The effect of assist-as-needed support on metabolic cost during gait training of chronic stroke patients in LOPESII

Bertine M. Fleerkotte; Jaap H. Buurke; Edwin H.F. van Asseldonk; Johan S. Rietman

doi:10.1007/978-3-030-01845-0_83

The effect of assist-as-needed support on metabolic cost during gait training of chronic stroke patients in LOPESII

Bertine M. Fleerkotte^*, Jaap H. Buurke, Edwin H.F. van Asseldonk, Johan S. Rietman

^*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › Academic › peer-review

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Abstract

Effectiveness of robotic gait training in rehabilitation of stroke patients remains inconclusive. A reason could be that the current robotic gait trainers do not initiate motor learning principles enough. To encourage active participation of the patient and therefore motor learning, assist-as-needed (AAN) support strategies have been implemented in the robotic gait trainer LOPESII. Aim of the current study was to examine the effect of assist-as-needed support on metabolic cost. Ten chronic stroke patients completed three 6-min walking trials in LOPESII, with zero support, AAN-support for stiff knee gait and complete-support. Metabolic parameters were measured and compared between support conditions. No significant differences in net metabolic power were observed between zero-support, AAN-support and complete support. No evidence was found that AAN-support asks a higher metabolic cost of the participant.

Original language	English
Title of host publication	Converging Clinical and Engineering Research on Neurorehabilitation III
Subtitle of host publication	Proceedings of the 4th International Conference on NeuroRehabilitation (ICNR2018), October 16-20, 2018, Pisa, Italy
Editors	Lorenzo Masia, Silvestro Micera, Metin Akay, José L. Pons
Place of Publication	Cham
Publisher	Springer
Pages	415-419
Number of pages	5
ISBN (Electronic)	978-3-030-01845-0
ISBN (Print)	978-3-030-01844-3
DOIs	https://doi.org/10.1007/978-3-030-01845-0_83
Publication status	Published - 1 Jan 2019

Publication series

Name	Biosystems and Biorobotics
Volume	21
ISSN (Print)	2195-3562
ISSN (Electronic)	2195-3570

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10.1007/978-3-030-01845-0_83

ICNRpaper63 The effect of AAN supportAccepted author version, 439 KB

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Fleerkotte, B. M., Buurke, J. H., van Asseldonk, E. H. F., & Rietman, J. S. (2019). The effect of assist-as-needed support on metabolic cost during gait training of chronic stroke patients in LOPESII. In L. Masia, S. Micera, M. Akay, & J. L. Pons (Eds.), Converging Clinical and Engineering Research on Neurorehabilitation III: Proceedings of the 4th International Conference on NeuroRehabilitation (ICNR2018), October 16-20, 2018, Pisa, Italy (pp. 415-419). (Biosystems and Biorobotics; Vol. 21). Springer. https://doi.org/10.1007/978-3-030-01845-0_83

Fleerkotte, Bertine M. ; Buurke, Jaap H. ; van Asseldonk, Edwin H.F. et al. / The effect of assist-as-needed support on metabolic cost during gait training of chronic stroke patients in LOPESII. Converging Clinical and Engineering Research on Neurorehabilitation III: Proceedings of the 4th International Conference on NeuroRehabilitation (ICNR2018), October 16-20, 2018, Pisa, Italy. editor / Lorenzo Masia ; Silvestro Micera ; Metin Akay ; José L. Pons. Cham : Springer, 2019. pp. 415-419 (Biosystems and Biorobotics).

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title = "The effect of assist-as-needed support on metabolic cost during gait training of chronic stroke patients in LOPESII",

abstract = "Effectiveness of robotic gait training in rehabilitation of stroke patients remains inconclusive. A reason could be that the current robotic gait trainers do not initiate motor learning principles enough. To encourage active participation of the patient and therefore motor learning, assist-as-needed (AAN) support strategies have been implemented in the robotic gait trainer LOPESII. Aim of the current study was to examine the effect of assist-as-needed support on metabolic cost. Ten chronic stroke patients completed three 6-min walking trials in LOPESII, with zero support, AAN-support for stiff knee gait and complete-support. Metabolic parameters were measured and compared between support conditions. No significant differences in net metabolic power were observed between zero-support, AAN-support and complete support. No evidence was found that AAN-support asks a higher metabolic cost of the participant.",

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Fleerkotte, BM, Buurke, JH , van Asseldonk, EHF & Rietman, JS 2019, The effect of assist-as-needed support on metabolic cost during gait training of chronic stroke patients in LOPESII. in L Masia, S Micera, M Akay & JL Pons (eds), Converging Clinical and Engineering Research on Neurorehabilitation III: Proceedings of the 4th International Conference on NeuroRehabilitation (ICNR2018), October 16-20, 2018, Pisa, Italy. Biosystems and Biorobotics, vol. 21, Springer, Cham, pp. 415-419. https://doi.org/10.1007/978-3-030-01845-0_83

The effect of assist-as-needed support on metabolic cost during gait training of chronic stroke patients in LOPESII. / Fleerkotte, Bertine M.; Buurke, Jaap H.; van Asseldonk, Edwin H.F. et al.
Converging Clinical and Engineering Research on Neurorehabilitation III: Proceedings of the 4th International Conference on NeuroRehabilitation (ICNR2018), October 16-20, 2018, Pisa, Italy. ed. / Lorenzo Masia; Silvestro Micera; Metin Akay; José L. Pons. Cham: Springer, 2019. p. 415-419 (Biosystems and Biorobotics; Vol. 21).

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › Academic › peer-review

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AU - Rietman, Johan S.

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AB - Effectiveness of robotic gait training in rehabilitation of stroke patients remains inconclusive. A reason could be that the current robotic gait trainers do not initiate motor learning principles enough. To encourage active participation of the patient and therefore motor learning, assist-as-needed (AAN) support strategies have been implemented in the robotic gait trainer LOPESII. Aim of the current study was to examine the effect of assist-as-needed support on metabolic cost. Ten chronic stroke patients completed three 6-min walking trials in LOPESII, with zero support, AAN-support for stiff knee gait and complete-support. Metabolic parameters were measured and compared between support conditions. No significant differences in net metabolic power were observed between zero-support, AAN-support and complete support. No evidence was found that AAN-support asks a higher metabolic cost of the participant.

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Fleerkotte BM, Buurke JH , van Asseldonk EHF , Rietman JS. The effect of assist-as-needed support on metabolic cost during gait training of chronic stroke patients in LOPESII. In Masia L, Micera S, Akay M, Pons JL, editors, Converging Clinical and Engineering Research on Neurorehabilitation III: Proceedings of the 4th International Conference on NeuroRehabilitation (ICNR2018), October 16-20, 2018, Pisa, Italy. Cham: Springer. 2019. p. 415-419. (Biosystems and Biorobotics). doi: 10.1007/978-3-030-01845-0_83

The effect of assist-as-needed support on metabolic cost during gait training of chronic stroke patients in LOPESII

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