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Gait trainer

Christian B Laursen, Jørgen F Nielsen, Ole K Andersen, Erika G Spaich
This study investigated the clinical feasibility of combining the electromechanical gait trainer Lokomat with functional electrical therapy (LokoFET), stimulating the common peroneal nerve during the swing phase of the gait cycle to correct foot drop as an integrated part of gait therapy. Five patients with different acquired brain injuries trained with LokoFET 2-3 times a week for 3-4 weeks. Pre- and post-intervention evaluations were performed to quantify neurophysiological changes related to the patients' foot drop impairment during the swing phase of the gait cycle...
June 13, 2016: European Journal of Translational Myology
C Bayón, S Lerma, O Ramírez, J I Serrano, M D Del Castillo, R Raya, J M Belda-Lois, I Martínez, E Rocon
BACKGROUND: Cerebral Palsy (CP) is a disorder of posture and movement due to a defect in the immature brain. The use of robotic devices as alternative treatment to improve the gait function in patients with CP has increased. Nevertheless, current gait trainers are focused on controlling complete joint trajectories, avoiding postural control and the adaptation of the therapy to a specific patient. This paper presents the applicability of a new robotic platform called CPWalker in children with spastic diplegia...
November 14, 2016: Journal of Neuroengineering and Rehabilitation
Judith M Burnfield, Guilherme M Cesar, Thad W Buster, Sonya L Irons, Carl A Nelson
Many children with physical disabilities and special health care needs experience barriers to accessing effective therapeutic technologies to improve walking and fitness in healthcare and community environments. The expense of many robotic and exoskeleton technologies hinders widespread use in most clinics, school settings, and fitness facilities. A motor-assisted elliptical trainer that is being used to address walking and fitness deficits in adults was modified to enable children as young as three years of age to access the technology (Pedi-ICARE)...
January 2017: Gait & Posture
Liang-Ching Tsai, Yupeng Ren, Deborah J Gaebler-Spira, Gadi A Revivo, Li-Qun Zhang
This preliminary study examined the effects of off-axis elliptical training on reducing transverse-plane gait deviations and improving gait function in 8 individuals with cerebral palsy (CP) (15.5 ± 4.1 years) who completed an training program using a custom-made elliptical trainer that allows transverse-plane pivoting of the footplates during exercise. Lower-extremity off-axis control during elliptical exercise was evaluated by quantifying the root-mean-square and maximal angular displacement of the footplate pivoting angle...
September 22, 2016: American Journal of Physical Medicine & Rehabilitation
Tsuyoshi Nakajima, Kiyotaka Kamibayashi, Taku Kitamura, Tomoyoshi Komiyama, E Paul Zehr, Kimitaka Nakazawa
Both active and passive rhythmic limb movements reduce the amplitude of spinal cord Hoffmann (H-) reflexes in muscles of moving and distant limbs. This could have clinical utility in remote modulation of the pathologically hyperactive reflexes found in spasticity after stroke or spinal cord injury. However, such clinical translation is currently hampered by a lack of critical information regarding the minimum or effective duration of passive movement needed for modulating spinal cord excitability. We therefore investigated the H-reflex modulation in the flexor carpi radialis (FCR) muscle during and after various durations (5, 10, 15, and 30 min) of passive stepping in 11 neurologically normal subjects...
2016: Frontiers in Human Neuroscience
Ann L Charrette, Laura S Lorenz, Jeffrey Fong, Therese M O'Neil-Pirozzi, Karen Lamson, Michelle Demore-Taber, Ross Lilley
BACKGROUND AND PURPOSE: Effects of high-intensity exercise on endurance, mobility and gait speed of adults with chronic moderate-to-severe acquired brain injury (ABI) were investigated. It was hypothesized that intensive exercise would be associated with improvements in impairment and activity limitation measures. PARTICIPANTS: Fourteen adults with chronic ABI in supported independent living who could stand with minimal or no assist and walk with or without ambulation device were studied...
2016: Brain Injury: [BI]
H E Konak, S Kibar, E S Ergin
: Osteoporosis is a serious disease characterized by muscle weakness in the lower extremities, shortened length of trunk, and increased dorsal kyphosis leading to poor balance performance. Although balance impairment increases in adults with osteoporosis, falls and fall-related injuries have been shown to occur mainly during the dual-task performance. Several studies have shown that dual-task performance was improved with specific repetitive dual-task exercises. INTRODUCTION: The aims of this study were to compare the effect of single- and dual-task balance exercise programs on static balance, dynamic balance, and activity-specific balance confidence in adults with osteoporosis and to assess the effectiveness of dual-task balance training on gait speed under dual-task conditions...
May 27, 2016: Osteoporosis International
Klaske van Kammen, Anne M Boonstra, Lucas H V van der Woude, Heleen A Reinders-Messelink, Rob den Otter
BACKGROUND: The ability to provide automated movement guidance is unique for robot assisted gait trainers such as the Lokomat. For the design of training protocols for the Lokomat it is crucial to understand how movement guidance affects the patterning of muscle activity that underlies walking, and how these effects interact with settings for bodyweight support and gait speed. METHODS: Ten healthy participants walked in the Lokomat, with varying levels of guidance (0, 50 and 100%), bodyweight support (0 or 50% of participants' body weight) and gait speed (0...
July 2016: Clinical Biomechanics
Trieu Phat Luu, Kin Huat Low, Xingda Qu, Hup Boon Lim, Kay Hiang Hoon
Therapist-assisted body weight supported (TABWS) gait rehabilitation was introduced two decades ago. The benefit of TABWS in functional recovery of walking in spinal cord injury and stroke patients has been demonstrated and reported. However, shortage of therapists, labor-intensiveness, and short duration of training are some limitations of this approach. To overcome these deficiencies, robotic-assisted gait rehabilitation systems have been suggested. These systems have gained attentions from researchers and clinical practitioner in recent years...
2014: IEEE Journal of Translational Engineering in Health and Medicine
Ginny Paleg, Morris Huang, Stephanie C Vasquez Gabela, Stephen Sprigle, Roslyn Livingstone
The purpose of this study was to evaluate the inertial properties and forces required to initiate movement on two different surfaces in a sample of three commonly prescribed gait trainers. Tests were conducted in a laboratory setting to compare the Prime Engineering KidWalk, Rifton Pacer, and Snug Seat Mustang with and without a weighted anthropometric test dummy configured to the weight and proportions of a 4-year-old child. The Pacer was the lightest and the KidWalk the heaviest while footprints of the three gait trainers were similar...
2016: Assistive Technology: the Official Journal of RESNA
Joyce Chua, Jane Culpan, Edward Menon
OBJECTIVE: To evaluate the longer-term effects of electromechanical gait trainers (GTs) combined with conventional physiotherapy on health status, function, and ambulation in people with subacute stroke in comparison with conventional physiotherapy given alone. DESIGN: Randomized controlled trial with intention-to-treat analysis. SETTING: Community hospital in Singapore. PARTICIPANTS: Nonambulant individuals (N=106) recruited approximately 1 month poststroke...
May 2016: Archives of Physical Medicine and Rehabilitation
Jin Seok Huh, Yang-Soo Lee, Chul-Hyun Kim, Yu-Sun Min, Min-Gu Kang, Tae-Du Jung
OBJECTIVE: To investigate the efficacy of balance control training using a newly developed balance control trainer (BalPro) on the balance and gait of patients with subacute hemiparetic stroke. METHODS: Forty-three subacute stroke patients were assigned to either a balance control training (BCT) group or a control group. The BCT group (n=23) was trained with BalPro for 30 minutes a day, 5 days a week for 2 weeks, and received one daily session of conventional physical therapy...
December 2015: Annals of Rehabilitation Medicine
Yonatan Kaplan, Meir Nyska, Ezequiel Palmanovich, Rebecca Shanker
BACKGROUND: Specific weightbearing instructions continue to be a part of routine orthopaedic clinical practice on an injured or postoperative extremity. Researchers and clinicians have struggled to define the best weightbearing strategies to maximize clinical outcomes. PURPOSE: To investigate the average percentage body weight (APBW) values, weightbearing distribution percentages (WBDP), and cadence values on the entire foot, hindfoot, and forefoot during changing resistance and incline on an elliptical trainer, as well as to suggest clinical implications...
June 2014: Orthopaedic Journal of Sports Medicine
Yong-Wook Kim, Sung-Jun Moon
[Purpose] The purpose of this study was to compare the effect of treadmill walking with the eyes closed and open on the gait and balance abilities of chronic stroke patients. [Subjects and Methods] Thirty patients with chronic stroke participated in this study. The treadmill gait training for each group lasted 40 minutes, and sessions were held 3 times a week for 4 weeks. Gait ability was measured using a Biodex Gait Trainer Treadmill System. Balance ability was measured using a Biodex Balance System. [Results] After the treadmill training' the treadmill training with eyes closed (TEC) group showed significant improvements in walking distance' step length' coefficient of variation' and limit of stability (overall' lateral affected' forward lateral unaffected) compared to the treadmill training with eyes open (TEO) group...
September 2015: Journal of Physical Therapy Science
Jin Park, So-yeon Park, Yong-wook Kim, Youngkeun Woo
BACKGROUND: Generally, treadmill training is very effective intervention, and rhythmic auditory stimulation is designed to feedback during gait training in stroke patients. OBJECTIVE: The purpose of this study was to compare the gait abilities in chronic stroke patients following either treadmill walking training with rhythmic auditory stimulation (TRAS) or over ground walking training with rhythmic auditory stimulation (ORAS). METHODS: Nineteen subjects were divided into two groups: a TRAS group (9 subjects) and an ORAS group (10 subjects)...
2015: NeuroRehabilitation
Anita Konik, Stanisław Kuklewicz, Ewelina Rosłoniec, Marcin Zając, Anna Spannbauer, Roman Nowobilski, Piotr Mika
UNLABELLED: The purpose of the study was to evaluate selected temporal and spatial gait parameters in patients with intermittent claudication after completion of 12-week supervised treadmill walking training. The study included 36 patients (26 males and 10 females) aged: mean 64 (SD 7.7) with intermittent claudication. All patients were tested on treadmill (Gait Trainer, Biodex). Before the programme and after its completion, the following gait biomechanical parameters were tested: step length (cm), step cycle (cycle/s), leg support time (%), coefficient of step variation (%) as well as pain-free walking time (PFWT) and maximal walking time (MWT) were measured...
2016: Disability and Rehabilitation
Byoung-Sun Park, Mee-Young Kim, Lim-Kyu Lee, Seung-Min Yang, Won-Deok Lee, Ji-Woong Noh, Yong-Sub Shin, Ju-Hyun Kim, Jeong-Uk Lee, Taek-Yong Kwak, Tae-Hyun Lee, Ju-Young Kim, Junghwan Kim
[Purpose] The purpose of this study was to confirm the effects of both conventional overground gait training (CGT) and a gait trainer with partial body weight support (GTBWS) on spatiotemporal gait parameters of patients with hemiparesis following chronic stroke. [Subjects and Methods] Thirty stroke patients were alternately assigned to one of two treatment groups, and both groups underwent CGT and GTBWS. [Results] The functional ambulation classification on the affected side improved significantly in the CGT and GTBWS groups...
May 2015: Journal of Physical Therapy Science
Manuela Pilleri, Luca Weis, Letizia Zabeo, Konstantinos Koutsikos, Roberta Biundo, Silvia Facchini, Simonetta Rossi, Stefano Masiero, Angelo Antonini
Freezing of Gait (FOG) is a frequent and disabling feature of Parkinson disease (PD). Gait rehabilitation assisted by electromechanical devices, such as training on treadmill associated with sensory cues or assisted by gait orthosis have been shown to improve FOG. Overground robot assisted gait training (RGT) has been recently tested in patients with PD with improvement of several gait parameters. We here evaluated the effectiveness of RGT on FOG severity and gait abnormalities in PD patients. Eighteen patients with FOG resistant to dopaminergic medications were treated with 15 sessions of RGT and underwent an extensive clinical evaluation before and after treatment...
August 15, 2015: Journal of the Neurological Sciences
Darren C James, Laura J Farmer, Jason B Sayers, David P Cook, Katya N Mileva
BACKGROUND: The net contribution of all muscles that act about a joint can be represented as an internal joint moment profile. This approach may be advantageous when studying footwear-induced perturbations during walking since the contribution of the smaller deeper muscles that cross the ankle joint cannot be evaluated with surface electromyography. Therefore, the present study aimed to advance the understanding of FitFlop™ footwear interaction by investigating lower extremity joint moment, and kinematic and centre of pressure profiles during gait...
May 2015: Clinical Biomechanics
Ginny Paleg, Roslyn Livingstone
OBJECTIVE: To summarize and critically appraise evidence regarding use of gait trainers (walkers providing trunk and pelvic support) at home or school with children who are unable to walk independently or with hand-held walkers. DATA SOURCES: Searches were performed in seven electronic databases including EBM Reviews, CINAHL, Medline and EMBASE for publications in English from database inception to November 2014. REVIEW METHODS: Included studies involved at least one child with a mobility limitation and measured an outcome related to gait trainer use...
November 2015: Clinical Rehabilitation
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