Technological Advances in Interventions to Enhance Poststroke Gait

Sheffler, Lynne R.; Chae, John

doi:10.1016/j.pmr.2012.11.005

Cited by 20 publications

(7 citation statements)

References 111 publications

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“…In this context, and based on promising results in the inclusion of robotic devices in therapy [15,16,17], rehabilitation programs are motivating the development of Active Ankle-Foot Orthoses (AAFOs) [18]. Currently, novel control strategies and different actuation principles are applied in robotic orthoses [19,18], which are looking for improving the human-robot interaction, and thus the user gait patterns.…”

Section: Introductionmentioning

confidence: 99%

Actuation system of the ankle exoskeleton T-FLEX: first use experimental validation in people with stroke

Gomez-Vargas

Ballén-Moreno

Barria³

et al. 2020

Preprint

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Abstract Background: Robotic devices can provide physical assistance to people who have suffered neurological impairments such as stroke. Neurological disorders related to this condition induce abnormal gait patterns, which harm the independence to execute different Activities of Daily Living (ADL). From the fundamental role of the ankle in walking, Active Ankle-Foot Orthoses (AAFOs) have been developed to enhance the users' gait patterns, and hence, their quality of life.Methods: Ten patients who suffered stroke used the actuation system of the T-FLEX orthosis triggered by an inertial sensor on the foot tip. The VICON motion capture system recorded the users' kinematics for unassisted and assisted gait modalities. Biomechanical analysis and usability assessment measured the performance of the system actuation for the participants in overground walking. Results: The biomechanical assessment exhibited changes in the range of motion of the lower joints for $70\%$ of the subjects. Moreover, the ankle kinematics showed a correlation with the variation of other movements analyzed. This variation had positive effects on 70\% of the participants in at least one joint. The Gait Deviation Index (GDI) presented significant changes for 30\% of the paretic limbs, where one volunteer increased this index in 14\%. The spatiotemporal parameters did not show significant variations between modalities, although users' cadence had a decrease. Lastly, the satisfaction with the device was positive, being the comfort the most users-selected aspect.Conclusions: This article presented the assessment of the T-FLEX actuation system in people who suffered stroke. Biomechanical results showed improvement in the ankle kinematic and variation in the other joints. In general terms, GDI did not exhibit significant changes, and Movement Analysis Profile (MAP) registered the main movements altered by the device. Future works should focus on assessing the full T-FLEX orthosis in a larger sample of patients that includes a stage of training.Trial registration: This study was registered as Preliminary Biomechanical and Usability Study of an Active Ankle-Foot Orthosis for Stroke Survivors on 30 January 2020 in Clinical Trials with the identi er No NCT04249349 (available at https://clinicaltrials.gov/ct2/show/NCT04249349).

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Section: Introductionmentioning

confidence: 99%

Actuation system of the ankle exoskeleton T-FLEX: first use experimental validation in people with stroke

Gomez-Vargas

Ballén-Moreno

Barria³

et al. 2020

Preprint

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“…In this context, rehabilitation programs are motivating the development of Powered Ankle-Foot Orthoses (PAFOs) [ 18 ], based on the promising results of robotics applied to physical therapy [ 19 , 20 , 21 ]. This way, PAFOs could enhance the patients’ gait patterns, retraining the affected functions and achieving an increased motor rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

The Actuation System of the Ankle Exoskeleton T-FLEX: First Use Experimental Validation in People with Stroke

et al. 2021

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Robotic devices can provide physical assistance to people who have suffered neurological impairments such as stroke. Neurological disorders related to this condition induce abnormal gait patterns, which impede the independence to execute different Activities of Daily Living (ADLs). From the fundamental role of the ankle in walking, Powered Ankle-Foot Orthoses (PAFOs) have been developed to enhance the users’ gait patterns, and hence their quality of life. Ten patients who suffered a stroke used the actuation system of the T-FLEX exoskeleton triggered by an inertial sensor on the foot tip. The VICONmotion capture system recorded the users’ kinematics for unassisted and assisted gait modalities. Biomechanical analysis and usability assessment measured the performance of the system actuation for the participants in overground walking. The biomechanical assessment exhibited changes in the lower joints’ range of motion for 70% of the subjects. Moreover, the ankle kinematics showed a correlation with the variation of other movements analyzed. This variation had positive effects on 70% of the participants in at least one joint. The Gait Deviation Index (GDI) presented significant changes for 30% of the paretic limbs and 40% of the non-paretic, where the tendency was to decrease. The spatiotemporal parameters did not show significant variations between modalities, although users’ cadence had a decrease of 70% of the volunteers. Lastly, the satisfaction with the device was positive, the comfort being the most user-selected aspect. This article presents the assessment of the T-FLEX actuation system in people who suffered a stroke. Biomechanical results show improvement in the ankle kinematics and variations in the other joints. In general terms, GDI does not exhibit significant increases, and the Movement Analysis Profile (MAP) registers alterations for the assisted gait with the device. Future works should focus on assessing the full T-FLEX orthosis in a larger sample of patients, including a stage of training.

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“…Some reviews and clinical trials have supported the positive effect of the robot-assisted gait training on the walking functions of patients with stroke. Build upon their findings, robot-assisted gait training could improve walking speed and quality of life [11][12][13]. However, most widespread commercial robots cannot satisfy the needs of different severity and stage of stroke survivors.…”

Section: Introductionmentioning

confidence: 99%

Modelling and control of a novel walker robot for post-stroke gait rehabilitation

Sarıyıldız

Cheng

Yagli

et al. 2017

IECON 2017 - 43rd Annual Conference of the IEEE Industrial Electronics Society

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In this paper, a novel walker robot is proposed for post-stroke gait rehabilitation. It consists of an omnidirectional mobile platform which provides high mobility in horizontal motion, a linear motor that moves in vertical direction to support the body weight of a patient and a 6-axis force/torque sensor to measure interaction force/torque between the robot and patient. The proposed novel walker robot improves the mobility of pelvis so it can provide more natural gait patterns in rehabilitation. This paper analytically derives the kinematic and dynamic models of the novel walker robot. Simulation results are given to validate the proposed kinematic and dynamic models.Abstract-In this paper, a novel walker robot is proposed for post-stroke gait rehabilitation. It consists of an omni-directional mobile platform which provides high mobility in horizontal motion, a linear motor that moves in vertical direction to support the body weight of a patient and a 6-axis force/torque sensor to measure interaction force/torque between the robot and patient. The proposed novel walker robot improves the mobility of pelvis so it can provide more natural gait patterns in rehabilitation. This paper analytically derives the kinematic and dynamic models of the novel walker robot. Simulation results are given to validate the proposed kinematic and dynamic models.

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Technological Advances in Interventions to Enhance Poststroke Gait

Cited by 20 publications

References 111 publications

Actuation system of the ankle exoskeleton T-FLEX: first use experimental validation in people with stroke

Actuation system of the ankle exoskeleton T-FLEX: first use experimental validation in people with stroke

The Actuation System of the Ankle Exoskeleton T-FLEX: First Use Experimental Validation in People with Stroke

Modelling and control of a novel walker robot for post-stroke gait rehabilitation

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