Differences in muscle activity and temporal step parameters between Lokomat guided walking and treadmill walking in post-stroke hemiparetic patients and healthy walkers

Background The Lokomat is a robotic exoskeleton that can be used to train gait function in hemiparetic stroke. To purposefully employ the Lokomat for training, it is important to understand (1) how Lokomat guided walking affects muscle activity following stroke and how these effects differ between patients and healthy walkers, (2) how abnormalities in the muscle activity of patients are modulated through Lokomat guided gait, and (3) how temporal step characteristics of patients were modulated during Lokomat guided walking. Methods Ten hemiparetic stroke patients (>3 months post-stroke) and ten healthy age-matched controls walked on the treadmill and in the Lokomat (guidance force 50%, no bodyweight support) at matched speeds (0.56 m/s). Electromyography was used to record the activity of Gluteus Medius, Biceps Femoris, Vastus Lateralis, Medial Gastrocnemius and Tibialis Anterior, bilaterally in patients and of the dominant leg in healthy walkers. Pressure sensors placed in the footwear were used to determine relative durations of the first double support and the single support phases. Results Overall, Lokomat guided walking was associated with a general lowering of muscle activity compared to treadmill walking, in patients as well as healthy walkers. The nature of these effects differed between groups for specific muscles, in that reductions in patients were larger if muscles were overly active during treadmill walking (unaffected Biceps Femoris and Gluteus Medius, affected Biceps Femoris and Vastus Lateralis), and smaller if activity was already abnormally low (affected Medial Gastrocnemius). Also, Lokomat guided walking was associated with a decrease in asymmetry in the relative duration of the single support phase. Conclusions In stroke patients, Lokomat guided walking results in a general reduction of muscle activity, that affects epochs of overactivity and epochs of reduced activity in a similar fashion. These findings should be taken into account when considering the clinical potential of the Lokomat training environment in stroke, and may inform further developments in the design of robotic gait trainers. Electronic supplementary material The online version of this article (doi:10.1186/s12984-017-0244-z) contains supplementary material, which is available to authorized users.

Tags
Data and Resources
To access the resources you must log in

This item has no data

Identity

Description: The Identity category includes attributes that support the identification of the resource.

Field Value
PID https://www.doi.org/10.1186/s12984-017-0244-z
PID pmid:28427422
PID urn:urn:nbn:nl:ui:11-5c957fd2-f504-407b-b7af-a01512122a0b
PID handle:11370/5c957fd2-f504-407b-b7af-a01512122a0b
PID pmc:PMC5397709
URL https://dx.doi.org/10.1186/s12984-017-0244-z
URL http://europepmc.org/articles/PMC5397709
URL https://www.ncbi.nlm.nih.gov/pubmed/28427422
URL https://doaj.org/toc/1743-0003
URL https://www.narcis.nl/publication/RecordID/oai%3Apure.rug.nl%3Apublications%2F5c957fd2-f504-407b-b7af-a01512122a0b
URL https://academic.microsoft.com/#/detail/2607259196
URL https://jneuroengrehab.biomedcentral.com/track/pdf/10.1186/s12984-017-0244-z
URL http://link.springer.com/article/10.1186/s12984-017-0244-z
URL https://www.rug.nl/research/portal/files/42594063/Differences_in_muscle_activity_and_temporal_step_parameters_between_Lokomat_guided_walking.pdf
URL https://link.springer.com/article/10.1186/s12984-017-0244-z
URL https://www.rug.nl/research/portal/en/publications/differences-in-muscle-activity-and-temporal-step-parameters-between-lokomat-guided-walking-and-treadmill-walking-in-poststroke-hemiparetic-patients-and-healthy-walkers(5c957fd2-f504-407b-b7af-a01512122a0b).html
URL https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-017-0244-z
URL http://link.springer.com/content/pdf/10.1186/s12984-017-0244-z.pdf
URL http://dx.doi.org/10.1186/s12984-017-0244-z
Access Modality

Description: The Access Modality category includes attributes that report the modality of exploitation of the resource.

Field Value
Access Right Open Access
Attribution

Description: Authorships and contributors

Field Value
Author Klaske van Kammen, 0000-0002-6625-8018
Author Anne M. Boonstra
Author Lucas H. V. van der Woude, 0000-0002-8472-334X
Author Heleen A. Reinders-Messelink
Author Rob den Otter
Contributor Instituut voor Bewegingswet.
Contributor SMART Movements (SMART)
Contributor Extremities Pain and Disability (EXPAND)
Contributor REVALIDATIEGENEESKUNDE
Publishing

Description: Attributes about the publishing venue (e.g. journal) and deposit location (e.g. repository)

Field Value
Collected From Europe PubMed Central; PubMed Central; ORCID; UnpayWall; Datacite; DOAJ-Articles; Crossref; NARCIS; Microsoft Academic Graph
Hosted By Europe PubMed Central; NARCIS; University of Groningen Digital Archive; Journal of NeuroEngineering and Rehabilitation
Journal Journal of NeuroEngineering and Rehabilitation, ,
Publication Date 2017-04-20
Publisher BMC
Additional Info
Field Value
Format application/pdf
Language English
Resource Type Article; UNKNOWN
system:type publication
Management Info
Field Value
Source https://science-innovation-policy.openaire.eu/search/publication?articleId=dedup_wf_001::30d9d6a5bb1ed8c12eff308141046621
Author jsonws_user
Last Updated 21 December 2020, 21:46 (CET)
Created 21 December 2020, 21:46 (CET)