Performance Evaluation for Clinical Stroke Rehabilitation via an Automatic Mobile Gait Trainer

• Published in: Sensors (Basel, Switzerland) Vol. 23; no. 15; p. 6793
• Main Authors: Shih, Chih-Jen, Li, You-Chi, Yuan, Wei, Chen, Szu-Fu, Lin, Ang-Chieh, Lin, Tzu-Tung, Wang, Fu-Cheng
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 29.07.2023; MDPI
• Subjects: control; Energy consumption; Exercise Therapy - methods; Gait; Gait Disorders, Neurologic - rehabilitation; Humans; Intervention; Motion capture; motor; neuro-developmental treatment; Patients; Pelvis; Performance evaluation; Rehabilitation; Robotics; Stroke; Stroke Rehabilitation; Symmetry; Therapists; Therapy; Training; Treatment Outcome; Walking; Taiwan; motor; rehabilitation; gait; pelvic; control; stroke; neuro-developmental treatment
• ISSN: 1424-8220; 1424-8220
• DOI: 10.3390/s23156793

This paper investigates the clinical efficacy of an automatic mobile trainer for gait training in stroke patients. Neuro-Developmental Treatment (NDT) is a rehabilitation method for stroke patients that enhances motor learning through repeated practice. Despite the proven effectiveness of therapist-assisted NDT, it is labor-intensive and demands health resources. Therefore, we developed automatic trainers based on NDT principles to perform gait training. This paper modifies the mobile trainer’s intervention patterns to improve the subject’s longitudinal gait symmetry, lateral pelvic displacement symmetry, and pelvic rotation. We first invited ten healthy subjects to test the modified trainer and then recruited 26 stroke patients to undergo the same gait training. Longitudinal symmetry, lateral symmetry, and pelvic rotation were assessed before, during, and after the intervention. Most subjects show improvements in longitudinal symmetry, lateral symmetry, and pelvic rotation after using the trainer. These results confirm the trainer’s effectiveness of the modified intervention schemes in helping clinical gait rehabilitation for stroke patients.