Clinical application of a modular ankle robot for stroke rehabilitation.

  title={Clinical application of a modular ankle robot for stroke rehabilitation.},
  author={Larry W. Forrester and Anindo Roy and Ronald N. Goodman and Jeremy C. Rietschel and Joseph E. Barton and Hermano Igo Krebs and Richard F. Macko},
  volume={33 1},
BACKGROUND Advances in our understanding of neuroplasticity and motor learning post-stroke are now being leveraged with the use of robotics technology to enhance physical rehabilitation strategies. Major advances have been made with upper extremity robotics, which have been tested for efficacy in multi-site trials across the subacute and chronic phases of stroke. In contrast, use of lower extremity robotics to promote locomotor re-learning has been more recent and presents unique challenges by… 

Figures and Tables from this paper

Treadmill integrated robot-assisted ankle dorsiflexion training for stroke rehabilitation: A randomized controlled trial

Integrating adaptive ankle robotics into task-specific locomotor training was not significantly better than treadmill training alone and both interventions improved gait velocity.

A Review of Robot-Assisted Lower-Limb Stroke Therapy: Unexplored Paths and Future Directions in Gait Rehabilitation

The idea of utilizing the human inter-limb coordination mechanisms is brought up as an especially promising area for rehabilitation and is extensively discussed.

State-of-the-art robotic devices for ankle rehabilitation: Mechanism and control review

A comprehensive review of robotic ankle rehabilitation devices developed during the last two decades is presented, covering robotic devices for treadmill and over-ground training as well as platform-based parallel ankle robots.

Robot-Aided Neurorehabilitation: A Pediatric Robot for Ankle Rehabilitation

The pediAnklebot, an impedance-controlled low-friction, backdriveable robotic device developed at the Massachusetts Institute of Technology that trains the ankle of neurologically impaired children of ages 6-10 years old, demonstrates a statistically significant improvement in the performance metrics assessing explicit and implicit motor learning.

Review of anatomy-based ankle–foot robotics for mind, motor and motion recovery following stroke: design considerations and needs

This paper reviews the design considerations and needs of anatomy–foot robotic devices for mind, motor and motion recovery (M3R) based on neuroplasticity, brain reorganization and functional recovery, which make it possible to alleviate muscle atrophy and promote nerve recovery through exercise to ensure the best chance of regaining skills damaged by stroke.

Chapter 22: Future and Impact of Rehabilitation Robotics on Post-stroke Care and Recovery

In this chapter, what is presently investigating to revert and work toward a future endorsement of the AHA and VA/DoD for rehabilitation robotics for LE post-stroke care is described.

Innovative technologies applied to sensorimotor rehabilitation after stroke.

Effects of Robot-Aided Rehabilitation on Improving Ankle and Balance Performance of Stroke Survivors: A Randomized Controlled Trial

The robot-aided ankle rehabilitation improved biomechanical properties of the spastic ankle including stiffness, and it may help improve balance post-stroke.

An Assistive Ankle Joint Exoskeleton for Gait Impairment

A low-cost, assistive ankle joint exoskeleton for gait assistance designed to provide ankle foot support thus enabling normal walking gait and preventing the foot from preemptively hitting the ground during swing phase is proposed.

Pediatric Anklebot: Pilot clinical trial

The initial results indicate an improvement of the ankle's functions including its pointing abilities and gait speed, which reinforces confidence that the pediAnklebot, driven by the adaptive, assist-as-needed, robotic therapy can harness plasticity to guide habilitation during childhood.



Robot-Aided Neurorehabilitation: A Novel Robot for Ankle Rehabilitation

The design and characterization of a novel ankle robot developed at the Massachusetts institute of technology are presented, and initial ankle stiffness estimates compare favorably with previously published work, indicating that this method may serve as an accurate clinical measurement tool.

Anklebot-assisted locomotor training after stroke: A novel deficit-adjusted control approach

An approach to using the impedance-controlled “anklebot” for task-oriented locomotor training after stroke to determine the feasibility of using the anklebot as a gait training tool by increasing the contribution of the paretic ankle in walking function.

Stroke rehabilitation: an argument in favor of a robotic gym

Data is presented that supports the use of multiple robots to deliver focused therapy to different limb segments and joints and a greater reduction in motor impairment in the exercised muscle groups.

Ankle Training With a Robotic Device Improves Hemiparetic Gait After a Stroke

Robotic feedback training improved paretic ankle motor control with improvements in floor walking, and increased walking speeds were comparable with reports from other task-oriented, locomotor training approaches used in stroke, suggesting that a focus on ankleMotor control may provide a valuable adjunct to locomotor therapies.

Short-term ankle motor performance with ankle robotics training in chronic hemiparetic stroke.

The initial results suggest that the anklebot may be a flexible motor learning platform with the potential to detect rapid changes in ankle motor performance poststroke.

Robot-Aided Neurorehabilitation: A Robot for Wrist Rehabilitation

  • H. KrebsB. Volpe N. Hogan
  • Psychology, Medicine
    IEEE Transactions on Neural Systems and Rehabilitation Engineering
  • 2007
The results demonstrate that further improvement should be expected by adding additional training to other limb segments by a robot for wrist rehabilitation designed to provide three rotational degrees-of-freedom.

Effects of unilateral robotic limb loading on gait characteristics in subjects with chronic stroke

The results suggest that for chronic stroke survivors the added inertia and friction of this backdriveable robot did not significantly alter their gait pattern.

Entwicklung eines robotergestützten Laufsimulators zur Gangrehabilitation. Development of a Robotic Walking Simulator for Gait Rehabilitation

A robotic walking simulator for gait training that enables wheelchair-bound subjects to freely carry out repetitive practicing of an individually adapted gait pattern under simulation of the manual guidance of an experienced therapist is described.

Gait rehabilitation machines based on programmable footplates

Locomotor therapy is a fascinating new tool in rehabilitation, which is in line with modern principles of motor relearning promoting a task-specific repetitive approach and for the first time enables training of arbitrary walking situations.

Treadmill training of paraplegic patients using a robotic orthosis.

With the DGO the legs of patients with different degrees of paresis and spasticity could be trained for more than half an hour, and physiological gait patterns were obtained.