Matches in SemOpenAlex for { <https://semopenalex.org/work/W3182191509> ?p ?o ?g. }
- W3182191509 abstract "Abstract Background Transfemoral amputation is a serious intervention that alters the locomotion pattern, leading to secondary disorders and reduced quality of life. The outcomes of current gait rehabilitation for TFAs seem to be highly dependent on factors such as the duration and intensity of the treatment and the age or etiology of the patient. Although the use of robotic assistance for prosthetic gait rehabilitation has been limited, robotic technologies have demonstrated positive rehabilitative effects for other mobility disorders and may thus offer a promising solution for the restoration of healthy gait in TFAs. This study therefore explored the feasibility of using a bilateral powered hip orthosis (APO) to train the gait of community-ambulating TFAs and the effects on their walking abilities. Methods Seven participants (46–71 years old with different mobility levels) were included in the study and assigned to one of two groups (namely Symmetry and Speed groups) according to their prosthesis type, mobility level, and prior experience with the exoskeleton. Each participant engaged in a maximum of 12 sessions, divided into one Enrollment session, one Tuning session, two Assessment sessions (conducted before and after the training program), and eight Training sessions, each consisting of 20 minutes of robotically assisted overground walking combined with additional tasks. The two groups were assisted by different torque-phase profiles, aiming at improving symmetry for the Symmetry group and at maximizing the net power transferred by the APO for the Speed group. During the Assessment sessions, participants performed two 6-min walking tests (6mWTs), one with ( Exo ) and one without ( NoExo ) the exoskeleton, at either maximal ( Symmetry group) or self-selected ( Speed group) speed. Spatio-temporal gait parameters were recorded by commercial measurement equipment as well as by the APO sensors, and metabolic efficiency was estimated via the Cost of Transport (CoT). Additionally, kinetic and kinematic data were recorded before and after treatment in the NoExo condition. Results The one-month training protocol was found to be a feasible strategy to train TFAs, as all participants smoothly completed the clinical protocol with no relevant mechanical failures of the APO. The walking performance of participants improved after the training. During the 6mWT in NoExo , participants in the Symmetry and Speed groups respectively walked 17.4% and 11.7% farther and increased walking speed by 13.7% and 17.9%, with improved temporal and spatial symmetry for the former group and decreased energetic expenditure for the latter. Gait analysis showed that ankle power, step width, and hip kinematics were modified towards healthy reference levels in both groups. In the Exo condition metabolic efficiency was reduced by 3% for the Symmetry group and more than 20% for the Speed group. Conclusions This study presents the first pilot study to apply a wearable robotic orthosis (APO) to assist TFAs in an overground gait rehabilitation program. The proposed APO-assisted training program was demonstrated as a feasible strategy to train TFAs in a rehabilitation setting. Subjects improved their walking abilities, although further studies are required to evaluate the effectiveness of the APO compared to other gait interventions. Future protocols will include a lighter version of the APO along with optimized assistive strategies." @default.
- W3182191509 created "2021-07-19" @default.
- W3182191509 creator A5008055713 @default.
- W3182191509 creator A5019123028 @default.
- W3182191509 creator A5024925828 @default.
- W3182191509 creator A5031562133 @default.
- W3182191509 creator A5031627615 @default.
- W3182191509 creator A5044499832 @default.
- W3182191509 creator A5048892962 @default.
- W3182191509 creator A5051172439 @default.
- W3182191509 creator A5060259931 @default.
- W3182191509 creator A5064061584 @default.
- W3182191509 creator A5067908075 @default.
- W3182191509 creator A5076431041 @default.
- W3182191509 creator A5081048549 @default.
- W3182191509 creator A5087149065 @default.
- W3182191509 creator A5088311030 @default.
- W3182191509 date "2021-07-03" @default.
- W3182191509 modified "2023-10-15" @default.
- W3182191509 title "Robot-mediated overground gait training for transfemoral amputees with a powered bilateral hip orthosis: a pilot study" @default.
- W3182191509 cites W1587236774 @default.
- W3182191509 cites W1810639776 @default.
- W3182191509 cites W1847168837 @default.
- W3182191509 cites W1965335224 @default.
- W3182191509 cites W1978883272 @default.
- W3182191509 cites W1984311968 @default.
- W3182191509 cites W1990038185 @default.
- W3182191509 cites W1998521777 @default.
- W3182191509 cites W2003818903 @default.
- W3182191509 cites W200394639 @default.
- W3182191509 cites W2008039825 @default.
- W3182191509 cites W2016487013 @default.
- W3182191509 cites W2018457736 @default.
- W3182191509 cites W2027161315 @default.
- W3182191509 cites W2027508848 @default.
- W3182191509 cites W2031779566 @default.
- W3182191509 cites W2036494358 @default.
- W3182191509 cites W2049223406 @default.
- W3182191509 cites W2056557319 @default.
- W3182191509 cites W2065560066 @default.
- W3182191509 cites W2079209541 @default.
- W3182191509 cites W2082421462 @default.
- W3182191509 cites W2084029271 @default.
- W3182191509 cites W2084489767 @default.
- W3182191509 cites W2089826029 @default.
- W3182191509 cites W2090524875 @default.
- W3182191509 cites W2092361216 @default.
- W3182191509 cites W2092485663 @default.
- W3182191509 cites W2095342778 @default.
- W3182191509 cites W2103792813 @default.
- W3182191509 cites W2116978994 @default.
- W3182191509 cites W2120877814 @default.
- W3182191509 cites W2122887607 @default.
- W3182191509 cites W2129636549 @default.
- W3182191509 cites W2133598855 @default.
- W3182191509 cites W2139740420 @default.
- W3182191509 cites W2141774335 @default.
- W3182191509 cites W2142842427 @default.
- W3182191509 cites W2148534277 @default.
- W3182191509 cites W2152761505 @default.
- W3182191509 cites W2154553161 @default.
- W3182191509 cites W2163505224 @default.
- W3182191509 cites W2166978470 @default.
- W3182191509 cites W2170477928 @default.
- W3182191509 cites W2171085980 @default.
- W3182191509 cites W2172064320 @default.
- W3182191509 cites W2270185588 @default.
- W3182191509 cites W2331736636 @default.
- W3182191509 cites W2333733261 @default.
- W3182191509 cites W2343715419 @default.
- W3182191509 cites W2346991801 @default.
- W3182191509 cites W2398855487 @default.
- W3182191509 cites W2518419362 @default.
- W3182191509 cites W2523818403 @default.
- W3182191509 cites W2525653002 @default.
- W3182191509 cites W2569745235 @default.
- W3182191509 cites W2594043787 @default.
- W3182191509 cites W2742250168 @default.
- W3182191509 cites W2755367247 @default.
- W3182191509 cites W2758162149 @default.
- W3182191509 cites W2792760116 @default.
- W3182191509 cites W2885244814 @default.
- W3182191509 cites W2891698211 @default.
- W3182191509 cites W2914765137 @default.
- W3182191509 cites W2944344930 @default.
- W3182191509 cites W2949021597 @default.
- W3182191509 cites W2953915543 @default.
- W3182191509 cites W2983409913 @default.
- W3182191509 cites W2999347548 @default.
- W3182191509 cites W3094084323 @default.
- W3182191509 doi "https://doi.org/10.1186/s12984-021-00902-7" @default.
- W3182191509 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/8254913" @default.
- W3182191509 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/34217307" @default.
- W3182191509 hasPublicationYear "2021" @default.
- W3182191509 type Work @default.
- W3182191509 sameAs 3182191509 @default.
- W3182191509 citedByCount "5" @default.
- W3182191509 countsByYear W31821915092022 @default.
- W3182191509 countsByYear W31821915092023 @default.
- W3182191509 crossrefType "journal-article" @default.