Abstract
Robot-assisted gait rehabilitation improves gait- and balance related outcome measures, but its merit over other gait rehabilitation methods is still insufficiently proven. The trunk and pelvis are important to maintain balance during gait. Despite, scarce research has been presented concerning the importance of the trunk and the pelvis in different types of gait rehabilitation methods. We investigated whether the amount of bodyweight support and the amount of guidance force have an influence on the movements of the trunk and the pelvis during robot-assisted walking (Lokomat-system). The results of this study suggest that walking with the Lokomat-system leads to significant changes in trunk and pelvis movements, which influence the training of the trunk balance during robot-assisted walking. These results should be taken into account in the development of gait rehabilitation robots and gait rehabilitation strategies.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Calabro, R.S., Cacciola, A., Berte, F., Manuli, A., Leo, A., Bramanti, A., et al.: Robotic gait rehabilitation and substitution devices in neurological disorders: where are we now? Neurol Sci. 37(4), 503–514 (2016)
Morone, G., Paolucci, S., Cherubini, A., De Angelis, D., Venturiero, V., Coiro, P., et al.: Robot-assisted gait training for stroke patients: current state of the art and perspectives of robotics. Neuropsychiatr. Dis. Treat. 13, 1303–1311 (2017)
Swinnen, E., Beckwée, D., Meeusen, R., Baeyens, J.-P., Kerckhofs, E.: Does robot-assisted gait rehabilitation improve balance in stroke patients? Top. Stroke Rehabil. 21(2), 87–100 (2014)
Mehrholz, J., Thomas, S., Werner, C., Kugler, J., Pohl, M., Elsner, B.: Electromechanical-assisted training for walking after stroke. Cochrane Database Syst. Rev. 5 (2017)
Swinnen, E., Baeyens, J.-P., Pintens, S., Van Nieuwenhoven, J., Isbroukx, S., Buyl, R., et al.: Trunk kinematics during walking in persons with multiple sclerosis: the influence of body weight support. NeuroRehabilitation 34(4), 731–740 (2014)
Aaslund, M.K., Moe-Nilssen, R.: Treadmill walking with body weight support. Effect of treadmill, harness and body weight support systems. Gait Posture. 28, 303–308 (2008)
Swinnen, E., Baeyens, J.-P., Knaepen, K., Michielsen, M., Hens, G., Clijsen, R., et al.: Walking with robot assistance: the influence of body weight support on the trunk and pelvis kinematics. Disabil. Rehabil: Assist. Technol. 10(3), 252–257 (2015)
Swinnen, E., Baeyens, J.-P., Knaepen, K., Michielsen, M., Clijsen, R., Beckwée, D., et al.: Robot-assisted walking with the Lokomat: the influence of different levels of guidance force on thorax and pelvis kinematics. Clin. Biomech. 30(3), 254–259 (2015)
van Kammen, K., Boonstra, A.M., Reinders-Messelink, H.A., den Otter, R.: The combined effects of body weight support and gait speed on gait related muscle activity: a comparison between walking in the Lokomat exoskeleton and regular treadmill walking. PloS ONE 9(9) (2014)
van Kammen, K., Boonstra, A.M., van der Woude, L.H.V., Reinders-Messelink, H.A., den Otter, R.: The combined effect of guidance force, bodyweight support and gait speed on muscle activity during able-bodied walking in the Lokomat. Clin. Biomech. 36, 65–73 (2016)
Acknowledgment
We are grateful to the therapists of the rehabilitation center Sint-Ursula, Jessa Hospital, for participation and assistance in the study. This study was funded by the ALTACRO-project (Vrije Universiteit Brussel).
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this paper
Cite this paper
Swinnen, E. et al. (2019). Balance During Bodyweight Supported and Robot-Assisted Walking. In: Carrozza, M., Micera, S., Pons, J. (eds) Wearable Robotics: Challenges and Trends. WeRob 2018. Biosystems & Biorobotics, vol 22. Springer, Cham. https://doi.org/10.1007/978-3-030-01887-0_19
Download citation
DOI: https://doi.org/10.1007/978-3-030-01887-0_19
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-01886-3
Online ISBN: 978-3-030-01887-0
eBook Packages: EngineeringEngineering (R0)