Outcomes Associated With Progressive Balance And Gait Training Using The KineAssist® Robot
| Status: | Completed |
|---|---|
| Conditions: | Neurology |
| Therapuetic Areas: | Neurology |
| Healthy: | No |
| Age Range: | 21 - Any |
| Updated: | 1/20/2017 |
| Start Date: | October 2008 |
Using a randomized controlled research design, compare walking outcomes resulting from gait
and balance training with standard physical therapist interaction versus training with the
addition of a KineAssist® robotic system that provides for safety and freedom of movement.
and balance training with standard physical therapist interaction versus training with the
addition of a KineAssist® robotic system that provides for safety and freedom of movement.
Several studies have investigated the use of balance and gait training and have demonstrated
significant improvements in walking speed with trained stroke survivors. The inherent risks
associated with balance and gait training requires the therapist to be vigilant with
providing safety and support during challenging tasks. As a result, consumers are not
challenged to their furthest limits and therapists put an inordinate amount of physical
effort into safety control. KineAssist® Design, LLC in collaboration with Rehabilitation
Institute of Chicago, developed the KineAssist® Balance and Gait Training System
(KineAssist®). The KineAssist® is a novel device that allows full freedom of motion for the
trunk and pelvis during gait and balance tasks, with additional postural control to enhance
balance stability. These functions are available while the device follows the individual
overground with minimal interference. The availability of postural control during complex
and omnidirectional movement tasks allows the clinician to guarantee consumer safety and
body weight support while at the same time provide graded task challenges to the fullest
limits of the consumers capabilities. This KineAssist® is revolutionary in that it is the
first device that is fully interactive and responsive to the movements and intentions of
both the consumer and the therapist during overground challenging balance and gait
activities.
Accordingly, the long-term objective of this research is to test the efficacy of robotically
enhanced, progressive gait and balance training for improving walking outcomes post-stroke.
The following two aims are designed to test whether the KineAssist® provides a more
challenging training environment than is typical with physical therapy, and then compares
walking outcomes as a result of long-term (6 weeks) training.
Aim: Using a randomized controlled research design, compare walking outcomes resulting from
gait and balance training with standard physical therapist interaction versus training with
the addition of a KineAssist®t.
Overall, these studies are an important advance for the development of effective clinical
interventions for individuals with impaired locomotor ability post-stroke. This study will
provide critical information on physiological effects and clinical outcomes and provide
important evidence for the use of this new class of robotic technology that accommodates
both the clinician and the consumer in stroke rehabilitation.
significant improvements in walking speed with trained stroke survivors. The inherent risks
associated with balance and gait training requires the therapist to be vigilant with
providing safety and support during challenging tasks. As a result, consumers are not
challenged to their furthest limits and therapists put an inordinate amount of physical
effort into safety control. KineAssist® Design, LLC in collaboration with Rehabilitation
Institute of Chicago, developed the KineAssist® Balance and Gait Training System
(KineAssist®). The KineAssist® is a novel device that allows full freedom of motion for the
trunk and pelvis during gait and balance tasks, with additional postural control to enhance
balance stability. These functions are available while the device follows the individual
overground with minimal interference. The availability of postural control during complex
and omnidirectional movement tasks allows the clinician to guarantee consumer safety and
body weight support while at the same time provide graded task challenges to the fullest
limits of the consumers capabilities. This KineAssist® is revolutionary in that it is the
first device that is fully interactive and responsive to the movements and intentions of
both the consumer and the therapist during overground challenging balance and gait
activities.
Accordingly, the long-term objective of this research is to test the efficacy of robotically
enhanced, progressive gait and balance training for improving walking outcomes post-stroke.
The following two aims are designed to test whether the KineAssist® provides a more
challenging training environment than is typical with physical therapy, and then compares
walking outcomes as a result of long-term (6 weeks) training.
Aim: Using a randomized controlled research design, compare walking outcomes resulting from
gait and balance training with standard physical therapist interaction versus training with
the addition of a KineAssist®t.
Overall, these studies are an important advance for the development of effective clinical
interventions for individuals with impaired locomotor ability post-stroke. This study will
provide critical information on physiological effects and clinical outcomes and provide
important evidence for the use of this new class of robotic technology that accommodates
both the clinician and the consumer in stroke rehabilitation.
Inclusion Criteria:
- > 6 months post-stroke
- post-stroke hemiparesis
- 1.0 m/sec or slower walking speed
Exclusion Criteria:
- musculoskeletal injury
- recent history of cardiac event
- other neurological disease or disorders
- inability to follow three-step commands
- uncontrolled diabetes and/or high blood pressure
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