Resistance training using a novel robotic walker for over-ground gait rehabilitation: a preliminary study on healthy subjects.

Strength training is an aspect of gait rehabilitation, which complements balance control and weight-bearing training. However, conventional strength training does not show positive gait outcomes, due to lack of task specificity. Therefore, the aims of this study were to investigate the effects of a...

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Publicado en:Medical & Biological Engineering & Computing Vol. 55; no. 10; pp. 1873 - 1882
Autores principales: Mun, Kyung-Ryoul, Yeo, Brandon, Guo, Zhao, Chung, Soon, Yu, Haoyong, Yeo, Brandon Bao Sheng, Chung, Soon Cheol
Formato: pictorial research tables/charts Journal Article
Publicado: Springer Nature Oct2017
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Resistance training using a novel robotic walker for over-ground gait rehabilitation: a preliminary study on healthy subjects.
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        au:
          Mun, Kyung-Ryoul
          Yeo, Brandon
          Guo, Zhao
          Chung, Soon
          Yu, Haoyong
          Yeo, Brandon Bao Sheng
          Chung, Soon Cheol
        affil: Image Media Research Center , Korea Institute of Science and Technology , Seoul 136791 Republic of Korea
      sug:
        subj:
          Gait Physiology
          Walking Physiology
          Young Adult
          Male
          Resistance Training Methods
          Robotics Methods
          Kinematics
          Walkers
          Female
          Joints Physiology
          Adult
          Human
          Adult: 19-44 years
          Male
          Female
      ab: Strength training is an aspect of gait rehabilitation, which complements balance control and weight-bearing training. However, conventional strength training does not show positive gait outcomes, due to lack of task specificity. Therefore, the aims of this study were to investigate the effects of a resistance force applied at the center of mass (CoM) and to investigate whether this exercise can be used for effective task-specific gait training. Using a novel robotic walker, a consistent resistive force was applied to the CoM of subjects in the posterior direction. Eleven healthy subjects were instructed to walk under five walking conditions with increasing forces, based on each subject's body weight (BW), at 0, 2.5, 5, 7.5, and 10% BW. Joint kinematics and mean amplitude and frequency of electromyography signals from nine major muscles were measured. The application of resistance resulted in significantly increased flexion angles at ankle, knee, and hip joints. A large amount of motor unit activation with lower firing rates was found at knee and hip joints, indicating that this type of resistance training can improve muscular strength and endurance in a task-specific manner. The long-term effects of the resistance training on neurologically challenged patients will be investigated in the future.
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    language: English
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