A review of gait disorders in the elderly and neurological patients for robot-assisted training

Ghaffar, Asim; Dehghani-Sanij, Abbas A.; Xie, Shane

doi:10.1080/17483107.2019.1568594

Cited by 6 publications

(5 citation statements)

References 61 publications

(198 reference statements)

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“…The age presents multicolinearity, mainly when compared with heart, respiratory, rheumatic and hospitalized diseases, not justifying its analysis in the model. Given this context, it is known that gait and its spatiotemporal parameters tend to change over the years and with some diseases 5,6,31 . Some authors have demonstrated a physiological loss, including in gait speed, inherent to the aging process 12,31 .…”

Section: Discussionmentioning

confidence: 99%

“…Given this context, it is known that gait and its spatiotemporal parameters tend to change over the years and with some diseases 5,6,31 . Some authors have demonstrated a physiological loss, including in gait speed, inherent to the aging process 12,31 . Thus, given the multicollinearity of age with the independent variables analyzed, we suggest future studies with longitudinal and mediation analyses to verify the magnitude of age influence.…”

Section: Discussionmentioning

confidence: 99%

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Declínio da velocidade da marcha e desfechos de saúde em idosos: dados da Rede Fibra

et al. 2019

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RESUMO A velocidade da marcha (VM) tem sido considerada um marcador de saúde em idosos capaz de predizer desfechos adversos de saúde, mas a compreensão de fatores associados a ela ainda é limitada e controversa. O objetivo deste trabalho é identificar desfechos adversos de saúde relacionados ao declínio da velocidade de marcha em idosos comunitários. Trata-se de estudo transversal e multicêntrico, que avaliou o autorrelato de doenças crônicas e de hospitalização no último ano, polifarmácia e velocidade de marcha. Utilizou-se análise de regressão logística para estimar os efeitos de cada variável independente na chance de os idosos apresentarem declínio na velocidade de marcha inferior (VM<0,8m/s) (α=0,05). Participaram da pesquisa 5.501 idosos. A menor velocidade da marcha mostrou-se associada a portadores de doenças cardíacas (OR=2,06; IC: 1,67-2,54), respiratórias (OR=3,25; IC: 2,02-5,29), reumáticas (OR=2,16; IC: 1,79-2,52) e/ou depressão (OR=2,51; IC: 2,10-3,14), hospitalizados no último ano (OR=1,51; IC: 1,21-1,85) e polifarmácia (OR=2,14; IC: 1,80-2,54). Assim, os resultados indicaram que idosos com velocidade de marcha menor que 0,8m/s apresentam maior risco de eventos adversos de saúde. Dessa forma, sugere-se que a velocidade de marcha não seja negligenciada na avaliação de idosos comunitários, inclusive na atenção básica.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Declínio da velocidade da marcha e desfechos de saúde em idosos: dados da Rede Fibra

et al. 2019

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“…Further basic and applied research and clinical indications are needed [52]. Analyzes of the required support in people with different types and degrees of deficits will help advance the design of exoskeletons based on user needs [53]. The physiological mechanisms associated with pain in candidates for wearing soft exoskeletons differ between healthy individuals and patients with chronic pain.…”

Section: Discussionmentioning

confidence: 99%

Personalization of the 3D-Printed Upper Limb Exoskeleton Design—Mechanical and IT Aspects

et al. 2023

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The human hand is the most precise and versatile tool that nature has given man, and any deficits in this area affect the functional capabilities and quality of human life. Scientists, engineers and clinicians are constantly looking for solutions in the field of diagnosis, treatment, rehabilitation and care of patients with hand function deficits. One such solution is a hand exoskeleton. In the process of designing and testing the hand exoskeleton, emphasis should be placed on the full usability and comfort of the system; hence, the issues of personalization, matching and testing are crucial for the development of the discussed group of solutions. The aim of this paper is to present the possibilities of personalizing 3D-printed medical devicesbased on our own experience in functional user assessment andthe material selection, design, optimization using artificial intelligence and production and testing of several generations of different upper limb exoskeletons, incorporatingthe considerations of the Medical Device Regulation (MDR), ISO 13485 and ISO 10993 standards.The novelty and possible contribution of the proposed approach consist of the possibilities and limitations of the personalization of the upper limb exoskeleton discussed in the article as well as the directions of further development of significant scientific, technical and clinical importance.

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“…Gait deviations leading to changes in spatiotemporal, kinematic, and kinetic gait parameters are common in neurological patients and have a significant influence on everyday life [ 1 , 2 ]. Due to the high impact of walking abilities on participation in daily activities and quality of life, gait recovery in neurological patients is essential [ 3 ], and socioeconomically highly relevant in public health.…”

Section: Introductionmentioning

confidence: 99%

Kinematic movement and balance parameter analysis in neurological gait disorders

Na,

Siebers,

Reim

et al. 2024

J Biol Eng

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Background Neurological gait disorders are mainly classified based on clinical observation, and therefore difficult to objectify or quantify. Movement analysis systems provide objective parameters, which may increase diagnostic accuracy and may aid in monitoring the disease course. Despite the increasing wealth of kinematic movement and balance parameter data, the discriminative value for the differentiation of neurological gait disorders is still unclear. We hypothesized that kinematic motion and balance parameter metrics would be differently altered across neurological gait disorders when compared to healthy controls. Methods Thirty one patients (9 normal pressure hydrocephalus < NPH > , 16 cervical myelopathy < CM > , 6 lumbar stenosis < LST >) and 14 healthy participants were investigated preoperatively in an outpatient setting using an inertial measurement system (MyoMotion) during 3 different walking tasks (normal walking, dual-task walking with simultaneous backward counting, fast walking). In addition, the natural postural sway of participants was measured by pedobarography, with the eyes opened and closed. The range of motion (ROM) in different joint angles, stride time, as well as sway were compared between different groups (between-subject factor), and different task conditions (within-subject factor) by a mixed model ANOVA. Results Kinematic metrics and balance parameters were differently altered across different gait disorders compared to healthy controls. Overall, NPH patients significantly differed from controls in all movement parameters except for stride time, while they differed in balance parameters only with regard to AP movement. LST patients had significantly reduced ROMs of the shoulders, hips, and ankles, with significantly altered balance parameters regarding AP movement and passed center-of-pressure (COP) distance. CM patients differed from controls only in the ROM of the hip and ankle, but were affected in nearly all balance parameters, except for force distribution. Conclusion The application of inertial measurement systems and pedobarography is feasible in an outpatient setting in patients with different neurological gait disorders. Rather than defining singular discriminative values, kinematic gait and balance metrics may provide characteristic profiles of movement parameter alterations in the sense of specific ´gait signatures´ for different pathologies, which could improve diagnostic accuracy by defining objective and quantifiable measures for the discrimination of different neurological gait disorders. Trial registration The study was retrospectively registered on the 27th of March 2023 in the ‘Deutsches Register für Klinische Studien’ under the number DRKS00031555.

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A review of gait disorders in the elderly and neurological patients for robot-assisted training

Abstract: Arabia. He is currently working towards the Ph.D. degree in the School of Mechanical Engineering,

Cited by 6 publications

References 61 publications

Declínio da velocidade da marcha e desfechos de saúde em idosos: dados da Rede Fibra

Declínio da velocidade da marcha e desfechos de saúde em idosos: dados da Rede Fibra

Personalization of the 3D-Printed Upper Limb Exoskeleton Design—Mechanical and IT Aspects

Kinematic movement and balance parameter analysis in neurological gait disorders

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