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Body weight support gait

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https://www.readbyqxmd.com/read/29197402/manual-physical-balance-assistance-of-therapists-during-gait-training-of-stroke-survivors-characteristics-and-predicting-the-timing
#1
Juliet A M Haarman, Erik Maartens, Herman van der Kooij, Jaap H Buurke, Jasper Reenalda, Johan S Rietman
BACKGROUND: During gait training, physical therapists continuously supervise stroke survivors and provide physical support to their pelvis when they judge that the patient is unable to keep his balance. This paper is the first in providing quantitative data about the corrective forces that therapists use during gait training. It is assumed that changes in the acceleration of a patient's COM are a good predictor for therapeutic balance assistance during the training sessions Therefore, this paper provides a method that predicts the timing of therapeutic balance assistance, based on acceleration data of the sacrum...
December 2, 2017: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29170984/clinical-nutrition-and-physical-rehabilitation-in-a-long-term-care-setting-preliminary-observations-in-sarcopenic-older-patients
#2
Sergio Dimori, Giorgio Leoni, Luca Fior, Fulvio Gasparotto
BACKGROUND: Sarcopenia could have a negative prognostic impact in long-term care residents, which are characterized by multiple comorbidities and a high level of dependence. However, there is limited evidence on its prevalence and management in this healthcare setting. METHODS: All residents living in a long-term care institution were screened for the presence of sarcopenia. Sarcopenic patients in whom functional status could be assessed were included, based on the Tinetti scale (TS) score, in two parallel single-arm trials and received a specific nutritional supplement for muscle mass recovery in combination (TS ≥ 10) or not (TS < 10) with a supervised physical exercise rehabilitation program for 12 months...
November 23, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/29164023/type-and-timing-of-rehabilitation-following-acute-and-subacute-spinal-cord-injury-a-systematic-review
#3
REVIEW
Anthony S Burns, Ralph J Marino, Sukhvinder Kalsi-Ryan, James W Middleton, Lindsay A Tetreault, Joseph R Dettori, Kathryn E Mihalovich, Michael G Fehlings
Objectives: The objective of this study was to conduct a systematic review of the literature to address the following clinical questions: In adult patients with acute and subacute complete or incomplete traumatic SCI, (1) does the time interval between injury and commencing rehabilitation affect outcome?; (2) what is the comparative effectiveness of different rehabilitation strategies, including different intensities and durations of treatment?; (3) are there patient or injury characteristics that affect the efficacy of rehabilitation?; and (4) what is the cost-effectiveness of various rehabilitation strategies? Methods: A systematic search was conducted for literature published through March 31, 2015 that evaluated rehabilitation strategies in adults with acute or subacute traumatic SCI at any level...
September 2017: Global Spine Journal
https://www.readbyqxmd.com/read/29107706/effects-of-transcranial-direct-current-stimulation-over-the-supplementary-motor-area-body-weight-supported-treadmill-gait-training-in-hemiparetic-patients-after-stroke
#4
Atsushi Manji, Kazu Amimoto, Tadamitsu Matsuda, Yoshiaki Wada, Akira Inaba, Sangkyun Ko
Transcranial direct current stimulation (tDCS) is used in a variety of disorders after stroke including upper limb motor dysfunctions, hemispatial neglect, aphasia, and apraxia, and its effectiveness has been demonstrated. Although gait ability is important for daily living, there were few reports of the use of tDCS to improve balance and gait ability. The supplementary motor area (SMA) was reported to play a potentially important role in balance recovery after stroke. We aimed to investigate the effect of combined therapy body weight-supported treadmill training (BWSTT) and tDCS on gait function recovery of stroke patients...
January 1, 2018: Neuroscience Letters
https://www.readbyqxmd.com/read/29104363/towards-total-energy-shaping-control-of-lower-limb-exoskeletons
#5
Ge Lv, Robert D Gregg
Current robotic exoskeletons enforce fixed reference joint patterns during gait rehabilitation. These control methods aim to replicate normative joint kinematics but do not facilitate learning patient-specific kinematics. Trajectory-free control methods for exoskeletons are required to promote user control over joint kinematics. Our prior work on potential energy shaping provides virtual body-weight support through a trajectory-free control law, but altering only the gravitational forces does not assist the subject in accelerating/decelerating the body forward...
May 2017: Proceedings of the ... American Control Conference
https://www.readbyqxmd.com/read/29077960/locomotor-training-and-strength-and-balance-exercises-for-walking-recovery-after-stroke-response-to-number-of-training-sessions
#6
RANDOMIZED CONTROLLED TRIAL
Dorian K Rose, Stephen E Nadeau, Samuel S Wu, Julie K Tilson, Bruce H Dobkin, Qinglin Pei, Pamela W Duncan
Background: Evidence-based guidelines are needed to inform rehabilitation practice, including the effect of number of exercise training sessions on recovery of walking ability after stroke. Objective: The objective of this study was to determine the response to increasing number of training sessions of 2 interventions-locomotor training and strength and balance exercises-on poststroke walking recovery. Design: This is a secondary analysis of the Locomotor Experience Applied Post-Stroke (LEAPS) randomized controlled trial...
November 1, 2017: Physical Therapy
https://www.readbyqxmd.com/read/29058553/effects-of-body-weight-support-treadmill-training-on-postural-sway-and-gait-independence-in-patients-with-chronic-spinal-cord-injury
#7
Felipe Covarrubias-Escudero, Gonzalo Rivera-Lillo, Rodrigo Torres-Castro, Gonzalo Varas-Díaz
OBJECTIVE: To examine the effects of a six-week body weight-support treadmill training (BWSTT) program on center-of-mass control and gait independence in chronic, incomplete spinal cord injury (iSCI) patients. DESIGN: Descriptive. SETTING: Clinica Los Coihues. Neurorehabilitation center in Santiago, Chile. PARTICIPANTS: 17 chronic iSCI patients and 17 healthy subjects. OUTCOME MEASURES: An instrumented sway (ISway) test was performed before and after the implementation of a six-week BWSTT program...
October 23, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28923661/the-influence-of-the-aquatic-environment-on-the-center-of-pressure-impulses-and-upper-and-lower-trunk-accelerations-during-gait-initiation
#8
Andresa R Marinho-Buzelli, Kei Masani, Hossein Rouhani, Ana M Barela, Gustavo T B Fernandes, Mary C Verrier, Milos R Popovic
Gait initiation is defined as the transition from stationary standing to steady-state walking. Despite the frequent use of therapy pools for training walking in early stages of rehabilitation, none have been reported on the effects of immersion on gait initiation. We aimed to analyze the center of pressure (COP) trajectories, the vertical and anteroposterior impulses and upper and lower trunk accelerations during anticipatory (APA) and execution phases of gait initiation. In the COP trajectory, the execution (EXE) phase was further subdivided in two phases: predominantly mediolateral (EXE1), and predominantly anteroposterior (EXE2)...
October 2017: Gait & Posture
https://www.readbyqxmd.com/read/28903771/novel-spatiotemporal-analysis-of-gait-changes-in-body-weight-supported-treadmill-trained-rats-following-cervical-spinal-cord-injury
#9
Nathan D Neckel
BACKGROUND: Common gait measures such as stride length, cycle time, and step height are not independent variables, but different aspects of the same multidimensional step. This complicates comparisons between experimental groups. Here we present a novel multidimensional gait analysis method and use this method to assess the ability of body weight supported treadmill training (BWSTT) to improve rodent stepping after spinal cord injury (SCI). METHODS: In lieu of reducing a step to a collection of gait measures and comparing the means of several of these, we developed a multidimensional analysis technique that compares the step as a whole...
September 13, 2017: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/28877750/mit-skywalker-considerations-on-the-design-of-a-body-weight-support-system
#10
Rogério Sales Gonçalves, Hermano Igo Krebs
BACKGROUND: To provide body weight support during walking and balance training, one can employ two distinct embodiments: support through a harness hanging from an overhead system or support through a saddle/seat type. This paper presents a comparison of these two approaches. Ultimately, this comparison determined our selection of the body weight support system employed in the MIT-Skywalker, a robotic device developed for the rehabilitation/habilitation of gait and balance after a neurological injury...
September 6, 2017: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/28815562/treadmill-training-and-body-weight-support-for-walking-after-stroke
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
Denise M Peters, Yann Thibaudier, Joan E Deffeyes, Gila T 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 after iSCI because of weakness and AD dependence but have not been studied. The purpose of this study was to examine GRF production during overground walking after iSCI, because greater insight into GRF constraints is important for refining therapeutic interventions...
October 27, 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
#20
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...
October 23, 2017: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
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