Robotic gait training in specific neurological conditions : rationale and application

Wirz, Markus; Bansi, Jens; Capecci, Marianne; Esquenazi, Alberto; Paredes, Liliana; Tefertiller, Candy; van Hedel, Hubertus J. A.

doi:10.1007/978-3-031-08995-4_8

Publication type:	Book part
Type of review:	Editorial review
Title:	Robotic gait training in specific neurological conditions : rationale and application
Authors:	Wirz, Markus Bansi, Jens Capecci, Marianne Esquenazi, Alberto Paredes, Liliana Tefertiller, Candy van Hedel, Hubertus J. A.
et. al:	No
DOI:	10.1007/978-3-031-08995-4_8
Published in:	Neurorehabilitation Technology
Editors of the parent work:	Reinkensmeyer, David J. Marchal-Crespo, Laura Dietz, Volker
Page(s):	145
Pages to:	188
Issue Date:	2022
Publisher / Ed. Institution:	Springer Nature
Publisher / Ed. Institution:	Cham
ISBN:	978-3-031-08994-7 978-3-031-08995-4
Language:	English
Subjects:	Stroke; Spinal Cord Inury; Traumatic brain injury; Multiple sclerosis; Parkinson's disease; Central pattern generator; Locomotor training; Rehabilitation robotics; Rotob-assisted gait training; Physiological prerequisits
Subject (DDC):	615.82: Physical therapy 616.8: Neurology, diseases of nervous system
Abstract:	This chapter focuses on robotic gait training. As a basis, it summarizes the neurophysiological rationale for such training. These neurophysiological findings are mostly based on animal studies. The observations from these studies led to the development of theories such as the spinal central pattern generator (CPG). In a deductive manner, studies have then also been performed on human participants showing similar phenomena. Based on the neurophysiological mechanisms, robot-assisted locomotor training is justified even in patients with severe functional limitations. Those patients would not be able to maintain an upright posture while performing stepping movements in a conventional training condition. The clinical application of robotic gait training is, therefore, another focus of this chapter. Different robotic devices and their relevant characteristics are introduced. Not all devices are designed to purely assist locomotor training by maximally exploiting the neuroplastic potential of the central nervous system. Some devices can also be considered assistive technologies which support patients in their daily life mobility. General aspects which are relevant for robotic gait training during rehabilitation are summarized. Then the chapter takes the translation of the fundamental principles one step further and addresses the application of robotic gait training in specific neurological conditions, that is, in stroke, traumatic brain injury (TBI), spinal cord injury (SCI), multiple sclerosis (MS), and Parkinson’s disease. These parts are written by experts in their respective fields. Every section follows the same structure and informs the reader about the condition in general, specific gait limitations, and the rehabilitation thereof. If available, the latter is supported by recent high-level evidence. In the other cases, relevant primary studies are summarized. Because specific clinical guidelines for the application of robotic gait training are largely missing, the experts provide information about the most important clinical aspects from their perspective. This information encompasses indications, devices, training parameters and duration, assessments, and potential adverse events. Therefore, this chapter will help clinicians who consider introducing robotic gait training how to shape a training and assessment program for their patients.
URI:	https://digitalcollection.zhaw.ch/handle/11475/29892
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	School of Health Sciences
Organisational Unit:	Institute of Physiotherapy (IPT)
Appears in collections:	Publikationen Gesundheit

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Wirz, M., Bansi, J., Capecci, M., Esquenazi, A., Paredes, L., Tefertiller, C., & van Hedel, H. J. A. (2022). Robotic gait training in specific neurological conditions : rationale and application. In D. J. Reinkensmeyer, L. Marchal-Crespo, & V. Dietz (Eds.), Neurorehabilitation Technology (pp. 145–188). Springer Nature. https://doi.org/10.1007/978-3-031-08995-4_8

Wirz, M. et al. (2022) ‘Robotic gait training in specific neurological conditions : rationale and application’, in D.J. Reinkensmeyer, L. Marchal-Crespo, and V. Dietz (eds) Neurorehabilitation Technology. Cham: Springer Nature, pp. 145–188. Available at: https://doi.org/10.1007/978-3-031-08995-4_8.

M. Wirz et al., “Robotic gait training in specific neurological conditions : rationale and application,” in Neurorehabilitation Technology, D. J. Reinkensmeyer, L. Marchal-Crespo, and V. Dietz, Eds. Cham: Springer Nature, 2022, pp. 145–188. doi: 10.1007/978-3-031-08995-4_8.

WIRZ, Markus, Jens BANSI, Marianne CAPECCI, Alberto ESQUENAZI, Liliana PAREDES, Candy TEFERTILLER und Hubertus J. A. VAN HEDEL, 2022. Robotic gait training in specific neurological conditions : rationale and application. In: David J. REINKENSMEYER, Laura MARCHAL-CRESPO und Volker DIETZ (Hrsg.), Neurorehabilitation Technology. Cham: Springer Nature. S. 145–188. ISBN 978-3-031-08994-7

Wirz, Markus, Jens Bansi, Marianne Capecci, Alberto Esquenazi, Liliana Paredes, Candy Tefertiller, and Hubertus J. A. van Hedel. 2022. “Robotic Gait Training in Specific Neurological Conditions : Rationale and Application.” In Neurorehabilitation Technology, edited by David J. Reinkensmeyer, Laura Marchal-Crespo, and Volker Dietz, 145–88. Cham: Springer Nature. https://doi.org/10.1007/978-3-031-08995-4_8.

Wirz, Markus, et al. “Robotic Gait Training in Specific Neurological Conditions : Rationale and Application.” Neurorehabilitation Technology, edited by David J. Reinkensmeyer et al., Springer Nature, 2022, pp. 145–88, https://doi.org/10.1007/978-3-031-08995-4_8.