Evaluation of a Novel Gait Training Device Using a Pressure Suit to Support Body Weight

Author(s):  
Sara R. Koehler-McNicholas ◽  
Alana Cataldo ◽  
Elizabeth Koch ◽  
Brittany Rud ◽  
Laura Gude ◽  
...  

Supporting body weight and balance control are foundations of our ability to move and function independently. However, neurological disease, injury, and aging often threaten these prerequisites of functional independence, leading to a decrease in quality of life. In the United States alone, 7.5 million individuals have survived stroke, traumatic brain injury (TBI), or spinal cord injury (SCI), and over a million new patients are diagnosed every year [1–2]. To improve gait function in these patient populations, partial body weight-supported gait training is a widely-used rehabilitation therapy. In general, the therapeutic quality of partial body weight-supported gait training is directly proportional to the amount of time patients are able to tolerate an upright posture (either standing or walking). To achieve an upright posture, therapists must first attach a support system (e.g., gait belt, harness lift system, exoskeleton), then several therapists must assist the patient into a standing position. Depending on the patient’s level of impairment, several therapists may also be needed to support and assist the patient while standing and walking, then again to remove the support system at the end of therapy. Accordingly, multiple therapists are often needed to provide a small quantity of upright physical therapy time with standard support systems. Furthermore, use of standard support systems can be uncomfortable and fatiguing for the patient, further reducing their actual therapeutic treatment time [3].

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


2013 ◽  
Vol 37 (6) ◽  
pp. 445-453 ◽  
Author(s):  
Ivan YW Su ◽  
Kenny KY Chung ◽  
Daniel HK Chow

Background:Partial body weight-supported treadmill training has been shown to be effective in gait training for patients with neurological disorders such as spinal cord injuries and stroke. Recent applications on children with cerebral palsy were reported, mostly on spastic cerebral palsy with single subject design. There is lack of evidence on the effectiveness of such training for nonspastic cerebral palsy, particularly those who are low functioning with limited intellectual capacity.Objectives:This study evaluated the effectiveness of partial body weight-supported treadmill training for improving gross motor skills among these clients.Study design:A two-period randomized crossover design with repeated measures.Methods:A crossover design following an A–B versus a B–A pattern was adopted. The two training periods consisted of 12-week partial body weight-supported treadmill training (Training A) and 12-week conventional gait training (Training B) with a 10-week washout in between. Ten school-age participants with nonspastic cerebral palsy and severe mental retardation were recruited. The Gross Motor Function Measure-66 was administered immediately before and after each training period.Results:Significant improvements in dimensions D and E of the Gross Motor Function Measure-66 and the Gross Motor Ability Estimator were obtained.Conclusions:Our findings revealed that the partial body weight-supported treadmill training was effective in improving gross motor skills for low-functioning children and adolescents with nonspastic cerebral palsy.Clinical relevanceOur preliminary findings demonstrated that partial body weight-supported treadmill training was a treatment of choice for improving gross motor functioning related to standing and ambulation for low-functioning children and adolescents with nonspastic cerebral palsy and limited intellectual capacity.


2016 ◽  
Vol 8 (12) ◽  
pp. 168781401668359 ◽  
Author(s):  
Tran Van Thuc ◽  
Shin-ichiroh Yamamoto

This study introduces the development of a new body weight support system using pneumatic actuators for gait training. The main scope of this work is to provide a new design, validation, and assessment for active body weight support systems to reproduce a subject’s normal walking behavior. Based on the assessments and its evaluations, the novel body weight support system using pneumatic muscle actuators shows many advantageous characteristics, such as simplicity, low cost, maintenance of a constant unloading force, and ease of control of the supported force. The capability of the novel body weight support system to generate unloading forces that track the center of pressure, because it switches from left to right and vice versa as the subject walks, is especially interesting.


2019 ◽  
Vol 3 (1) ◽  
pp. 73
Author(s):  
Yustria Handika Siregar ◽  
Adi Widarma

Abstract - White oyster mushroom is a micro business that is popular in most parts of Indonesia. At present many farmers cultivate white oyster mushrooms. In order for the quality of mushrooms to be optimal, the farmers in the cultivation of white oyster mushrooms always attend training. The quality of oyster mushrooms can be considered by factors that affect the growth of oyster mushrooms themselves. The good quality of mushrooms can increase the selling value of the mushrooms themselves. The decision support system can be used to determine the quality of oyster mushrooms. In this study also the implications of fuzzy logic. It is hoped that the farmers can use the quality of the best oyster mushrooms.Keywords - Decision Support Systems, Best Quality, White Oyster Mushrooms and Fuzzy Logic.  Abstract - Jamur  tiram  putih  merupakan  usaha  mikro  yang  populer  sebagian  besar  di  wilayah  Indonesia. Pada saat ini banyak para petani yang membudidayakan jamur tiram putih. Agar kualitas jamur dapat optimal maka para petani dalam budidaya jamur tiram putih selalu mengikuti pelatihan- pelatihan.  Kualitas  jamur  tiram  dapat  diperhatikan  dengan  faktor-faktor  yang  mempengaruhi pertumbuhan  jamur  tiram  itu  sendiri.  Kualitas  jamur  yang  baik  dapat  meningkatkan  nilai  jual jamur  itu  sendiri.  Sistem  pedukung  keputusan  dapat  digunakan  dalam  menentukan  kualitas jamur  tiram.  Dalam  penelitian  ini  juga  di  impletasikan  logika  fuzzy.  Diharapkan  dapat digunakan para petani dalam menentukan kualitas jamur tiram terbaik. Kata kunci - Sistem Pendukung Keputusan, Kualitas Terbaik, Jamur Tiram Putih dan Logika Fuzzy.


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