Top > JRM > Pilot Study of Split Belt Treadmill Based Gait Rehabilitation ...

single-rb.php

JRM Vol.24 No.5 pp. 884-893
doi: 10.20965/jrm.2012.p0884
(2012)

Paper:

Views over last 60 days: 770

Pilot Study of Split Belt Treadmill Based Gait Rehabilitation System for Symmetric Stroke Gait

Takeshi Ando*,**, Eiichi Ohki**, Yasutaka Nakashima**,
Yutaka Akita***, Hiroshi Iijima***, Osamu Tanaka***,
and Masakatsu G. Fujie**

*Robotics and Design for Innovative Healthcare, Graduate School of Medicine, Osaka University, 1-7 Yamada-oka, Suita, Osaka 565-0871, Japan

**Graduate School of Creative Science and Engineering, Faculty of Science and Engineering, Waseda University, 59-309, 3-4-1 Ohkubo, Shinjuku, Tokyo 169-8555, Japan

***Yokohama Rehabilitation Foundation, 1770 Karasuyama-cyo, Kouhoku-ku, Yokohama, Kanagawa 222-0035, Japan

Received:
September 9, 2011
Accepted:
August 28, 2012
Published:
October 20, 2012
Creative Commons License
Keywords:
rehabilitation, treadmill, biofeedback, stroke
Abstract
A split belt treadmill for gait rehabilitation was developed to improve the symmetry of the stance phase time of patients with stroke. The system, which increases the stance phase time of the affected leg and then realizes a well-balanced gait, is divided into two components. First, the stance phases of the sound and affected legs were measured and presented visually in real time to the patient and physical therapist as biofeedback. Second, using stance phase biofeedback, the physical therapist sets two different velocities of treadmill belts for sound and affected legs. In an experiment, 11 patients with chronic stroke participated in a short-term intervention trial (20 gait cycles) of the developed treadmill system. Three of the five subjects who had lost balance between the stance phase of the sound leg and that of the affected one improved their gait balance in the intervention trial. In addition, one subject kept the well-balanced gait after the intervention.
Cite this article as:
T. Ando, E. Ohki, Y. Nakashima, Y. Akita, H. Iijima, O. Tanaka, and M. Fujie, “Pilot Study of Split Belt Treadmill Based Gait Rehabilitation System for Symmetric Stroke Gait,” J. Robot. Mechatron., Vol.24 No.5, pp. 884-893, 2012.
Data files:
References
  1. [1] S. Yamauchi, “Advanced Interdisciplinary Human Research in Assistive Technology for Elderly Persons and Persons with Disability,” Advanced Robotics, Vol.23, pp. 1455-1458, 2009.
  2. [2] Y. Nemoto, S. Egawa, A. Koseki, S. Hattori, T. Ishii, and M. Fujie, “Power-assisted walking support system for elderly,” Proc. of the 20th Annual Int. Conf. of the IEEE Engineering in Medicine and Biology Society, Vol.5, pp. 2693-2695, 1998.
  3. [3] W. Svensson and U. Holmberg, “Ankle-Foot-Orthosis Control in Inclinations and Stairs,” 2008 IEEE Conf. on Robotics, Automation and Mechatronics, pp. 301-306, 2008.
  4. [4] N. D. Neckel, D. Nichols, and J. M. Hidler, “Joint Moments Exhibited by Chronic Stroke Subjects While Walking with a Prescribed Physiological Gait Pattern,” IEEE 10th Int. Conf. on Rehabilitation Robotics, pp. 771-775, 2007.
  5. [5] K. Suzuki, G. Mito, H. Kawamoto, Y. Hasegawa, and Y. Sankai, “Intention-based walking support for paraplegia patients with Robot Suit HAL,” Advanced Robotics, Vol.21, No.12, pp. 1441-1469, 2007.
  6. [6] S. Hesse, C. Bertelt, M. T. Jahnke, A. Schaffrin, P. Baake, M. Malezic, and K. H. Mauritz, “Treadmill Training With Partial Body Weight Support Compared With Physiotherapy in Nonambulatory Hemiparetic Patients,” Stroke, Vol.26, pp. 976-981, 1995.
  7. [7] R. Bayat, H. Barbeau, and A. Lamontagne, “Speed and Temporal-Distance Adaptations during Treadmill and Overground Walking Following Stroke,” Neurorehabil Neural Repair, Vol.19, pp. 115-124, 2005.
  8. [8] M. Roerdink, C. J. C. Lamoth, G. Kwakkel, P. C. W. van Wieringen, and P. J. Beek, “Gait Coordination After Stroke: Benefits of Acoustically Paced Treadmill Walking,” Physical Therapy, Vol.87, No.8, pp. 1009-1022, 2007.
  9. [9] T. Mori, “Clinical Application of Walk Training Robot with Separated Belt Treadmill,” The J. of Japanese Physical Therapy Association, Vol.28, No.3, pp. 40-41, 2001 (in Japanese).
  10. [10] T. Tani, A. Sakai, A. Koseki, S. Hattori, and M. Fujie, “Use of a Treadmill for Rehabilitation with Active Impedance Control,” Trans. of the Japan Society of Mechanical Engineers, C, Vol.63, No.613, pp. 3168-3173, 1997 (in Japanese).
  11. [11] T. Tani, A. Ouchi, and M. Fujie, “Development and Evaluation of Walk Training Robot System,” J. of the Society of Biomechanisms, Vol.22, No.4, pp. 169-173, 1998 (in Japanese).
  12. [12] M. P. Murray, “Gait as a total pattern of movement,” Am. J. Phys. Med., Vol.46, pp. 290-333, 1967.
  13. [13] M. Peat, H. I. C. Dubo, D. A. Winter et al., “Electromyographic temporal analysis of gait: hemiplegic locomotion,” Arch. Phys. Med. Rehabil., Vol.57, pp. 421-425, 1976.
  14. [14] T. S. Kuan, J. Y. Tsuo, and F. C. Su, “Hemiplegic gait of stroke patients; the effect of using a cane,” Arch. Phys. Med. Rehabil., Vol.80, pp. 777-784, 1999.
  15. [15] M. E. Brandstater, H. de Bruin, C. Gowland et al., “Hemiplegic gait: analysis of temporal variables,” Arch. Phys. Med. Rehabil., Vol.64, pp. 583-587, 1983.
  16. [16] K. Sugawara, S. Uchida, T. Ishihara, H. Takahashi, A. Tsubahara, and K. Akaboshi, “Relationship between Walking Task Performance and Motor Function in Stroke Patients,” Japanese physical therapy, Vol.20, No.5, pp. 289-293, 1993 (in Japanese).
  17. [17] T. Muto, B. Herzberger, J. Hermsdörfer, Y. Miyake, and E. Pöppel, “Interactive Gait Training Device “Walk-Mate” for Hemiparetic Stroke Rehabilitation,” IEEE/RSJ IROS 2007, pp. 2268-2274, 2007.
  18. [18] D. S. Reisman, R. Wityk, K. Silver, and A. J. Bastian, “Locomotor adaptation on a split-belt treadmill can improve walking symmetry post-stroke,” Brain, Vol.130, No.7, pp. 1861-1872, 2007.
  19. [19] D. S. Reisman, R. Wityk, K. Silver, and A. J. Bastian, “Split-Belt Treadmill Adaptation Transfers to Overground Walking in Persons Poststroke,” Neurorehabil Neural Repair, Vol.23, No.7, pp. 735-744, 2009.
  20. [20] L. Lünenburger, G. Colombo, and R. Riener, “Biofeedback for robotic gait rehabilitation,” J. of NeuroEngineering and Rehabilitation, 2007, No.4, pp. 1-11, 2007.
  21. [21] E. Ohki, Y. Nakashima, T. Ando, and M. G. Fujie, “Treadmill Motor Current Value Based Walk Phase Estimation,” 31st Annual Int. Conf. of the IEEE EMBS, pp. 7131-7134, 2009.
  22. [22] E. Ohki, Y. Nakashima, T. Ando, andM. G. Fujie, “An Algorithm of Walk Phase Estimation with Only Treadmill Motor Current,” 2009 IEEE/RSJ Int. Conf. on Intelligent Robots and Systems, pp. 4060-4066, 2009.
  23. [23] E. Ohki, T. Ando, M. Nihei, and M. G. Fujie, “Walking support robot “Tread Walk” for alleviating asymmetricity of hemiplegic walk – Effect of walk speed difference with separated treadmill –,” In Robomec, Nagano, 1P1-D07, 2008 (in Japanese).
  24. [24] Y. Yamauchi and Y. Haruki, “Graphic psychology of learning,” pp. 100-101, Science inc., 2001.
  25. [25] S. Brunnstrom, “Motor testing procedures in hemiplegia,” Phys. Ther., Vol.46, pp. 357-375, 1966.

Creative Commons License  This article is published under a Creative Commons Attribution-NoDerivatives 4.0 Internationa License.

Copyright© 2012 by Fuji Technology Press Ltd. and Japan Society of Mechanical Engineers. All right reserved.

*This site is desgined based on HTML5 and CSS3 for modern browsers, e.g. Chrome, Firefox, Safari, Edge, Opera.

Last updated on Apr. 18, 2024