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Development of a portable gait rehabilitation system for home-visit rehabilitation.

Yano H, Tanaka N, Kamibayashi K, Saitou H, Iwata H - ScientificWorldJournal (2015)

Bottom Line: When the user stands on the footpads, the system can move his or her feet while the body remains stationary.Therefore, we developed a graded-walking program for the system used in this study.An evaluation of the results of tests showed that the vastus medialis muscles of all the subjects were stimulated more than by walking on real slopes.

View Article: PubMed Central - PubMed

Affiliation: University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8573, Japan.

ABSTRACT
This paper describes the development of a gait rehabilitation system with a locomotion interface (LI) for home-visit rehabilitation. For this purpose, the LI should be compact, small, and easy to move. The LI has two 2 degree-of-freedom (DOF) manipulators with footpads to move each foot along a trajectory. When the user stands on the footpads, the system can move his or her feet while the body remains stationary. The footpads can have various trajectories, which are prerecordings of the movements of healthy individuals walking on plane surfaces or slopes. The homes of stroke patients may have not only flat surfaces but also some slopes and staircases. The quadriceps femoris muscle is important for walking up and down slopes and staircases, and the eccentric and concentric contractions of this muscle are, in particular, difficult to train under normal circumstances. Therefore, we developed a graded-walking program for the system used in this study. Using this system, the user can undergo gait rehabilitation in their home, during visits by a physical therapist. An evaluation of the results of tests showed that the vastus medialis muscles of all the subjects were stimulated more than by walking on real slopes.

No MeSH data available.


Related in: MedlinePlus

Average muscle activities while descending a slope.
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Related In: Results  -  Collection


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fig18: Average muscle activities while descending a slope.

Mentions: Figure 18 shows the results of a comparison of the average muscle activity of the healthy subjects during descent of a slope. Two-way ANOVA found a statistically significant difference in each muscle. Post hoc analysis using Scheffe's Multiple Comparison test reveals significant differences in each muscle. The effect of each muscle is shown in Table 2. The figure shows the same tendencies shown in Figure 16. Comparison of the activities when using the GMmini with and without a wedge shows no significant difference for all muscles. The activity of the vastus medialis muscle in particular has increased compared with that on the real slope.


Development of a portable gait rehabilitation system for home-visit rehabilitation.

Yano H, Tanaka N, Kamibayashi K, Saitou H, Iwata H - ScientificWorldJournal (2015)

Average muscle activities while descending a slope.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4402178&req=5

fig18: Average muscle activities while descending a slope.
Mentions: Figure 18 shows the results of a comparison of the average muscle activity of the healthy subjects during descent of a slope. Two-way ANOVA found a statistically significant difference in each muscle. Post hoc analysis using Scheffe's Multiple Comparison test reveals significant differences in each muscle. The effect of each muscle is shown in Table 2. The figure shows the same tendencies shown in Figure 16. Comparison of the activities when using the GMmini with and without a wedge shows no significant difference for all muscles. The activity of the vastus medialis muscle in particular has increased compared with that on the real slope.

Bottom Line: When the user stands on the footpads, the system can move his or her feet while the body remains stationary.Therefore, we developed a graded-walking program for the system used in this study.An evaluation of the results of tests showed that the vastus medialis muscles of all the subjects were stimulated more than by walking on real slopes.

View Article: PubMed Central - PubMed

Affiliation: University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8573, Japan.

ABSTRACT
This paper describes the development of a gait rehabilitation system with a locomotion interface (LI) for home-visit rehabilitation. For this purpose, the LI should be compact, small, and easy to move. The LI has two 2 degree-of-freedom (DOF) manipulators with footpads to move each foot along a trajectory. When the user stands on the footpads, the system can move his or her feet while the body remains stationary. The footpads can have various trajectories, which are prerecordings of the movements of healthy individuals walking on plane surfaces or slopes. The homes of stroke patients may have not only flat surfaces but also some slopes and staircases. The quadriceps femoris muscle is important for walking up and down slopes and staircases, and the eccentric and concentric contractions of this muscle are, in particular, difficult to train under normal circumstances. Therefore, we developed a graded-walking program for the system used in this study. Using this system, the user can undergo gait rehabilitation in their home, during visits by a physical therapist. An evaluation of the results of tests showed that the vastus medialis muscles of all the subjects were stimulated more than by walking on real slopes.

No MeSH data available.


Related in: MedlinePlus