Gait training after stroke is often associated with rehabilitation robotics and virtual environment in order to simulate practice of different functional gait tasks. Changing direction, walking up and down the slope are important skills that need to be practiced. The aim of this preliminary study was to compare inclined treadmill walking and turning conditions with its emulations on a recently developed Balance Assessment Robot for Treadmill walking (BART) on a basis of ground reaction forces (GRF) and lower extremity electromyography (EMG). First, a healthy participant walked overground straight, turning to left and right direction at a predefined walking speed and radius, and walking uphill and downhill on a sloped BART. After that, the participant walked with the proposed and integrated emulation strategies on BART, designed to induce hill walking and turning in human locomotion behaviour. The results of hill walking emulation show high similarities with the inclined treadmill walking, while turning emulation show high similarities when comparing GRF data and some similarities to the overground turning behaviour when comparing EMG data. Further studies on a group of subjects should compare inclined treadmill walking and turning with proposed emulation in order to investigate feasibility of the proposed approach in rehabilitation.
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http://dx.doi.org/10.1109/ICORR.2019.8779474 | DOI Listing |
J Physiol
December 2024
School of Biological Sciences, Georgia Institute of Technology, Atlanta, GA, USA.
Previous studies established strong links between morphological characteristics of mammalian hindlimb muscles and their sensorimotor functions during locomotion. Less is known about the role of forelimb morphology in motor outputs and generation of sensory signals. Here, we measured morphological characteristics of 46 forelimb muscles from six cats.
View Article and Find Full Text PDFEur J Neurol
January 2025
UOC Clinica Neurologica Rete Metropolitana NEUROMET, IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.
Background: The efficacy of subthalamic stimulation on axial signs of Parkinson's disease (PD) is debated in the literature. This study delves into the dynamic interplay of gait and posture, specifically probing their nuanced response to subthalamic stimulation and levodopa.
Methods: We used wearable sensor technology to examine alterations in the spatiotemporal parameters of gait and posture in individuals with PD before and 6 months after subthalamic deep brain stimulation (STN-DBS) surgery.
PM R
December 2024
Department of Physical Medicine and Rehabilitation, College of Medicine, University of Florida, Gainesville, Florida, USA.
Purpose: To determine the effect of obesity on physical function and clinical outcome measures in patients who received inpatient rehabilitation services for lower extremity amputation.
Methods: A retrospective review was performed on patients with lower extremity amputation (n = 951). Patients were stratified into five categories adjusted for limb loss mass across different levels of healthy body mass index (BMI), overweight, and obesity.
Exp Aging Res
December 2024
Department of Health Promotion Science, Tokyo Metropolitan University, Tokyo, Japan.
A sudden turn initiated at an unpredictable moment is referred to as reactive turning. This study was designed to seek an age-related decrease in reactive turning when the task demand for turning was increased using a task-switching paradigm. Twenty healthy older adults and 14 younger adults were instructed to walk and execute a 90-degree turn under two conditions.
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December 2024
Department of Oral Pathology and Microbiology, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Background: Stroke leads to various impairments like motor deficits, impaired trunk control and restricted mobility. However, rehabilitation professionals often underestimate the fundamental function of turning, which is essential for daily living activities like walking, cooking, or performing household chores. Impaired turning can be attributed to motor deficits post-stroke, resulting in restricted mobility and impaired trunk movement.
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