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Robotic Rehabilitation of Locomotion


S. Jezernik

Glasgow, Scotland, University of Glasgow, Invited Talk, Centre for Systems and Control/Spinal Injury Unit of Scotland.

Treadmill training is a recent, but already established rehabilitation exercise to improve the mobility of spinal cord injured patients. Physiotherapists move the legs of the partially body-weight unloaded patients in a periodic way to achieve walking on the treadmill. A robotic orthosis called Lokomat (4 DOF) was built at our center to automate the treadmill training in order to provide more regular and prolonged training, and to relieve the physiotherapists. However, an active patient effort and a varying gait-pattern might increase the therapeutic effect of the training. For this purpose we have developed three on-line gait-pattern adaptation algorithms that allow the patient to actively change the way he/she walks on the treadmill. In the talk I will focus on the neurophysiological basis of the treadmill training, the Lokomat, the concept of gait-pattern adaptation, and on clinical results of the treadmill training.


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