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Locomotor training in subjects with sensori-motor deficits: An overview of the robotic gait orthosis lokomat


Riener, R; Lünenburger, L; Maier, I C; Colombo, G; Dietz, V (2010). Locomotor training in subjects with sensori-motor deficits: An overview of the robotic gait orthosis lokomat. Journal of Healthcare Engineering, 1(2):197-216.

Abstract

It is known that improvement in walking function can be achieved in patients suffering a movement disorder after stroke or spinal cord injury by providing intensive locomotor training. Rehabilitation robots allow for a longer and more intensive training than that achieved by conventional therapies. Robot assisted treadmill training also offers the ability to provide objective feedback within one training session and to monitor functional improvements over time. This article provides an overview of the technical features and reports the clinical data available for one of these systems known as "Lokomat". First, background information is given for the neural mechanisms of gait recovery. The basic technical approach of the Lokomat system is then described. Furthermore, new features are introduced including cooperative control strategies, assessment tools and augmented feedback. These features may be capable of further enhancing training intensity and patient participation. Findings from clinical studies are presented covering the feasibility as well as efficacy of Lokomat assisted treadmill training.

Abstract

It is known that improvement in walking function can be achieved in patients suffering a movement disorder after stroke or spinal cord injury by providing intensive locomotor training. Rehabilitation robots allow for a longer and more intensive training than that achieved by conventional therapies. Robot assisted treadmill training also offers the ability to provide objective feedback within one training session and to monitor functional improvements over time. This article provides an overview of the technical features and reports the clinical data available for one of these systems known as "Lokomat". First, background information is given for the neural mechanisms of gait recovery. The basic technical approach of the Lokomat system is then described. Furthermore, new features are introduced including cooperative control strategies, assessment tools and augmented feedback. These features may be capable of further enhancing training intensity and patient participation. Findings from clinical studies are presented covering the feasibility as well as efficacy of Lokomat assisted treadmill training.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Balgrist University Hospital, Swiss Spinal Cord Injury Center
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:8 June 2010
Deposited On:08 Jul 2010 12:53
Last Modified:17 Feb 2018 17:09
Publisher:Multi-Science Publishing
ISSN:2040-2295
OA Status:Gold
Publisher DOI:https://doi.org/10.1260/2040-2295.1.2.197
Official URL:http://multi-science.metapress.com/content/t2q26427t72j6mq6

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