Rehabilitators Lokomat

Jezemik, S., Colombo, G., Keller, T., Frueh, H., Morari, M. Robotic Orthosis Lokomat A Rehabilitation and Research Tool. Neuromodulation 6(2), 108-115 (2003)... 

This section reviews practical design considerations for rehabilitators using design features of the MIT-MANUS, MIME, and ARM Guide arm rehabilitators and the MGT and Lokomat locomotion rehabilitators for reference. 

The existing locomotion rehabilitator designs rely on simple attachment schemes. The MGT attaches to the patient s foot via a foot plate, whereas the Lokomat attaches to the thighs and shanks through padded straps. Skin irritation has been reported with the Lokomat if the exoskeleton is not properly adjusted. For both devices, modified parachute or rock-climbing-type harnesses provide an attachment to the torso that allows partial body weight support through an overhead cable. 

Examples of exoskeleton type devices for rehabilitation (a) Armeo Power (picture Hocoma, Switzerland), (b) Gloreha (picture Idrogenet, Italy), and (c) Lokomat (picture Hocoma, Switzerland). 

Westlake KP and Patten C, Pilot study of Lokomat versus manual-assisted treadmill training for locomotor recovery post-stroke. Journal ofNeuroEngineering Rehabilitation, vol. 6 18,2009. Schwartz I, Sajin A, Fisher 1, Neeb M, Shochina M, Katz-Leurer M, and Meiner Z, The effectiveness of locomotor therapy using robotic-assisted gait training in subacute stroke patients A randomized controlled trial, PM R, vol. 1, p>p. 516-523,2009. 

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