Interactive cueing with Walk-Mate for hemiparetic stroke rehabilitation.
Interactive cueing with Walk-Mate for hemiparetic stroke rehabilitation.
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DOI：
10.1186/1743-0003-9-58
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发表时间：
2012-08-21
影响因子：
5.1
通讯作者：
Poeppel E
中科院分区：
文献类型：
--
作者：
Muto T;Herzberger B;Hermsdoerfer J;Miyake Y;Poeppel E
最近报道了许多使用外部控制刺激来补偿日常生活中的运动问题的技术。这些技术对于毫不费力地支持患者的运动功能是有益的，但是这些设备的用户必须保持对它们的依赖。有可能一些步态障碍的个体可能无法恢复运动功能。因此，从康复的角度来看，可以假设，理想地，应该提出可以在日常生活中使用以改善身体本身的运动功能的装置。我们评估的有效性Walk-Mate，这已被主要用作步态补偿设备，作为步态康复训练设备，通过分析改善偏瘫患者的运动之前，期间和之后的康复，并将其与以前的步态训练方法进行比较。Walk-Mate响应于用户在真实的时间中的运动来生成模型步行节奏，并且通过使用听觉刺激来指示该节奏，提供了一种通过减少脚接触节奏的不对称和波动来支持步行的技术。如果患者可以使用该系统学习有规律的步行节奏，那么它也有望实现日常生活中步态康复训练设备的功能。关于不对称性，在使用Walk-Mate的训练过程中，补偿运动有显着改善，但改善并没有作为康复结果保留。关于足部接触期的波动，在训练期间观察到补偿运动的显著改善，这些显著改善作为康复结果保留。此外，很明显，这样的改善不能充分地获得由先前提出的训练技术利用恒定的节奏听觉刺激。Walk-Mate通过改善训练期间和训练后的步态节律，有效地补偿了偏瘫患者的运动问题，表明部分患者的运动功能可以有效恢复。Walk-Mate的交互机制可能能够同时实现先前在单独框架下开发的步态补偿和步态康复训练方法的目的。Walk-Mate是一种很有前途的技术，可帮助残疾人重新融入社会。
Many techniques that compensate for locomotion problems in daily life using externally controlled stimulation have recently been reported. These techniques are beneficial for effortlessly supporting patients’ locomotive functions, but the users of such devices must necessarily remain dependent on them. It is possible that some individuals with gait impairment may be prevented recovering locomotive function. From a rehabilitation viewpoint, it may therefore be supposed that ideally, devices that can be used in daily life to improve the locomotive functions of the body itself should be proposed. We evaluate the effectiveness of Walk-Mate, which has been used mainly as a gait compensation device, as a gait rehabilitation training device by analyzing improvement in locomotion before, during and after rehabilitation in hemiparetic patients and comparing it with a previous gait training method. Walk-Mate generates a model walking rhythm in response to a user’s locomotion in real time, and by indicating this rhythm using auditory stimuli, provides a technology that supports walking by reducing asymmetries and fluctuations in foot contact rhythm. If patients can use the system to learn a regulated walking rhythm, then it may also be expected to fulfil the functions of a gait rehabilitation training device for daily life. With regard to asymmetry, significantly improvements were seen for compensatory movement during training using Walk-Mate, but improvements were not retained as rehabilitative results. Regarding fluctuations in the foot contact period, significant improvement was observed for compensatory movement during training and these significant improvements were retained as rehabilitative results. In addition, it became clear that such improvement could not be adequately obtained by the previously proposed training technique utilizing constant rhythmic auditory stimulation. Walk-Mate effectively compensated for locomotion problems of hemiparetic patients by improving gait rhythm both during and after training, suggesting that locomotive function can be effectively recovered in some patients. The interactive mechanism of Walk-Mate may be capable of simultaneously achieving the aims of gait compensation and gait rehabilitation training methods previously developed under individual frameworks. Walk-Mate is a promising technology for assisting the reintegration of disabled persons into society.
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影响因子：
9.9
作者：
MESTRE, D;BLIN, O;SERRATRICE, G
通讯作者：
SERRATRICE, G
影响因子：
6.4
作者：
Mori, Yoshikazu;Okada, Jun;Takayama, Kazubiro
通讯作者：
Takayama, Kazubiro
DOI：
10.20965/jaciii.2011.p0534
发表时间：
2011-07-01
影响因子：
0.7
作者：
Muto, Takeshi;Miyake, Yoshihiro
通讯作者：
Miyake, Yoshihiro
影响因子：
2.5
作者：
DREW, T
通讯作者：
DREW, T
影响因子：
56.9
作者：
GRILLNER, S
通讯作者：
GRILLNER, S