Innovative gait robot for the repetitive practice of floor walking and stair climbing up and down in stroke patients
Identifieur interne : 003742 ( Main/Merge ); précédent : 003741; suivant : 003743Innovative gait robot for the repetitive practice of floor walking and stair climbing up and down in stroke patients
Auteurs : Stefan Hesse [Allemagne] ; Andreas Waldner [Italie] ; Christopher Tomelleri [Italie]Source :
- Journal of NeuroEngineering and Rehabilitation [ 1743-0003 ] ; 2010.
Abstract
Stair climbing up and down is an essential part of everyday's mobility. To enable wheelchair-dependent patients the repetitive practice of this task, a novel gait robot, G-EO-Systems (EO, Lat: I walk), based on the end-effector principle, has been designed. The trajectories of the foot plates are freely programmable enabling not only the practice of simulated floor walking but also stair climbing up and down. The article intended to compare lower limb muscle activation patterns of hemiparetic subjects during real floor walking and stairs climbing up, and during the corresponding simulated conditions on the machine, and secondly to demonstrate gait improvement on single case after training on the machine.
The muscle activation pattern of seven lower limb muscles of six hemiparetic patients during free and simulated walking on the floor and stair climbing was measured via dynamic electromyography. A non-ambulatory, sub-acute stroke patient additionally trained on the G-EO-Systems every workday for five weeks.
The muscle activation patterns were comparable during the real and simulated conditions, both on the floor and during stair climbing up. Minor differences, concerning the real and simulated floor walking conditions, were a delayed (prolonged) onset (duration) of the thigh muscle activation on the machine across all subjects. Concerning stair climbing conditions, the shank muscle activation was more phasic and timely correct in selected patients on the device. The severely affected subject regained walking and stair climbing ability.
The G-EO-Systems is an interesting new option in gait rehabilitation after stroke. The lower limb muscle activation patterns were comparable, a training thus feasible, and the positive case report warrants further clinical studies.
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DOI: 10.1186/1743-0003-7-30
PubMed: 20584307
PubMed Central: 2914004
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University Medicine, 13507 Berlin, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Medical Park Humboldtmühle Berlin, Department Neurological Rehabilitation Charité - University Medicine, 13507 Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="Waldner, Andreas" sort="Waldner, Andreas" uniqKey="Waldner A" first="Andreas" last="Waldner">Andreas Waldner</name><affiliation wicri:level="1"><nlm:aff id="I2">Privatklinik Villa Melitta, Neurological Rehabilitation, 39100 Bozen, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Privatklinik Villa Melitta, Neurological Rehabilitation, 39100 Bozen</wicri:regionArea><wicri:noRegion>39100 Bozen</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">Research Department for Neurorehabilitation South Tyrol, 39100 Bozen, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Research Department for Neurorehabilitation South Tyrol, 39100 Bozen</wicri:regionArea><wicri:noRegion>39100 Bozen</wicri:noRegion></affiliation></author><author><name sortKey="Tomelleri, Christopher" sort="Tomelleri, Christopher" uniqKey="Tomelleri C" first="Christopher" last="Tomelleri">Christopher Tomelleri</name><affiliation wicri:level="1"><nlm:aff id="I2">Privatklinik Villa Melitta, Neurological Rehabilitation, 39100 Bozen, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Privatklinik Villa Melitta, Neurological Rehabilitation, 39100 Bozen</wicri:regionArea><wicri:noRegion>39100 Bozen</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of NeuroEngineering and Rehabilitation</title><idno type="eISSN">1743-0003</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Stair climbing up and down is an essential part of everyday's mobility. To enable wheelchair-dependent patients the repetitive practice of this task, a novel gait robot, G-EO-Systems (EO, Lat: I walk), based on the end-effector principle, has been designed. The trajectories of the foot plates are freely programmable enabling not only the practice of simulated floor walking but also stair climbing up and down. The article intended to compare lower limb muscle activation patterns of hemiparetic subjects during real floor walking and stairs climbing up, and during the corresponding simulated conditions on the machine, and secondly to demonstrate gait improvement on single case after training on the machine.</p></sec><sec><title>Methods</title><p>The muscle activation pattern of seven lower limb muscles of six hemiparetic patients during free and simulated walking on the floor and stair climbing was measured via dynamic electromyography. A non-ambulatory, sub-acute stroke patient additionally trained on the G-EO-Systems every workday for five weeks.</p></sec><sec><title>Results</title><p>The muscle activation patterns were comparable during the real and simulated conditions, both on the floor and during stair climbing up. Minor differences, concerning the real and simulated floor walking conditions, were a delayed (prolonged) onset (duration) of the thigh muscle activation on the machine across all subjects. Concerning stair climbing conditions, the shank muscle activation was more phasic and timely correct in selected patients on the device. The severely affected subject regained walking and stair climbing ability.</p></sec><sec><title>Conclusions</title><p>The G-EO-Systems is an interesting new option in gait rehabilitation after stroke. 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