Immediate after-effects of robot-assisted gait with pelvic support or pelvic constraint on overground walking in healthy subjects

Autor: J.F. Alingh, B.E. Groen, Bart Nienhuis, Alexander C. H. Geurts, E.H.F. van Asseldonk, Vivian Weerdesteyn
Rok vydání: 2019
Předmět:
Male
030506 rehabilitation
medicine.medical_specialty
Kinematics
medicine.medical_treatment
Health Informatics
Walking
lcsh:RC321-571
Pelvis
Spatiotemporal parameters
03 medical and health sciences
Young Adult
Physical medicine and rehabilitation
Gait (human)
All institutes and research themes of the Radboud University Medical Center
Gait training
Overground walking
medicine
Humans
Displacement (orthopedic surgery)
lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry
Gait
Gait Disorders
Neurologic
Rehabilitation
Cross-Over Studies
business.industry
Research
Stroke Rehabilitation
Robotics
Exoskeleton Device
Disorders of movement Donders Center for Medical Neuroscience [Radboudumc 3]
Healthy Volunteers
Biomechanical Phenomena
Exercise Therapy
medicine.anatomical_structure
Gait analysis
Female
0305 other medical science
Cadence
business
human activities
Zdroj: Journal of Neuroengineering and Rehabilitation, 16
Journal of neuroengineering and rehabilitation, 16(1):40. BioMed Central
Journal of NeuroEngineering and Rehabilitation
Journal of NeuroEngineering and Rehabilitation, Vol 16, Iss 1, Pp 1-9 (2019)
ISSN: 1743-0003
Popis: Background Recovery of walking is a primary rehabilitation goal of most stroke survivors. Control of pelvic movements is one of the essential determinants of gait, yet surprisingly, conventional robot-assisted gait trainers constrain pelvic movements. Novel robot-assisted gait trainers, such as LOPES II, are able to support pelvic movements during gait. The aim of this cross-over study was to investigate the immediate after-effects of pelvic support (PS) or pelvic constraint (PC) gait training with LOPES II on overground walking in healthy subjects. Methods Thirteen able-bodied subjects (22.8 ± 2.1 years) participated in two 20-min gait training sessions with LOPES II; one with PS and one with PC. During the PS-training, the LOPES II actively guided the lateral displacement of the pelvis, while pelvic rotations were free. During the PC-condition, both lateral displacement and pelvic rotations were constrained and reduced to a minimum. The training sessions were separated by a 30-min resting period. Lateral displacement of the pelvis, hip and knee kinematics, and spatiotemporal parameters during overground walking were determined at baseline and immediately following the training using 3D gait analysis. Results During the PS-condition in LOPES II the lateral pelvic displacement was significantly greater (105.6 ± 0 .5 mm) than during the PC-condition (10.8 ± 0 .7 mm; p
Databáze: OpenAIRE
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