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Body weight support gait

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https://www.readbyqxmd.com/read/28815562/treadmill-training-and-body-weight-support-for-walking-after-stroke
#1
REVIEW
Jan Mehrholz, Simone Thomas, Bernhard Elsner
BACKGROUND: Treadmill training, with or without body weight support using a harness, is used in rehabilitation and might help to improve walking after stroke. This is an update of the Cochrane review first published in 2003 and updated in 2005 and 2014. OBJECTIVES: To determine if treadmill training and body weight support, individually or in combination, improve walking ability, quality of life, activities of daily living, dependency or death, and institutionalisation or death, compared with other physiotherapy gait-training interventions after stroke...
August 17, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28813872/mit-skywalker-evaluating-comfort-of-bicycle-saddle-seat
#2
Rogerio S Goncalves, Taya Hamilton, Ali R Daher, Hiroaki Hirai, Hermano I Krebs
The MIT-Skywalker is a robotic device developed for the rehabilitation of gait and balance after a neurological injury. This device has been designed based on the concept of a passive walker and provides three distinct training modes: discrete movement, rhythmic movement, and balance training. In this paper, we present our efforts to evaluate the comfort of a bicycle/saddle seat design for the system's novel actuated body weight support device. We employed different bicycle and saddle seats and evaluated comfort using objective and subjective measures...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/28813854/automated-stand-up-and-sit-down-detection-for-robot-assisted-body-weight-support-training-with-the-float
#3
Mathias Bannwart, Dominique Emst, Chris Easthope, Marc Bolliger, Georg Rauter
Patients with impaired walking function are often dependent on assistive devices to retrain gait and regain independence in life. To provide adequate support, gait rehabilitation devices have to be manually set to the correct support mode or have to recognize the type and starting point of a certain motion automatically. For automated motion type detection, machine learning-based classification algorithms using sensor signals from different body parts can achieve robust performance. However, until today, there is only little work available to detect motion onset...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/28813849/effects-of-partial-body-weight-support-and-functional-electrical-stimulation-on-gait-characteristics-during-treadmill-locomotion-pros-and-cons-of-saddle-seat-type-body-weight-support
#4
Natsumi Kataoka, Hiroaki Hirai, Taya Hamilton, Fumiaki Yoshikawa, Akira Kuroiwa, Yuma Nagakawa, Eichi Watanabe, Yudai Ninomaru, Yuri Saeki, Mitsunori Uemura, Fumio Miyazaki, Hiroshi Nakata, Tomoki Nishi, Hiroaki Naritomi, Hermano Igo Krebs
Robotic therapy for rehabilitation of the lower extremity is currently in its early stage of development. Aiming at exploring an efficacious intervention for gait rehabilitation, we investigate the characteristics of an end-effector gait-training device that combines saddle-seat-type body-weight-supported treadmill training with functional electrical stimulation (FES). This is a task-oriented approach to restoring voluntary control of locomotion in patients with neuromuscular diseases. We evaluate the differences between walking with saddle-seat-type support and with harness-type support, in terms of personal preference, the preferred walking speed, profiles of kinematics and ground reaction force, and the effectiveness of FES...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/28813825/research-of-the-bws-system-for-lower-extremity-rehabilitation-robot
#5
Xiao Zhang, Weida Li, Juan Li, Xiaowei Cai
Body weight support (BWS) system is increasingly used in conjunction with treadmills to assist the patients with neurological impairments. Owing to lower limbs of the patients unable to bear the whole weight during the rehabilitation training, some weight can be removed to help the patients recover the basic walking ability gradually. Therefore, considering the man-machine relationship and the effects of the rehabilitation, a wire-driven BWS system is designed. The main unit of the system is an active closed-loop controlled drive to generate the exact desired force...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/28813813/therapeutic-effects-of-an-anti-gravity-treadmill-alterg-training-on-gait-and-lower-limbs-kinematics-and-kinetics-in-children-with-cerebral-palsy
#6
M Lotfian, M R Kharazi, A Mirbagheri, F Dadashi, R Nourian, M M Mirbagheri
We aimed to investigate the effects of the lower body weight support treadmill (AlterG) training on kinetics and kinematics of the lower extremities in children with cerebral palsy (CP). We provided a 45-minute training program, 3 times a week for 8 weeks. AlterG can support the subject's weight up to 70% so that the subject will be able to walk more comfortably to reach a more correct walking pattern. The kinematics and kinetics were evaluated using an isokinetic dynamometer. The locomotion parameters were assessed in the gait laboratory...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/28801963/a-preliminary-study-of-static-and-dynamic-balance-in-sedentary-obese-young-adults-the-relationship-between-bmi-posture-and-postural-balance
#7
J A do Nascimento, C C Silva, H H Dos Santos, J J de Almeida Ferreira, P R de Andrade
The aim of this study was to evaluate the postural control of obese young adults with normal body mass index during different static (bipedic and unipedic support) and dynamic postural conditions (gait velocity and limits of stability) in order to compare the static and dynamic balance of these individuals. A cross-sectional quantitative study was carried out to evaluate static and dynamic balance in 25 sedentary individuals. The sample was divided into two groups, 10 in the normal-weight group (24.70 ± 3...
August 11, 2017: Clinical Obesity
https://www.readbyqxmd.com/read/28770894/the-effects-of-gait-training-with-body-weight-support-bws-with-no-body-weight-support-no-bws-in-stroke-patients
#8
Muhammad Asad Ullah, Hina Shafi, Ghazanfar Ali Khan, Arshad Nawaz Malik, Imran Amjad
The purpose of this study was to measure the clinical outcomes for patients with stroke after gait training with body weight support (BWS) and with no body weight support (no-BWS).Experimental group was trained to walk by a BWS system with overhead harness (BWS group), and Control group was trained with full weight bearing walk on their lower extremities. Treatment session comprised of six weeks training. Treatment outcomes were assessed on the basis of Timed 10 Meter Walk Test, Timed Get Up and Go Test and Dynamic Gait Index...
July 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/28762876/constraints-on-stance-phase-force-production-during-overground-walking-in-persons-with-chronic-incomplete-spinal-cord-injury
#9
Denise M Peters, Yann Thibaudier, Joan Deffeyes, Gila Baer, Heather B Hayes, Randy D Trumbower
Persons with incomplete spinal cord injury (iSCI) face ongoing struggles with walking, including reduced speed and increased reliance on assistive devices (ADs). The forces underlying body weight support and gait, as measured by ground reaction forces (GRFs), are likely altered following iSCI due to weakness and AD dependence but have not been studied. The purpose of this study was to examine GRF production during overground walking after iSCI, as greater insight into GRF constraints is important for refining therapeutic interventions...
August 1, 2017: Journal of Neurotrauma
https://www.readbyqxmd.com/read/28759977/effects-of-progressive-backward-body-weight-suppoted-treadmill-training-on-gait-ability-in-chronic-stroke-patients-a-randomized-controlled-trial
#10
Kyung Hun Kim, Kyoung Bo Lee, Young-Hyeon Bae, Shirley S M Fong, Suk Min Lee
BACKGROUND AND OBJETIVE: A stroke patient with hemiplegic gait is generally described as being slow and asymmetric. Body weight-supported treadmill training and backward gait training are recent additions to therapeutic gait trainings that may help improve gait in stroke patient with hemiplegic gait. Therefore, we examined the effect of progressive backward body weight-supported treadmill training on gait in chronic stroke patients with hemiplegic gait. METHODS: Thirty subjects were divided to the experimental and control groups...
July 25, 2017: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/28702442/kinematics-and-neuromuscular-recruitment-during-vertical-treadmill-exercise
#11
Alastair R Jordan, Andrew Barnes, David Claxton, Alison Purvis, Mary Fysh
The vertical treadmill (VertiRun) is an unresearched, partial weight-bearing exercise mode for lower limb rehabilitation. The user undertakes a "running-like" action whilst body weight is supported by a bench and the limb is drawn downwards against overhanging resistance cables on a vertically hung nonmotorised treadmill. This study sought to describe the kinematics and neuromuscular recruitment during VertiRun exercise in the supine, 40°, and 70° postures. Twenty-one healthy male participants (age, 25±7 years; stature, 1...
June 2017: Journal of Exercise Rehabilitation
https://www.readbyqxmd.com/read/28688302/effects-of-gait-speed-on-the-body-s-center-of-mass-motion-relative-to-the-center-of-pressure-during-over-ground-walking
#12
Hsuan-Lun Lu, Mei-Ying Kuo, Chu-Fen Chang, Tung-Wu Lu, Shih-Wun Hong
Preferred walking speed (PWS) reflects the integrated performance of the relevant physiological sub-systems, including energy expenditure. It remains unclear whether the PWS during over-ground walking is chosen to optimize one's balance control because studies on the effects of speed on the body's balance control have been limited. The current study aimed to bridge the gap by quantifying the effects of the walking speed on the body's center of mass (COM) motion relative to the center of pressure (COP) in terms of the changes and directness of the COM-COP inclination angle (IA) and its rate of change (RCIA)...
July 5, 2017: Human Movement Science
https://www.readbyqxmd.com/read/28676752/an-adaptive-neuromuscular-controller-for-assistive-lower-limb-exoskeletons-a-preliminary-study-on-subjects-with-spinal-cord-injury
#13
Amy R Wu, Florin Dzeladini, Tycho J H Brug, Federica Tamburella, Nevio L Tagliamonte, Edwin H F van Asseldonk, Herman van der Kooij, Auke J Ijspeert
Versatility is important for a wearable exoskeleton controller to be responsive to both the user and the environment. These characteristics are especially important for subjects with spinal cord injury (SCI), where active recruitment of their own neuromuscular system could promote motor recovery. Here we demonstrate the capability of a novel, biologically-inspired neuromuscular controller (NMC) which uses dynamical models of lower limb muscles to assist the gait of SCI subjects. Advantages of this controller include robustness, modularity, and adaptability...
2017: Frontiers in Neurorobotics
https://www.readbyqxmd.com/read/28662727/frontal-brain-activation-changes-due-to-dual-tasking-under-partial-body-weight-support-conditions-in-older-adults-with-multiple-sclerosis
#14
Gioella Chaparro, Julia M Balto, Brian M Sandroff, Roee Holtzer, Meltem Izzetoglu, Robert W Motl, Manuel E Hernandez
BACKGROUND: Gait impairments present while dual-tasking in older adults with multiple sclerosis (MS) have been associated with an increased risk of falls. Prior studies have examined prefrontal cortex (PFC) activity using functional near infrared spectroscopy (fNIRS) while dual-tasking in older adults with and without cognitive impairment. While the benefits of partial body weight support (PBWS) on gait have been clearly outlined in the literature, the potential use of PBWS to improve the ability to dual task in older adults with and without MS has not been examined...
June 29, 2017: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/28645768/robot-assisted-training-for-people-with-spinal-cord-injury-a-meta-analysis
#15
REVIEW
Eddy Yy Cheung, Thomas Kw Ng, Kevin Kk Yu, Rachel Lc Kwan, Gladys Ly Cheing
OBJECTIVE: To investigate the effects of robotic-assisted training on the recovery of people with spinal cord injury (SCI). DATA SOURCE: Randomized controlled trials (RCTs) or quasi-RCTs involving people with SCI that compared robotic-assisted upper limbs or lower limbs training to a control of other treatment approach or no treatment. We included studies involving people with complete or incomplete spinal cord injuries. STUDY SELECTION: We searched in Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Central Register of Controlled Trials (Cochrane Library) and Excerpta Medica dataBASE (EMBASE) to August, 2016...
June 20, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28580370/robotic-assist-as-needed-as-an-alternative-to-therapist-assisted-gait-rehabilitation
#16
Shraddha Srivastava, Pei Chun Kao, Darcy S Reisman, John P Scholz, Sunil K Agrawal, Jill S Higginson
OBJECTIVE: Body Weight Supported Treadmill Training (BWSTT) with therapists' assistance is often used for gait rehabilitation post-stroke. However, this training method is labor-intensive, requiring at least one or as many as three therapists at once for manual assistance. Previously, we demonstrated that providing movement guidance using a performance-based robot-aided gait training (RAGT) that applies a compliant, assist-as-needed force-field improves gait pattern and functional walking ability in people post-stroke...
October 2016: International Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28535762/gait-initiation-and-termination-strategies-in-patients-with-prader-willi-syndrome
#17
Veronica Cimolin, Nicola Cau, Manuela Galli, Cristina Santovito, Graziano Grugni, Paolo Capodaglio
BACKGROUND: Gait Initiation (GI) is a functional task representing one of the first voluntary destabilizing behaviours observed in the development of a locomotor pattern as the whole body centre of mass transitions from a large to a small base of support. Conversely, Gait Termination (GT) consists in the transition from walking to standing which, in everyday life, is a very common movement. Compared to normal walking, it requires higher control of postural stability. For a safe GT, the forward movement of the body has to be slowed down to achieve a stable upright position...
May 23, 2017: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/28468814/metabolic-cost-of-human-hopping
#18
Anne K Gutmann, John E A Bertram
To interpret the movement strategies employed in locomotion, it is necessary to understand the source of metabolic cost. Muscles must consume metabolic energy to do work, but also must consume energy to generate force. The energy lost during steady locomotion and, hence, the amount of mechanical work muscles need to perform to replace it can be reduced and, in theory, even eliminated by elastically storing and returning some portion of this energy via the tendons. However, even if muscles do not need to perform any mechanical work, they still must generate sufficient force to tension tendons and support body weight...
May 1, 2017: Journal of Experimental Biology
https://www.readbyqxmd.com/read/28460239/external-loading-alters-trunk-kinematics-and-lower-extremity-muscle-activity-in-a-distribution-specific-manner-during-sitting-and-rising-from-a-chair
#19
Michelle C Walaszek, Amanda L Ransom, Steven Capehart, Michael B Pohl, Robert Shapiro, Lance M Bollinger
BACKGROUND: Excess body mass alters gait biomechanics in a distribution-specific manner. The effects of adding mass centrally or peripherally on biomechanics during sitting and rising from a chair are unknown. METHODS: Motion analysis and lower extremity EMG were measured for fifteen healthy, normal weight subjects during sit-to-stand (SitTS) and stand-to-sit (StandTS) from a chair under unloaded (UN), centrally loaded (CL), and peripherally loaded (PL) conditions...
June 2017: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/28398300/is-body-weight-supported-treadmill-training-or-robotic-assisted-gait-training-superior-to-overground-gait-training-and-other-forms-of-physiotherapy-in-people-with-spinal-cord-injury-a-systematic-review
#20
REVIEW
J Mehrholz, L A Harvey, S Thomas, B Elsner
STUDY DESIGN: Systematic review about randomised trials comparing different training strategies to improve gait in people with spinal cord injuries (SCI). OBJECTIVES: The aim of this systematic review was to compare the effectiveness of body-weight-supported treadmill training (BWSTT) and robotic-assisted gait training with overground gait training and other forms of physiotherapy in people with traumatic SCI. SETTING: Systematic review conducted by researchers from Germany and Australia...
August 2017: Spinal Cord
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