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https://www.readbyqxmd.com/read/28628551/a-clinical-framework-for-functional-recovery-in-a-person-with-chronic-traumatic-brain-injury-a-case-study
#1
Karen McCain, Staci Shearin
BACKGROUND AND PURPOSE: This case study describes a task-specific training program for gait walking and functional recovery in a young man with severe chronic traumatic brain injury. CASE DESCRIPTION: The individual was a 26-year-old man 4 years post-traumatic brain injury with severe motor impairments who had not walked outside of therapy since his injury. He had received extensive gait training prior to initiation of services. His goal was to recover the ability to walk...
July 2017: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/28628539/effects-of-an-off-axis-pivoting-elliptical-training-program-on-gait-function-in-persons-with-spastic-cerebral-palsy-a-preliminary-study
#2
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...
July 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28504943/towards-multimodal-human-robot-interaction-to-enhance-active-participation-of-users-in-gait-rehabilitation
#3
Kai Gui, Honghai Liu, Dingguo Zhang
Robotic exoskeletons for physical rehabilitation have been utilized for retraining patients suffering from paraplegia and enhancing motor recovery in recent years. However, users are not voluntarily involved in most systems. This work aims to develop a locomotion trainer with multiple gait patterns, which can be controlled by the active motion intention of users. A multimodal human-robot interaction (HRI) system is established to enhance subject's active participation during gait rehabilitation, which includes cognitive human-robot interaction (cHRI) and physical human-robot interaction (pHRI)...
May 11, 2017: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://www.readbyqxmd.com/read/28486847/the-effects-of-common-footwear-on-stance-phase-mechanical-properties-of-the-prosthetic-foot-shoe-system
#4
Matthew J Major, Joel Scham, Michael Orendurff
BACKGROUND: Prosthetic feet are prescribed based on their mechanical function and user functional level. Subtle changes to the stiffness and hysteresis of heel, midfoot, and forefoot regions can influence the dynamics and economy of gait in prosthesis users. However, the user's choice of shoes may alter the prosthetic foot-shoe system mechanical characteristics, compromising carefully prescribed and rigorously engineered performance of feet. OBJECTIVES: Observe the effects of footwear on the mechanical properties of the prosthetic foot-shoe system including commonly prescribed prosthetic feet...
May 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28427422/differences-in-muscle-activity-and-temporal-step-parameters-between-lokomat-guided-walking-and-treadmill-walking-in-post-stroke-hemiparetic-patients-and-healthy-walkers
#5
Klaske van Kammen, Anne M Boonstra, Lucas H V van der Woude, Heleen A Reinders-Messelink, Rob den Otter
BACKGROUND: The Lokomat is a robotic exoskeleton that can be used to train gait function in hemiparetic stroke. To purposefully employ the Lokomat for training, it is important to understand (1) how Lokomat guided walking affects muscle activity following stroke and how these effects differ between patients and healthy walkers, (2) how abnormalities in the muscle activity of patients are modulated through Lokomat guided gait, and (3) how temporal step characteristics of patients were modulated during Lokomat guided walking...
April 20, 2017: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/28269395/simulation-of-fluid-environment-using-a-robotic-orthosis-on-human-lower-extremity-for-therapeutic-purposes
#6
Tayfun Efe Ertop, Tolga Yuksel, Erhan Ilhan Konukseven
Rehabilitation under water is a viable physical rehabilitation option, but it has some limitations in terms of adapting to needs of each patient. In addition, its facility requirements are relatively high. Simulating the fluid environment using a robotic system would enable therapists adjust various parameters so that the therapy is tailored to the patient's unique state. Also, using a robotic system instead might be less costly and easily reachable. In this study, human lower extremity movement in fluids is modeled...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28229441/-robotic-systems-for-gait-re-education-in-cases-of-spinal-cord-injury-a-systematic-review
#7
T Gandara-Sambade, M Fernandez-Pereira, A Rodriguez-Sotillo
INTRODUCTION: The evidence underlying robotic body weight supported treadmill training in patients with spinal cord injury remains poorly characterized. AIM: To perform a qualitative systematic review on the efficacy of this therapy. PATIENTS AND METHODS: A search on PubMed, CINAHL, Cochrane Library and PEDro was performed from January 2005 to April 2016. The references in these articles were also reviewed to find papers not identified with the initial search strategy...
March 1, 2017: Revista de Neurologia
https://www.readbyqxmd.com/read/28227638/simulation-of-fluid-environment-using-a-robotic-orthosis-on-human-lower-extremity-for-therapeutic-purposes
#8
Tayfun Efe Ertop, Tolga Yuksel, Erhan Ilhan Konukseven, Tayfun Efe Ertop, Tolga Yuksel, Erhan Ilhan Konukseven, Tolga Yuksel, Erhan Ilhan Konukseven, Tayfun Efe Ertop
Rehabilitation under water is a viable physical rehabilitation option, but it has some limitations in terms of adapting to needs of each patient. In addition, its facility requirements are relatively high. Simulating the fluid environment using a robotic system would enable therapists adjust various parameters so that the therapy is tailored to the patient's unique state. Also, using a robotic system instead might be less costly and easily reachable. In this study, human lower extremity movement in fluids is modeled...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/27990246/feasibility-of-using-lokomat-combined-with-functional-electrical-stimulation-for-the-rehabilitation-of-foot-drop
#9
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
https://www.readbyqxmd.com/read/27842562/locomotor-training-through-a-novel-robotic-platform-for-gait-rehabilitation-in-pediatric-population-short-report
#10
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
https://www.readbyqxmd.com/read/27810692/kinematic-and-muscle-demand-similarities-between-motor-assisted-elliptical-training-and-walking-implications-for-pediatric-gait-rehabilitation
#11
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
https://www.readbyqxmd.com/read/27661216/effects-of-an-off-axis-pivoting-elliptical-training-program-on-gait-function-in-persons-with-spastic-cerebral-palsy-a-preliminary-study
#12
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
https://www.readbyqxmd.com/read/27499737/short-term-plasticity-in-a-monosynaptic-reflex-pathway-to-forearm-muscles-after-continuous-robot-assisted-passive-stepping
#13
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
https://www.readbyqxmd.com/read/27466692/pilot-study-of-intensive-exercise-on-endurance-advanced-mobility-and-gait-speed-in-adults-with-chronic-severe-acquired-brain-injury
#14
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]
https://www.readbyqxmd.com/read/27234670/the-effect-of-single-task-and-dual-task-balance-exercise-programs-on-balance-performance-in-adults-with-osteoporosis-a-randomized-controlled-preliminary-trial
#15
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...
November 2016: Osteoporosis International
https://www.readbyqxmd.com/read/27214248/the-combined-effects-of-guidance-force-bodyweight-support-and-gait-speed-on-muscle-activity-during-able-bodied-walking-in-the-lokomat
#16
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
https://www.readbyqxmd.com/read/27170876/hardware-development-and-locomotion-control-strategy-for-an-over-ground-gait-trainer-nature-gaits
#17
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
https://www.readbyqxmd.com/read/26820253/comparison-of-the-inertial-properties-and-forces-required-to-initiate-movement-for-three-gait-trainers
#18
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
https://www.readbyqxmd.com/read/26802969/efficacy-of-an-electromechanical-gait-trainer-poststroke-in-singapore-a-randomized-controlled-trial
#19
RANDOMIZED CONTROLLED TRIAL
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
https://www.readbyqxmd.com/read/26798615/effects-of-balance-control-training-on-functional-outcomes-in-subacute-hemiparetic-stroke-patients
#20
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
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