Energy cost and muscular activity required for propulsion during walking

Gottschall, Jinger S.; Kram, Rodger

doi:10.1152/japplphysiol.00670.2002

Cited by 210 publications

(203 citation statements)

References 26 publications

(29 reference statements)

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“…This action can cause a reduction in energy expenditure. [69][70][71] In other words, to control walking and the alternation, the motor output of spinal motor neurons reciprocating limb loading, [72][73][74] the afferent feedback from the ankle joint is important.…”

Section: Discussionmentioning

confidence: 99%

The influence of orthosis options on walking parameters in spinal cord-injured patients: a literature review

et al. 2016

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Section: Discussionmentioning

confidence: 99%

The influence of orthosis options on walking parameters in spinal cord-injured patients: a literature review

et al. 2016

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“…Similarly, Hornby et al [12] found that Lokomat robot-assisted therapy in 62 patients with chronic stroke was not superior to the conventional gait training. Such inconsistent results in the Lokomat robot-assisted studies may result from different experimental design and testing methods utilized [10], lack of volitional neuromuscular control [14], restricted pelvic and trunk movement control [15,16], arm swing, as well as altered acceleration and deceleration from pre-swing to initial contact [17]. …”

Section: End-effector Type Of Robot-assisted Gait Trainingmentioning

confidence: 99%

A Review of Robot-Assisted Gait Training in Stroke Patients

Kim

You

2017

Brain Neurorehabil

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Highlights• End-effector type robot-assisted gait training systems were found to be more effective in locomotor recovery in stroke patients when they were applied in conjunction with conventional gait training rather than conventional gait training alone. However, this study does not confirm that the exoskeleton type robot-assisted gait training was more effective when it was applied in conjunction with the conventional gait training rather than the conventional gait training alone.• The robot-assisted gait training paradigm offers intensive, repetitive, accurate kinematic feedback and symmetrical gait practice while reducing the workload for the therapist, reducing the cost of stroke rehabilitation. ABSTRACTWhile a variety of robot-assisted gait training systems have been widely applied for locomotor rehabilitation in stroke patients, the best supporting evidence for robot-assisted gait training systems remains unknown. The purpose of this study was to provide the best robot-assisted gait training and clinical evidence by comparing the effects of exoskeleton and end-effector type robot-assisted gait training in stroke rehabilitation. The present study underwent a review of the literature to determine the best clinical evidence of the most commonly utilized robot-assisted gait training paradigms (end-effector and exoskeleton types) in stroke gait rehabilitation. The review corroborates the compelling evidence that combined robotassisted gait training was advantageous in stroke rehabilitation, as it offers additive special therapeutic effects that were not afforded by conventional therapy alone. Most importantly, the robot-assisted gait training paradigm provided more intensive, repetitive, accurate kinematic feedback and symmetrical gait practice, while reducing therapist labor, which is often not affordable in current stroke rehabilitation care. Both the robot-assisted gait training with either the end-effector type or exoskeleton type was beneficial for improving motor recovery, gait function, and balance in stroke patients when it was combined with the conventional physical therapy. The robot-assisted gait training should be used as an augmented gait intervention for stroke population.

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“…For hemiplegia patients, balance exercise in relation to weight bearing on their paretic lower extremity is the key to therapeutic intervention for their rehabilitation 12) . Further, weight bearing on the affected side in ADL affects hemiplegia patients' gait cycle, and stability during standing on one leg plays a crucial role in lower extremity muscle activity as well as stabilization of body sway 13) .…”

Section: Introductionmentioning

confidence: 99%

Effects of Standing on One Leg Exercise on Gait and Balance of Hemiplegia Patients

You

Her

et al. 2012

J Phys Ther Sci

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Abstract.[Purpose] The purpose of this study was to compare a conventional one leg standing exercise and a device-using one leg standing exercise in order to improve hemiplegia patients gait and balance function.[Subject] The subjects of this study were 30 patients who were hospitalized with hemiplegia resulting from stroke. The final number of participants was 27, because three patients were discharged during the experiment.[Methods] The participants were divided randomly and equally into a conventional one-leg standing balance exercise group (control group) and a device-using one-leg standing balance exercise group (experimental group). In the experimental group, exercise consisted of a one-leg standing weight-bearing balance exercise in which ± 5° changes could be made for dynamic changes, while maintaining a hip flexion angle of 5° and a knee flexion angle of 10° during the stance phase. [Results] In the comparison of gait traits and velocity prior to and after the therapy in both the conservative group and the device-using group, all items significantly increased after 8 weeks of therapy. TUG and BBS of both groups also significantly increased. [Conclusion] This study demonstrated the effect of a treatment method using a one leg standing balance exercise on the gait cycle.

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Energy cost and muscular activity required for propulsion during walking

Cited by 210 publications

References 26 publications

The influence of orthosis options on walking parameters in spinal cord-injured patients: a literature review

The influence of orthosis options on walking parameters in spinal cord-injured patients: a literature review

A Review of Robot-Assisted Gait Training in Stroke Patients

Effects of Standing on One Leg Exercise on Gait and Balance of Hemiplegia Patients

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