patient condition more than conventional therapy alone.

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Section: Discussionmentioning

confidence: 99%

“…In the evaluation of the questionnaire, the last 4 weeks are taken into consideration. Each subparameter is converted into a questionnaire with scores from 0 (worst health) to 100 (best condition) [13].…”

Section: Methodsmentioning

confidence: 99%

Effect of robotic-assisted gait training on functional status, walking and quality of life in complete spinal cord injury

Çınar¹,

Öneş²,

Gökşenoğlu³

2021

International Journal of Rehabilitation Research

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“…7,8 They can be classified according to type of treatment, robot configuration, etc. [9][10][11][12] In terms of configuration, the main types of lower limb rehabilitation robots include orthoses, programmable plates, exosuits, and cable-driven robots. In orthoses robot, 13 patients usually walk on a treadmill and their suspended weight is compensated by belts.…”

Section: Introductionmentioning

confidence: 99%

Dynamic analysis and control of a hybrid lower limb rehabilitation robot to reduce human-robot interaction forces

Imani

Najafi

2023

Proc Inst Mech Eng H

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This study presents a model of cooperation between two planar manipulators including an orthosis and a programmable plate in form of a hybrid lower limb rehabilitation robot, which was designed and built at the University of Guilan. The aims of cooperation are to distribute the power required to move between the cooperative manipulators and also reduce the interaction forces between orthosis and leg. The cooperation is performed with two modes using the adjustment of the plate forces, a constant force in the vertical direction (CFV) and variant force proportional to orthosis torque (VFPOT). Kinematic and dynamic analysis of the hybrid lower limb rehabilitation robot and its control are also discussed in this study. The performance and effectiveness of the proposed hybrid robot are demonstrated on a healthy person in real-time. Each walking trial lasted 60 s and repeated 20 times for every mode. The walking speed was considered to be 1.5 km/h and weight compensator was adjusted with a constant weight unloading level of 70%. The results show that the VFPOT mode leads to a 45% reduction in the driving torque of the hip and knee joints compared to orthosis-only. This reduction is expected to reduce interaction force at the connection straps. So, it provides more patient comfort and safety, which can be effective in improving the time and process of rehabilitation.

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Functional magnetic resonance imaging of brain activity during hybrid assistive limb intervention in a chronic spinal cord injury patient with C4 quadriplegia

Saotome

Matsushita

Eto

et al. 2022

Journal of Clinical Neuroscience

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Highest ambulatory speed using Lokomat gait training for individuals with a motor-complete spinal cord injury: a clinical pilot study

Cited by 6 publications

References 5 publications

Effect of robotic-assisted gait training on functional status, walking and quality of life in complete spinal cord injury

Effect of robotic-assisted gait training on functional status, walking and quality of life in complete spinal cord injury

Dynamic analysis and control of a hybrid lower limb rehabilitation robot to reduce human-robot interaction forces

Functional magnetic resonance imaging of brain activity during hybrid assistive limb intervention in a chronic spinal cord injury patient with C4 quadriplegia

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