Robot-assisted walking with the Lokomat: The influence of different levels of guidance force on thorax and pelvis kinematics

Swinnen, Eva and Baeyens, Jean Pierre and Knaepen, Kristel and Michielsen, Marc and Clijsen, Ron and Beckweé, David and Kerckhofs, Eric (2015) Robot-assisted walking with the Lokomat: The influence of different levels of guidance force on thorax and pelvis kinematics. Clinical Biomechanics, 30 (3). pp. 254-259. ISSN 0268-0033

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Abstract

Background: Little attention has been devoted to the thorax and pelvis movements during gait. The aim of this study is to compare differences in the thorax and pelvis kinematics during unassisted walking on a treadmill and during walking with robot assistance (Lokomat-system (Hocoma, Volketswil, Switzerland)). Methods: 18 healthy persons walked on a treadmill with and without the Lokomat system at 2 kmph. Three different conditions of guidance force (30%, 60% and 100%)were used during robot-assisted treadmill walking (30% body weight support). The maximal movement amplitudes of the thorax and pelvis were measured (Polhemus Liberty™ (Polhemus, Colchester, Vermont, USA) (240/16)). A repeated measurement ANOVA was conducted. Findings: Robot-assisted treadmill walking with different levels of guidance force showed significantly smaller maximal movement amplitudes for thorax and pelvis, compared to treadmill walking. Only the anteroposterior tilting of the pelvis was significantly increased during robot-assisted treadmill walking compared to treadmill walking. No significant changes of kinematic parameters were found between the different levels of guidance force. Interpretation: With regard to the thorax and pelvis movements, robot-assisted treadmillwalking is significantly different compared to treadmillwalking. It can be concluded thatwhen using robot assistance, the thorax is stimulated in a different way than during walking without robot assistance, influencing the balance training during gait.

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