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Technology to enhance locomotor function 

Technology to enhance locomotor function
Chapter:
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.

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date: 26 January 2021

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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