- Preface
- Abbreviations
- Contributors
- Amendments and Updates
- Chapter 1 The International Classification of Functioning, Disability, and Health
- Chapter 2 An interdisciplinary approach to neurological rehabilitation
- Chapter 3 The economic benefits of rehabilitation for neurological conditions
- Chapter 4 Predicting activities after stroke
- Chapter 5 Designing a clinical trial for neurorehabilitation
- Chapter 6 The influence of age on neurorehabilitation
- Chapter 7 The applicability of motor learning to neurorehabilitation
- Chapter 8 Spinal neuronal dysfunction after deprivation of supraspinal input
- Chapter 9 Secondary changes after damage of the central nervous system: significance of spastic muscle tone in rehabilitation
- Chapter 10 Autonomic nervous system dysfunction
- Chapter 11 Functional recovery in CNS disease: impact of animal models
- Chapter 12 Animal models of damage, repair, and plasticity in the brain
- Chapter 13 Animal models of damage, repair, and plasticity in the spinal cord
- Chapter 14 Stem cell application in neurorehabilitation
- Chapter 15 The role of neuroimaging in understanding the impact of neuroplasticity after CNS damage
- Chapter 16 Enhancement of neuroplasticity by cortical stimulation
- Chapter 17 Enhancement of neuroplasticity by drug therapy
- Chapter 18 Rehabilitation of gait and balance after CNS damage
- Chapter 19 Neurorehabilitation approaches for disorders of the peripheral nervous system
- Chapter 20 Treatment of arm and hand dysfunction after CNS damage
- Chapter 21 Acquired disorders of language and their treatment
- Chapter 22 Neuropsychological rehabilitation of higher cortical functions after brain damage
- Chapter 23 The clinical neurology of problems with oral feeding
- Chapter 24 Management of bladder, bowel, and sexual dysfunction
- Chapter 25 The assessment and treatment of pain syndromes in neurorehabilitation
- Chapter 26 The impact of fatigue on neurorehabilitation
- Chapter 27 Neuropalliative rehabilitation—managing neurological disability in the context of a deteriorating illness
- Chapter 28 Recognition and management of functional (non-organic) symptoms after CNS damage
- Chapter 29 Promises and challenges of neurorehabilitation technology
- Chapter 30 Application of orthoses and neurostimulation in neurorehabilitation
- Chapter 31 Technology to enhance arm and hand function
- Chapter 32 Technology to enhance locomotor function
- Chapter 33 Enhancing independent community access and participation: services, technologies, and policies
- Chapter 34 Virtual reality for neurorehabilitation
- Index
(p. 385) Technology to enhance locomotor function
- Chapter:
- (p. 385) Technology to enhance locomotor function
- Author(s):
Rüdiger Rupp
, Daniel Schließmann
, Christian Schuld
, and Norbert Weidner
- DOI:
- 10.1093/med/9780199673711.003.0032_update_001
Update:
Motor-driven exoskeletons—update of the literature and addition of information on the first independent evaluation results of exoskeletons.
Home-based robotic locomotion and real-time feedback—update of the literature.
Transfer of locomotor skills from the robotic to the natural environment—this new section presents devices for body weight-supported overground training.
Technology plays an important role in the rehabilitation of patients with impairments of the lower extremity due to disease or trauma of the central nervous system. In gait rehabilitation compensatory or restorative strategies are applied depending on the time after trauma and the level of impairment. Over the last 20 years advances in the understanding of the intrinsic capacity of the central nervous system for plasticity and recovery led to the establishment of task-oriented restorative therapies: body weight supported treadmill training, either manually assisted or with robotic devices. The effectiveness of robotic locomotion systems will only improve by consequent implementation of principles of motor learning. For enhancement of mobility in individuals with severe sensorimotor impairment of the lower extremities compensatory strategies including the implementation of wheelchairs and more recently active exoskeletons need to be considered.
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- Preface
- Abbreviations
- Contributors
- Amendments and Updates
- Chapter 1 The International Classification of Functioning, Disability, and Health
- Chapter 2 An interdisciplinary approach to neurological rehabilitation
- Chapter 3 The economic benefits of rehabilitation for neurological conditions
- Chapter 4 Predicting activities after stroke
- Chapter 5 Designing a clinical trial for neurorehabilitation
- Chapter 6 The influence of age on neurorehabilitation
- Chapter 7 The applicability of motor learning to neurorehabilitation
- Chapter 8 Spinal neuronal dysfunction after deprivation of supraspinal input
- Chapter 9 Secondary changes after damage of the central nervous system: significance of spastic muscle tone in rehabilitation
- Chapter 10 Autonomic nervous system dysfunction
- Chapter 11 Functional recovery in CNS disease: impact of animal models
- Chapter 12 Animal models of damage, repair, and plasticity in the brain
- Chapter 13 Animal models of damage, repair, and plasticity in the spinal cord
- Chapter 14 Stem cell application in neurorehabilitation
- Chapter 15 The role of neuroimaging in understanding the impact of neuroplasticity after CNS damage
- Chapter 16 Enhancement of neuroplasticity by cortical stimulation
- Chapter 17 Enhancement of neuroplasticity by drug therapy
- Chapter 18 Rehabilitation of gait and balance after CNS damage
- Chapter 19 Neurorehabilitation approaches for disorders of the peripheral nervous system
- Chapter 20 Treatment of arm and hand dysfunction after CNS damage
- Chapter 21 Acquired disorders of language and their treatment
- Chapter 22 Neuropsychological rehabilitation of higher cortical functions after brain damage
- Chapter 23 The clinical neurology of problems with oral feeding
- Chapter 24 Management of bladder, bowel, and sexual dysfunction
- Chapter 25 The assessment and treatment of pain syndromes in neurorehabilitation
- Chapter 26 The impact of fatigue on neurorehabilitation
- Chapter 27 Neuropalliative rehabilitation—managing neurological disability in the context of a deteriorating illness
- Chapter 28 Recognition and management of functional (non-organic) symptoms after CNS damage
- Chapter 29 Promises and challenges of neurorehabilitation technology
- Chapter 30 Application of orthoses and neurostimulation in neurorehabilitation
- Chapter 31 Technology to enhance arm and hand function
- Chapter 32 Technology to enhance locomotor function
- Chapter 33 Enhancing independent community access and participation: services, technologies, and policies
- Chapter 34 Virtual reality for neurorehabilitation
- Index