Balance During Bodyweight Supported and Robot-Assisted Walking

  • Eva SwinnenEmail author
  • Jean-Pierre Baeyens
  • Nina Lefeber
  • Emma De Keersmaecker
  • Stieven Henderix
  • Marc Michielsen
  • Eric Kerckhofs
Conference paper
Part of the Biosystems & Biorobotics book series (BIOSYSROB, volume 22)


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.



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).


  1. 1.
    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)CrossRefGoogle Scholar
  2. 2.
    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)CrossRefGoogle Scholar
  3. 3.
    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)CrossRefGoogle Scholar
  4. 4.
    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)Google Scholar
  5. 5.
    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)Google Scholar
  6. 6.
    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)CrossRefGoogle Scholar
  7. 7.
    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)Google Scholar
  8. 8.
    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)CrossRefGoogle Scholar
  9. 9.
    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)Google Scholar
  10. 10.
    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)CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Eva Swinnen
    • 1
    Email author
  • Jean-Pierre Baeyens
    • 2
    • 4
  • Nina Lefeber
    • 1
  • Emma De Keersmaecker
    • 1
  • Stieven Henderix
    • 3
  • Marc Michielsen
    • 3
  • Eric Kerckhofs
    • 1
  1. 1.Rehabilitation Research – Neurological Rehabilitation GroupVrije Universiteit BrusselBrusselsBelgium
  2. 2.Biometry and Biomechanics GroupVrije Universiteit BrusselBrusselsBelgium
  3. 3.Jessa Hospitals, Sint-Ursula Rehabilitation CenterHerk-de-StadBelgium
  4. 4.THIM van der Laan University College PhysiotherapyLandquartSwitzerland

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