Regaining the ability to independently ambulate following a physical disability can increase functional ability and participation of patients in daily life. Raveh, Eitan Schwartz, Isabella Karniel, Naama Portnoy, Sigal Only subjects undergoing PBWS with gait trainer maintained functional gain after 3 months.Įvaluation of the effectiveness of a novel gait trainer in increasing the functionality of individuals with motor impairment: A case series. Both groups of chronic hemiplegic patients improved after either PBWS with gait trainer or Bobath treatment. EG showed statistically relevant improvement on T(1) and on T(2) in several of the assessment tools, whereas CG only showed statistically significant improvement after T(1) and only in some of the assessment tools. CG and EG showed improvement in almost all the assessment scales after treatment, although only some with relevant differences.
CG and EG were homogenous in all the variables at T(0). EG and CG did the assessments before treatment (T(0)), right after treatment (T(1)), and on follow-up, 3 months later (T(2)). Assessment tools: Motricity Index (MI) Toulouse Motor Scale (TMS) modified Ashworth Spasticity Scale (mASS) Berg Balance Scale (BBS) Rivermead Mobility Index (RMI) Fugl-Meyer Stroke Scale (F-MSS) Functional Ambulation Category (FAC) Barthel Index (BI) 10 meters, time up and go (TUG), 6 minutes, and step tests. Patients were randomised into two groups: the control group (CG) that used the Bobath method in 40 minutes sessions, 5 times a week, for 5 weeks, and the experimental group (EG) that used the gait trainer, for the same period of time and frequency. Patients could train a gait-like movement on the gait trainer, characterized kinematically by a perfect symmetry, larger hip extension during stance, less knee flexion and less ankle plantar flexion during swing as compared to treadmill walking (p 18 and <80 years cognitive and communication skills to understand the treatment absence of cardiac, psychological and orthopedic contraindications. Gait kinematics, kinesiological EMG of several lower limb muscles and the required assistance. Complex gait analysis while training on the gait trainer and while walking on the treadmill. Fourteen chronic, nonambulatory hemiparetic patients. Motion analysis laboratory of a rehabilitation centre. Open study comparing the movement on the gait trainer with assisted walking on the treadmill. To investigate to what extent and with how much therapeutic effort nonambulatory stroke patients could train a gait-like movement on a newly developed, machine- supported gait trainer. Gait pattern of severely disabled hemiparetic subjects on a new controlled gait trainer as compared to assisted treadmill walking with partial body weight support.
Two cases of non-ambulatory patients, who regained their walking ability after 4 weeks of daily training on the gait trainer, are reported. The vertical displacement of the CoM was bi-phasic instead of mono-phasic during each gait cycle on the new device. Gait movements on the trainer were highly symmetrical, impact free, and less spastic. A non-ambulatory hemiparetic subject required little help from one therapist on the gait trainer, while two therapists were required to support treadmill walking. The patterns of sagittal lower limb joint kinematics and of muscle activation for a normal subject were similar when using the mechanized trainer and when walking on a treadmill.
The device simulates the phases of gait, supports the subjects according to their abilities, and controls the center of mass (CoM) in the vertical and horizontal directions. The newly developed gait trainer allows wheel-chair-bound subjects the repetitive practice of a gait-like movement without overstressing therapists. A mechanized gait trainer for restoration of gait.
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