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Body weight support gait

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https://www.readbyqxmd.com/read/29925400/influence-of-body-weight-unloading-on-human-gait-characteristics-a-systematic-review
#1
REVIEW
Salil Apte, Michiel Plooij, Heike Vallery
BACKGROUND: Body weight support (BWS) systems have shown promise as rehabilitation tools for neurologically impaired individuals. This paper reviews the experiment-based research on BWS systems with the aim: (1) To investigate the influence of body weight unloading (BWU) on gait characteristics; (2) To study whether the effects of BWS differ between treadmill and overground walking and (3) To investigate if modulated BWU influences gait characteristics less than unmodulated BWU. METHOD: A systematic literature search was conducted in the following search engines: Pubmed, Scopus, Web of Science and Google Scholar...
June 20, 2018: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29902716/age-related-alterations-in-reactive-stepping-following-unexpected-mediolateral-perturbations-during-gait-initiation
#2
David Shulman, Abbigale Spencer, Lori Ann Vallis
BACKGROUND: A common technique to regain stability following an unexpected perturbation is reactive stepping, aimed to control the accelerated center of mass (COM). Many older adults (OA) struggle to execute the fast, coordinated stepping strategy required to arrest COM movement within the base of support (BOS) during these unexpected events, likely due to age-related physiological declines. Recent ecological data also suggests that many falls in OA occur due to errors in transferring or shifting body weight during activities of daily living...
June 7, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29901639/reversible-splenial-lesion-syndrome-after-blood-transfusion-presents-callosal-disconnection-syndrome-a-case-report
#3
Xinxin Ma, Wen Su, Haibo Chen
RATIONALE: Reversible splenial lesion syndrome (RESLES) is a reversible condition with an excellent prognosis in most patients. The clinical features include altered states of consciousness, delirium, headache, and seizures, but no callosal disconnection syndromes have been described in RESLES. PATIENT CONCERNS: We presented a 57-year-old patient with alien hand syndrome, autotopagnosia, gait disorders, and left ideomotor apraxia after blood transfusion. The brain magnetic resonance imaging (MRI) showed a few regions with high signal intensity in the genu, body, and splenium of the right corpus callosum on diffusion weighted images...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29890931/influence-of-the-amount-of-body-weight-support-on-lower-limb-joints-kinematics-during-treadmill-walking-at-different-gait-speeds-reference-data-on-healthy-adults-to-define-trajectories-for-robot-assistance
#4
Maurizio Ferrarin, Marco Rabuffetti, Elisabetta Geda, Silvia Sirolli, Alberto Marzegan, Valentina Bruno, Katiuscia Sacco
Several robotic devices have been developed for the rehabilitation of treadmill walking in patients with movement disorders due to injuries or diseases of the central nervous system. These robots induce coordinated multi-joint movements aimed at reproducing the physiological walking or stepping patterns. Control strategies developed for robotic locomotor training need a set of predefined lower limb joint angular trajectories as reference input for the control algorithm. Such trajectories are typically taken from normative database of overground unassisted walking...
June 2018: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
https://www.readbyqxmd.com/read/29850509/the-efficacy-of-gait-training-using-a-body-weight-support-treadmill-and-visual-biofeedback-in-patients-with-subacute-stroke-a-randomized-controlled-trial
#5
Mariusz Drużbicki, Grzegorz Przysada, Agnieszka Guzik, Agnieszka Brzozowska-Magoń, Krzysztof Kołodziej, Andzelina Wolan-Nieroda, Joanna Majewska, Andrzej Kwolek
Background: This study was designed to determine whether or not gait training based on the use of treadmill with visual biofeedback and body weight support (BWS) would produce better effects in patients with subacute stroke compared to BWS treadmill training with no visual biofeedback. Materials and Methods: 30 patients with subacute stroke were randomly assigned to do body weight supported treadmill training with visual biofeedback (BB group) or BWS treadmill training without visual biofeedback...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29776864/putaminal-dopamine-depletion-in-de-novo-parkinson-s-disease-predicts-future-development-of-wearing-off
#6
Su Jin Chung, Yoonju Lee, Jungsu S Oh, Jae Seung Kim, Phil Hyu Lee, Young H Sohn
INTRODUCTION: The present study aimed to investigate whether the level of presynaptic dopamine neuronal loss predicts future development of wearing-off in de novo Parkinson's disease. METHODS: This retrospective cohort study included a total of 342 non-demented patients with de novo Parkinson's disease who underwent dopamine transporter positron emission tomography scans at their initial evaluation and received dopaminergic medications for 24 months or longer. Onset of wearing-off was determined based on patients' medical records at their outpatient clinic visits every 3-6 months...
May 10, 2018: Parkinsonism & related Disorders
https://www.readbyqxmd.com/read/29765872/effect-of-caregiver-driven-robot-assisted-in-ward-training-in-subacute-stroke-patients-a-case-series
#7
Sang Beom Kim, Kyeong Woo Lee, Jong Hwa Lee, Sook Joung Lee, Jin Gee Park, Joo Won Park
Objective: To evaluate the effect of caregiver driven robot-assisted in-ward training in subacute stroke patients. Methods: A retrospective evaluation was performed for patients treated with caregiver driven robot-assisted in-ward training to retain gait function from June 2014 and December 2016. All patients received more than 2 weeks of caregiver driven robot-assisted in-ward training after undergoing conventional programs. The robot was used as a sitting device, a standing frame, or a high-walker depending on functional status of the patient...
April 2018: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29736262/feasibility-of-robotic-exoskeleton-ambulation-in-a-c4-person-with-incomplete-spinal-cord-injury-a-case-report
#8
Robert M Lester, Ashraf S Gorgey
Introduction: To determine whether an individual with C4 incomplete spinal cord injury (SCI) with limited hand functions can effectively operate a powered exoskeleton (Ekso) to improve parameters of physical activity as determined by swing-time, up-time, walk-time, and total number of steps. Case presentation: A 21-year-old male with incomplete chronic (>1 year postinjury) SCI C4, participated in a clinical exoskeleton program to determine the feasibility of standing up and walking with limited hand functions...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29724706/a-challenge-based-approach-to-body-weight-supported-treadmill-training-poststroke-protocol-for-a-randomized-controlled-trial
#9
Avantika Naidu, David Brown, Elliot Roth
BACKGROUND: Body weight support treadmill training protocols in conjunction with other modalities are commonly used to improve poststroke balance and walking function. However, typical body weight support paradigms tend to use consistently stable balance conditions, often with handrail support and or manual assistance. OBJECTIVE: In this paper, we describe our study protocol, which involved 2 unique body weight support treadmill training paradigms of similar training intensity that integrated dynamic balance challenges to help improve ambulatory function post stroke...
May 3, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29718796/a-narrative-review-of-gait-training-after-stroke-and-a-proposal-for-developing-a-novel-gait-training-device-that-provides-minimal-assistance
#10
Wen Liu
BACKGROUND: Gait impairment is common in stroke survivors. Recovery of walking ability is one of the most pressing objectives in stroke rehabilitation. OBJECTIVES: Of this report are to briefly review recent progress in gait training after stroke including the use of partial body weight-supported treadmill training (PBWSTT) and robot-assisted step training (RAST), and propose a minimal assistance strategy that may overcome some of limitations of current RAST. METHODS: The literature review emphasizes a dilemma that recent randomized clinical trials did not support the use of RAST...
May 2, 2018: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29710754/structural-analysis-of-a-rehabilitative-training-system-based-on-a-ceiling-rail-for-safety-of-hemiplegia-patients
#11
Kyong Kim, Won Kyung Song, Woo Suk Chong, Chang Ho Yu
The body-weight support (BWS) function, which helps to decrease load stresses on a user, is an effective tool for gait and balance rehabilitation training for elderly people with weakened lower-extremity muscular strength, hemiplegic patients, etc. This study conducts structural analysis to secure user safety in order to develop a rail-type gait and balance rehabilitation training system (RRTS). The RRTS comprises a rail, trolley, and brain-machine interface. The rail (platform) is connected to the ceiling structure, bearing the loads of the RRTS and of the user and allowing locomobility...
2018: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/29600688/early-robot-assisted-gait-retraining-in-non-ambulatory-patients-with-stroke-a-single-blind-randomized-controlled-trial
#12
Andreas Mayr, Ellen Quirbach, Alessandro Picelli, Markus Kofler, Nicola Smania, Leopold Saltuari
BACKGROUND: Restoration of walking function is a primary concern of neurorehabilitation with respect to the aspired social and vocational reintegration. To date, the best practice for improving gait early after stroke is still object of debate. On one hand, repetitive task-specific approaches with higher intensities of walking have been observed to result in greater improvements of gait after stroke. Conversely there is some evidence that conventional gait training would be more effective for facilitating walking ability after stroke...
March 29, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29562560/treadmill-training-in-parkinson-s-patients-after-deep-brain-stimulation-effects-on-gait-kinematic
#13
N M S Luna, P R G Lucareli, V C Sales, D Speciali, A C Alonso, M D Peterson, R B M Rodrigues, E T Fonoffc, E R Barbosac, M J Teixeira, J M D A Greve
OBJECTIVE: The purpose of this study was to evaluate the effect of treadmill training with body weight support on gait kinematics parameters in patients with PD using DBS. DESIGN: Twelve patients completed the protocols (age: 60.9±10.6 years; disease duration: 20±7 years; and time since DBS surgery: 20±4 months). The same set of patients underwent two trainings protocols and four gait analyses (before and after each training). They received eight weeks of treadmill training without body weight support (16 sessions) in conjunction with physiotherapy program followed by six weeks of wash out period, followed by eight weeks of body-weight-supported treadmill training in conjunction with a same physiotherapy program...
2018: NeuroRehabilitation
https://www.readbyqxmd.com/read/29535874/partial-body-weight-supported-treadmill-training-in-spinocerebellar-ataxia
#14
Laura Alice Santos de Oliveira, Camilla Polonini Martins, Carlos Henrique Ramos Horsczaruk, Débora Cristina Lima da Silva, Luiz Felipe Vasconcellos, Agnaldo José Lopes, Míriam Raquel Meira Mainenti, Erika de Carvalho Rodrigues
Background and Purpose: The motor impairments related to gait and balance have a huge impact on the life of individuals with spinocerebellar ataxia (SCA). Here, the aim was to assess the possibility of retraining gait, improving cardiopulmonary capacity, and challenging balance during gait in SCA using a partial body weight support (BWS) and a treadmill. Also, the effects of this training over functionality and quality of life were investigated. Methods: Eight SCA patients were engaged in the first stage of the study that focused on gait training and cardiovascular conditioning...
2018: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/29494820/influence-of-stride-frequency-manipulation-on-muscle-activity-during-running-with-body-weight-support
#15
Kenji Masumoto, Jared Joerger, John A Mercer
BACKGROUND: Running with body weight support (BWS) has been used for physical fitness enhancement. Nevertheless, gait mechanics of running with BWS is not fully understood. RESEARCH QUESTION: We investigated influence of stride frequency manipulation on muscle activity during running at various BWS conditions. METHODS: Nineteen participants (23.8 ± 4.1 years) ran on a lower body positive pressure treadmill at their preferred speed and preferred stride frequency (PSF) for 0%BWS, 50%BWS, and 80%BWS conditions...
March 2018: Gait & Posture
https://www.readbyqxmd.com/read/29444172/motor-and-psychosocial-impact-of-robot-assisted-gait-training-in-a-real-world-rehabilitation-setting-a-pilot-study
#16
Cira Fundarò, Anna Giardini, Roberto Maestri, Silvia Traversoni, Michelangelo Bartolo, Roberto Casale
In the last decade robotic devices have been applied in rehabilitation to overcome walking disability in neurologic diseases with promising results. Robot assisted gait training (RAGT) using the Lokomat seems not only to improve gait parameters but also the perception of well-being. Data on the psychosocial patient-robot impact are limited, in particular in the real-world of RAGT, in the rehabilitation setting. During rehabilitation training, the Lokomat can be considered an "assistive device for movement"...
2018: PloS One
https://www.readbyqxmd.com/read/29435956/robot-assisted-body-weight-supported-treadmill-training-in-gait-impairment-in-multiple-sclerosis-patients-a-pilot-study
#17
Marek Łyp, Iwona Stanisławska, Bożena Witek, Ewelina Olszewska-Żaczek, Małgorzata Czarny-Działak, Ryszard Kaczor
This study deals with the use of a robot-assisted body-weight-supported treadmill training in multiple sclerosis (MS) patients with gait dysfunction. Twenty MS patients (10 men and 10 women) of the mean of 46.3 ± 8.5 years were assigned to a six-week-long training period with the use of robot-assisted treadmill training of increasing intensity of the Lokomat type. The outcome measure consisted of the difference in motion-dependent torque of lower extremity joint muscles after training compared with baseline before training...
February 13, 2018: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/29398885/underactuated-potential-energy-shaping-with-contact-constraints-application-to-a-powered-knee-ankle-orthosis
#18
Ge Lv, Robert D Gregg
Body-weight support (i.e., gravity compensation) is an effective clinical tool for gait rehabilitation after neurological impairment. Body-weight supported training systems have been developed to help patients regain mobility and confidence during walking, but conventional systems constrain the patient's treatment in clinical environments. We propose that this challenge could be addressed by virtually providing patients with bodyweight support through the actuators of a powered orthosis (or exoskeleton) utilizing potential energy shaping control...
January 2018: IEEE Transactions on Control Systems Technology: a Publication of the IEEE Control Systems Society
https://www.readbyqxmd.com/read/29381946/efficacy-and-safety-of-9-nonoperative-regimens-for-the-treatment-of-spinal-cord-injury-a-network-meta-analysis
#19
Da-Nian Ma, Xia-Qi Zhang, Jie Ying, Zhong-Jun Chen, Li-Xin Li
OBJECTIVE: This network meta-analysis aims to compare the efficacy and safety of 9 nonoperative regimens (placebo, pregabalin, GM-1 ganglioside, venlafaxine extended-release [venlafaxine XR], fampridine, conventional over-ground training [OT], body-weight-supported treadmill training [BWSTT], robotic-assisted gait training [RAGT] + OT and body-weight-supported over-ground training [BWSOT]) in treating spinal cord injury (SCI). METHODS: Clinical controlled trials of 9 nonoperative regimens for SCI were retrieved in the electronic database...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29367655/author-correction-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
J Mehrholz, L A Harvey, S Thomas, B Elsner
The original article can be found online at https://doi.org/10.1038/sc.2017.31 .
January 24, 2018: Spinal Cord
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