RehabMove 2018: THE EFFECT OF ASSIST-AS-NEEDED SUPPORT ON ENERGY EXPENDITURE DURING ROBOTIC GAIT TRAINING OF STROKE PATIENTS
| Main Authors: | Fleerkotte, B.M., Buurke, J.H., Van Asseldonk, E.H.F., Rietman, J.S. |
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| Format: | Proceeding |
| Bahasa: | eng |
| Terbitan: |
, 2018
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| Subjects: | |
| Online Access: |
https://zenodo.org/record/1483679 |
Daftar Isi:
- PURPOSE: Effectiveness of robotic gait training in rehabilitation of stroke patients remains inconclusive. A reason could be that the current robotic gait trainers do not initiate motor learning principles enough. To encourage active participation of the patient and therefore motor learning, assist-as-needed support strategies have been implemented in the robotic gait trainer LOPESII. Aim of the current study was to examine the effect of assist-as-needed support on energy expenditure. METHODS: Ten chronic stroke patients completed three 6-minute walking trials in LOPESII, with zero-support, AAN-support for stiff knee gait and complete-support. The amount of guidance force given during the AAN-support and complete-support was depending on gaining the reference peak knee flexion angle. Metabolic parameters were measured and compared between support conditions. RESULTS: Although two patients showed a clear elevation in energy expenditure during the zero-support and AAN-support compared to the complete-support, no significant differences in net metabolic power were observed overall. CONCLUSION: no evidence was found that AAN-support asks a higher active participation of the participant using AAN-support during robot gait training with LOPESII. More research has to be done after the effect of amount of guidance force and interaction forces.