Varied movement errors drive learning of dynamic balance control during walking in people with incomplete spinal cord injury: a pilot study

Lin, Jui Te; Hsu, Chao Jung; Dee, Weena; Chen, David; Rymer, William Z.; Wu, Ming

doi:10.1007/s00221-020-05776-0

Cited by 5 publications

(2 citation statements)

References 52 publications

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“…A robot adding more than 6 kg of mass to the user's pelvis can signi cantly alter their gait [25]. Cable-driven robotic gait trainers (CDRGTs) modulate the length or tension in cables to apply forces to the pelvis, like the TPAD [26] or the CaLT [27]. These systems are typically lightweight and require multiple cables to apply forces in different directions.…”

Section: Introductionmentioning

confidence: 99%

Utilizing Mobile Robotics for Pelvic Perturbations to Improve Balance and Cognitive Performance in Older Adults: A Randomized Controlled Trial

Adeniyi

Stramel

Rahman

et al. 2023

Preprint

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Late-life balance disorders remain a severe problem with fatal consequences. Perturbation-based balance training (PBT), a form of rehabilitation that intentionally introduces small, unpredictable disruptions to an individual's gait cycle, can improve balance. The Tethered Pelvic Assist Device (TPAD) is a cable-driven robotic trainer that applies perturbations to the user's pelvis during treadmill walking. Earlier work showcased improved gait stability and the first evidence of increased cognition acutely. The mobile Tethered Pelvic Assist Device (mTPAD), a portable version of the TPAD, applies perturbations to a pelvic belt via a posterior walker during overground gait, as opposed to treadmill walking. Forty healthy older adults were randomly assigned to a control group (CG, n = 20) without mTPAD PBT or an experimental group (EG, n = 20) with mTPAD PBT for a two-day study. Day 1 consisted of baseline anthropometrics, vitals, and functional and cognitive measurements. Day 2 consisted of training with the mTPAD and post-interventional cognitive and functional measurements. Results revealed that the EG significantly outperformed the CG in cognitive and functional tasks while showcasing increased confidence in mobility. Gait analysis demonstrated that the mTPAD PBT significantly improved mediolateral stability during lateral perturbations. To our knowledge, our study is the first randomized, large group (n = 40) clinical study exploring new mobile perturbation-based robotic gait training technology.

show abstract

Section: Introductionmentioning

confidence: 99%

Utilizing Mobile Robotics for Pelvic Perturbations to Improve Balance and Cognitive Performance in Older Adults: A Randomized Controlled Trial

Adeniyi

Stramel

Rahman

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…A robot adding more than 6 kg of mass to the user's pelvis can significantly alter their gait 25 . Cable-driven robotic gait trainers (CDRGTs) modulate the length or tension in cables to apply forces to the pelvis, like the TPAD 26 or the CaLT 27 . These systems are typically lightweight and require multiple cables to apply forces in different directions.…”

mentioning

confidence: 99%

Utilizing mobile robotics for pelvic perturbations to improve balance and cognitive performance in older adults: a randomized controlled trial

Adeniyi,

Stramel,

Rahman

et al. 2023

Sci Rep

View full text Add to dashboard Cite

Late-life balance disorders remain a severe problem with fatal consequences. Perturbation-based balance training (PBT), a form of rehabilitation that intentionally introduces small, unpredictable disruptions to an individual's gait cycle, can improve balance. The Tethered Pelvic Assist Device (TPAD) is a cable-driven robotic trainer that applies perturbations to the user's pelvis during treadmill walking. Earlier work showcased improved gait stability and the first evidence of increased cognition acutely. The mobile Tethered Pelvic Assist Device (mTPAD), a portable version of the TPAD, applies perturbations to a pelvic belt via a posterior walker during overground gait, as opposed to treadmill walking. Forty healthy older adults were randomly assigned to a control group (CG, n = 20) without mTPAD PBT or an experimental group (EG, n = 20) with mTPAD PBT for a two-day study. Day 1 consisted of baseline anthropometrics, vitals, and functional and cognitive measurements. Day 2 consisted of training with the mTPAD and post-interventional cognitive and functional measurements. Results revealed that the EG significantly outperformed the CG in several cognitive (SDMT-C and TMT-B) and functional (BBS and 4-Stage Balance: one-foot stand) measurements while showcasing increased confidence in mobility based on FES-I. To our knowledge, our study is the first randomized, large group (n = 40) clinical study exploring new mobile perturbation-based robotic gait training technology.

show abstract

Anodal transcutaneous DC stimulation enhances learning of dynamic balance control during walking in humans with spinal cord injury

et al. 2022

View full text Add to dashboard Cite

Varied movement errors drive learning of dynamic balance control during walking in people with incomplete spinal cord injury: a pilot study

Cited by 5 publications

References 52 publications

Utilizing Mobile Robotics for Pelvic Perturbations to Improve Balance and Cognitive Performance in Older Adults: A Randomized Controlled Trial

Utilizing Mobile Robotics for Pelvic Perturbations to Improve Balance and Cognitive Performance in Older Adults: A Randomized Controlled Trial

Utilizing mobile robotics for pelvic perturbations to improve balance and cognitive performance in older adults: a randomized controlled trial

Anodal transcutaneous DC stimulation enhances learning of dynamic balance control during walking in humans with spinal cord injury

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