scholarly journals HYBRID: Ambulatory Robotic Gait Trainer with Movement Induction and Partial Weight Support

Sensors ◽  
2019 ◽  
Vol 19 (21) ◽  
pp. 4773 ◽  
Author(s):  
Eloy Urendes ◽  
Guillermo Asín-Prieto ◽  
Ramón Ceres ◽  
Rodrigo García-Carmona ◽  
Rafael Raya ◽  
...  

Robotic exoskeletons that induce leg movement have proven effective for lower body rehabilitation, but current solutions offer limited gait patterns, lack stabilization, and do not properly stimulate the proprioceptive and balance systems (since the patient remains in place). Partial body weight support (PBWS) systems unload part of the patient’s body weight during rehabilitation, improving the locomotive capabilities and minimizing the muscular effort. HYBRID is a complete system that combines a 6DoF lower body exoskeleton (H1) with a PBWS system (REMOVI) to produce a solution apt for clinical practice that offers improves on existing devices, moves with the patient, offers a gait cycle extracted from the kinematic analysis of healthy users, records the session data, and can easily transfer the patient from a wheelchair to standing position. This system was developed with input from therapists, and its response times have been measured to ensure it works swiftly and without a perceptible delay.

1999 ◽  
Vol 13 (3) ◽  
pp. 179-181 ◽  
Author(s):  
Stefan Hesse

Treadmill training with partial body weight support is a promising new therapy in gait rehabilitation of hemiparetic subjects. As a task-specific training it enables the repetitive practice of complex gait cycles at a very early stage. Initially two or even three therapists assist the movement so that the subjects train gait not only repeti tively but also in a correct manner. Several controlled studies have documented its effectiveness in gait rehabilitation of acute and chronic stroke patients and have shown that hemiparetic patients walked in a more dynamic, symmetric, and less spastic fash ion on the treadmill with body weight support as compared with ground-level walk ing. Nevertheless, to meet the criteria of evidence-based medicine, further compara tive studies will be needed, supplemented by research in basic neurophysiology to explain its effects and technology to alleviate the strenuous effort of therapists during the training. Possible solutions are functional electrical stimulation (FES) in combi nation with treadmill training and a mechanized gait trainer.


2015 ◽  
Vol 27 (5) ◽  
pp. 1603-1607 ◽  
Author(s):  
Byoung-Sun Park ◽  
Mee-Young Kim ◽  
Lim-Kyu Lee ◽  
Seung-Min Yang ◽  
Won-Deok Lee ◽  
...  

Sports ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 51
Author(s):  
Daniel Fleckenstein ◽  
Olaf Ueberschär ◽  
Jan C. Wüstenfeld ◽  
Peter Rüdrich ◽  
Bernd Wolfarth

Lower body positive pressure treadmills (LBPPTs) as a strategy to reduce musculoskeletal load are becoming more common as part of sports conditioning, although the requisite physiological parameters are unclear. To elucidate their role, ten well-trained runners (30.2 ± 3.4 years; VO2max: 60.3 ± 4.2 mL kg−1 min−1) ran at 70% of their individual velocity at VO2max (vVO2max) on a LBPPT at 80% body weight support (80% BWSet) and 90% body weight support (90% BWSet), at 0%, 2% and 7% incline. Oxygen consumption (VO2), heart rate (HR) and blood lactate accumulation (LA) were monitored. It was found that an increase in incline led to increased VO2 values of 6.8 ± 0.8 mL kg−1 min−1 (0% vs. 7%, p < 0.001) and 5.4 ± 0.8 mL kg−1 min−1 (2% vs. 7%, p < 0.001). Between 80% BWSet and 90% BWSet, there were VO2 differences of 3.3 ± 0.2 mL kg−1 min−1 (p < 0.001). HR increased with incline by 12 ± 2 bpm (0% vs. 7%, p < 0.05) and 10 ± 2 bpm (2% vs. 7%, p < 0.05). From 80% BWSet to 90% BWSet, HR increases of 6 ± 1 bpm (p < 0.001) were observed. Additionally, LA values showed differences of 0.10 ± 0.02 mmol l−1 between 80% BWSet and 90% BWSet. Those results suggest that on a LBPPT, a 2% incline (at 70% vVO2max) is not yet sufficient to produce significant physiological changes in VO2, HR and LA—as opposed to running on conventional treadmills, where significant changes are measured. However, a 7% incline increases VO2 and HR significantly. Bringing together physiological and biomechanical factors from previous studies into this practical context, it appears that a 7% incline (at 80% BWSet) may be used to keep VO2 and HR load unchanged as compared to unsupported running, while biomechanical stress is substantially reduced.


2014 ◽  
Vol 8 (6) ◽  
pp. 388-393 ◽  
Author(s):  
Atif Afzal ◽  
Daniel Fung ◽  
Sean Galligan ◽  
Ellen M. Godwin ◽  
John G. Kral ◽  
...  

Author(s):  
Marta Valentin-Gudiol ◽  
Katrin Mattern-Baxter ◽  
Montserrat Girabent-Farrés ◽  
Caritat Bagur-Calafat ◽  
Mijna Hadders-Algra ◽  
...  

2021 ◽  
Author(s):  
Chun Kwang Tan ◽  
Bruno Leme ◽  
Eleuda Nunez ◽  
Hideki Kadone ◽  
Kenji Suzuki ◽  
...  

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