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Therapy with T-FLEX Ankle-Exoskeleton for Motor Recovery: A Case Study with a Stroke Survivor

机译:T-FLEX踝关节外骨骼疗法治疗运动恢复:中风幸存者的案例研究

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Stroke is the main neurological condition causing disability worldwide. Physical therapy and robotic devices have been used in rehabilitation to recover lost locomotor functions. Despite the advantages of using robots in rehabilitation scenarios, some joints remain with alterations after therapy processes (e.g., the ankle joint). This paper presents a single case study of a patient with chronic stroke who participated in 18 sessions to assess the effects of T-FLEX in lower limb kinematics, spatiotemporal parameters, and muscular activity. To this end, each session consisted of two modalities: (1) 90-degree knee flexion, and (2) complete knee extension. The results showed improvement in the participant’s spatiotemporal and kinematic parameters, as well as in the foot clearance during the swing phase. Regarding the muscular activity, the first sessions showed considerable increases related to the patient’s inactivity. However, as the experiment proceeded, this value decreased as a consequence of the adaptation to the device. Regarding the electrical activity measured during each session, both muscles (i.e., gastrocnemius and tibialis anterior) tended to increase at the end-stage.
机译:中风是导致全世界残疾的主要神经系统疾病。物理治疗和机器人设备已用于康复中,以恢复失去的运动功能。尽管在康复场景中使用机器人具有很多优势,但某些关节在治疗过程后仍会发生变化(例如踝关节)。本文介绍了一个慢性卒中患者的单例研究,该患者参加了18个疗程,以评估T-FLEX对下肢运动学,时空参数和肌肉活动的影响。为此,每次训练均包括两种方式:(1)膝盖弯曲90度,以及(2)完全伸展膝盖。结果表明,参与者的时空和运动学参数以及挥杆阶段的脚部间隙都得到了改善。关于肌肉活动,前几节显示与患者的不活动有关的显着增加。但是,随着实验的进行,由于该设备的适应性,该值降低了。关于在每个阶段测量的电活动,两条肌肉(即腓肠肌和胫骨前肌)在末期趋向于增加。

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