Effects of selectively assisting impaired subtasks of walking in chronic stroke survivors.

Journal: Journal of neuroengineering and rehabilitation
Published Date:

Abstract

BACKGROUND: Recently developed controllers for robot-assisted gait training allow for the adjustment of assistance for specific subtasks (i.e. specific joints and intervals of the gait cycle that are related to common impairments after stroke). However, not much is known about possible interactions between subtasks and a better understanding of this can help to optimize (manual or automatic) assistance tuning in the future. In this study, we assessed the effect of separately assisting three commonly impaired subtasks after stroke: foot clearance (FC, knee flexion/extension during swing), stability during stance (SS, knee flexion/extension during stance) and weight shift (WS, lateral pelvis movement). For each of the assisted subtasks, we determined the influence on the performance of the respective subtask, and possible effects on other subtasks of walking and spatiotemporal gait parameters.

Authors

  • Simone S Fricke
    Department of Biomechanical Engineering, University of Twente, Enschede, The Netherlands. s.s.fricke@utwente.nl.
  • Hilde J G Smits
    Department of Biomechanical Engineering, University of Twente, Enschede, The Netherlands.
  • Cristina Bayón
    Centre for Automation and Robotics (CAR), CSIC-UPM, Ctra Campo Real km 0.2 - La Poveda-Arganda del Rey, 28500, Madrid, Spain.
  • Jaap H Buurke
    Roessingh Research and Development, Roessinghsbleekweg 33b, 7522 AH, Enschede, The Netherlands. j.buurke@rrd.nl.
  • Herman van der Kooij
  • Edwin H F van Asseldonk
    120691 University of Twente, Enschede, The Netherlands.