'Measuring Human Trainers' Skill for the Design of Better Robot Control Algorithms for Gait Training after Spinal Cord Injury

Author(s):  
J.A. Galvez ◽  
G. Kerdanyan ◽  
S. Maneekobkunwong ◽  
R. Weber ◽  
M. Scott ◽  
...  
2021 ◽  
Vol 6 (4) ◽  
pp. 191-197
Author(s):  
Kanika Singhal ◽  
Chitra Kataria

Background: Rhythmic auditory stimulation and body weight supported treadmill training both are standardized gait rehabilitation techniques. However there is limited literature evaluating the effect of rhythmic auditory stimulation and its combination with gait training in spinal cord injury. Aim of this study is to determine the short term effectiveness of rhythmic auditory stimulation with body weight supported treadmill training on gait and balance in individuals with incomplete Spinal Cord Injury. Method: A randomized control study design. 8 subjects with incomplete spinal cord injury who met the inclusion criteria were randomly allocated into two groups: Experimental and Control. Subjects in experimental group were given body weight supported treadmill training with rhythmic auditory stimulation. Subjects in Control Group were given Body weight supported treadmill training alone. Both the groups received conventional rehabilitation as well. Both groups received training for 30 minutes, five times a week for two weeks (10 sessions). Outcome Measures: Gait parameters i.e. cadence, velocity, step length were measured using the Biodex Gait Trainer 2TM, level of walking performance measured using Walking Index for Spinal Cord Injury II, and balance was evaluated using Prokin 252NTM , Berg Balance Scale, and Activity specific Balance Confidence scale. Results: No significant improvement was found on gait parameters i.e. cadence, velocity, step length which were measured using the Gait Trainer, level of walking performance measured using WISCI II, and balance which was evaluated using Prokin 252NTM , Berg Balance Scale, and Activity specific Balance Confidence scale. Conclusion: Rhythmic auditory stimulation didn’t have any positive effect on gait training in incomplete spinal cord injured patients. Further studies are warranted to explore the entrainment effects of rhythmic auditory stimulation in spinal cord injured individuals on gait rehabilitation. Keywords: Rhythmic Auditory Stimulation (RAS), Body Weight Supported Treadmill Training (BWSTT), Metronome, Incomplete spinal cord injury, Biodex Gait Trainer 2.0, Prokin 252N


2018 ◽  
Vol 05 (05) ◽  
Author(s):  
Mohammad Anwar Hossain ◽  
K M Aman Hossain ◽  
Muzaffor Hossain ◽  
Iffat Rahaman ◽  
Farjana Taoheed ◽  
...  

2021 ◽  
pp. 113490
Author(s):  
Nathan D. Neckel ◽  
Haining Dai ◽  
John Hanckel ◽  
Yichien Lee ◽  
Christopher Albanese ◽  
...  

2001 ◽  
Vol 81 (12) ◽  
pp. 1904-1911 ◽  
Author(s):  
Ray D de Leon ◽  
Roland R Roy ◽  
V Reggie Edgerton

Abstract The recovery of stepping ability following a spinal cord injury may be achieved by restoring anatomical connectivity within the spinal cord. However, studies of locomotor recovery in animals with complete spinal cord transection suggest that the adult mammalian spinal cord can acquire the ability to generate stepping after all descending input is eliminated and in the absence of neuronal regeneration. Moreover, rehabilitative gait training has been shown to play a crucial role in teaching existing spinal pathways to generate locomotion and appropriately respond to sensory feedback. This brief review presents evidence that neural networks in the mammalian spinal cord can be modulated pharmacologically and/or with task-specific behavioral training to generate weight-bearing stepping after a spinal injury. Further, the role that spinal learning can play in the management of humans with spinal cord injury is discussed in relation to interventions that are designed primarily to enhance neuronal regeneration.


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