I have 55 posts on exoskeletons so your doctor doesn't have to do any research at all, just read about them. If they can't even keep up with current rehabilitation research, why are you paying them at all? Sounds like a call to the president is needed to find out why the stroke department head is not doing their job.
Picture here:
https://vimeo.com/122952767
Study here:
The H2 robotic exoskeleton for gait rehabilitation after stroke: early findings from a clinical study
1
Neural Rehabilitation Group, Cajal Institute, Spanish Research Council,
Av. Doctor Arce 37, Madrid 28002, Spain
2 Noninvasive Brain-Machine Interface Systems Laboratory, Department of Electrical and Computer Engineering, University of Houston, Houston 77204-4005, USA
3 TIRR Memorial Hermann and Department of PM&R, University of Texas Health Sciences Center, 1333 Moursund Street, Houston 77030, USA
4 Currently at Palo Alto Research Center, a Xerox company, Palo Alto CA 94304, USA
2 Noninvasive Brain-Machine Interface Systems Laboratory, Department of Electrical and Computer Engineering, University of Houston, Houston 77204-4005, USA
3 TIRR Memorial Hermann and Department of PM&R, University of Texas Health Sciences Center, 1333 Moursund Street, Houston 77030, USA
4 Currently at Palo Alto Research Center, a Xerox company, Palo Alto CA 94304, USA
Journal of NeuroEngineering and Rehabilitation 2015, 12:54
doi:10.1186/s12984-015-0048-y
The electronic version of this article is the complete one and can be found online at: http://www.jneuroengrehab.com/content/12/1/54
The electronic version of this article is the complete one and can be found online at: http://www.jneuroengrehab.com/content/12/1/54
| Received: | 30 August 2014 |
| Accepted: | 4 June 2015 |
| Published: | 17 June 2015 |
© 2015 Bortole et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Abstract
Background
Stroke significantly affects thousands of individuals annually, leading to considerable
physical impairment and functional disability. Gait is one of the most important activities
of daily living affected in stroke survivors. Recent technological developments in
powered robotics exoskeletons can create powerful adjunctive tools for rehabilitation
and potentially accelerate functional recovery. Here, we present the development and
evaluation of a novel lower limb robotic exoskeleton, namely H2 (Technaid S.L., Spain),
for gait rehabilitation in stroke survivors.
Methods
H2 has six actuated joints and is designed to allow intensive overground gait training.
An assistive gait control algorithm was developed to create a force field along a
desired trajectory, only applying torque when patients deviate from the prescribed
movement pattern. The device was evaluated in 3 hemiparetic stroke patients across
4 weeks of training per individual (approximately 12 sessions). The study was approved
by the Institutional Review Board at the University of Houston. The main objective
of this initial pre-clinical study was to evaluate the safety and usability of the
exoskeleton. A Likert scale was used to measure patient’s perception about the easy
of use of the device.
Results
Three stroke patients completed the study. The training was well tolerated and no
adverse events occurred. Early findings demonstrate that H2 appears to be safe and
easy to use in the participants of this study. The overground training environment
employed as a means to enhance active patient engagement proved to be challenging
and exciting for patients. These results are promising and encourage future rehabilitation
training with a larger cohort of patients.
Conclusions
The developed exoskeleton enables longitudinal overground training of walking in hemiparetic
patients after stroke. The system is robust and safe when applied to assist a stroke
patient performing an overground walking task. Such device opens the opportunity to
study means to optimize a rehabilitation treatment that can be customized for individuals.
Trial registration: This study was registered at ClinicalTrials.gov (https://clinicaltrials.gov/show/NCT02114450 webcite).
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