Gait & Posture
Volume 26, Issue 3 , Pages 372-377 , September 2007

The influence of different Lokomat walking conditions on the energy expenditure of hemiparetic patients and healthy subjects

Received 13 March 2006 ,Revised 26 September 2006 ,Accepted 5 October 2006.

References 

  1. Jorgensen HS, Nakayama H, Raaschou HO, Olsen TS. Recovery of walking function in stroke patients: the Copenhagen stroke study. Arch Phys Med Rehabil. 1995;76:27–32
  2. Hesse S, Werner C, Von Frankenberg S, Bardeleben A. Treadmill training with partial body weight support after stroke. Phys Med Clin N Am. 2003;14(1):S111–S123
  3. Richards CL, Malouin F, Dean C. Gait in stroke. Stroke. 1999;15(4):833–855
  4. Teasell RW, Bhogal SK, Foley NC, Speechley MR. Techniques in gait retraining. Top Stroke Rehabil. 2003;10(26):34–65
  5. Colombo G, Wirz M, Dietz V. Driven gait orthosis for improvement of locomotor training in paraplegic patients. Spinal Cord. 2001;39:252–255
  6. Dietz V, Müller R, Colombo G. Locomotor activity in spinal man: significance of afferent input from joint and load receptors. Brain. 2002;125:2626–2634
  7. Nash MS, Jacobs PL, Johnson BM, Field-Fote E. Metabolic and cardiac responses to robotic-assisted locomotion in motor-incomplete tetraplegia: a case report. J Spinal Cord Med. 2004;27:78–82
  8. Wirz M, Zemon DH, Rupp R, Scheel A, Colombo G, Dietz V, et al. Effectiveness of automated locomotor training in patients with chronic incomplete spinal cord injury: a multicenter trial. Arch Phys Med Rehabil. 2005;86:672–680
  9. Colombo G, Joerg M, Schreier R, Dietz V. Treadmill training of paraplegic patients using a robotic orthosis. J Rehabil Res Dev. 2000;37:693–700
  10. Jezernik S, Colombo G, Keller T, Frueh H, Morari M. Robotic Orthosis Lokomat: a rehabilitation and research tool. Neuromodulation. 2003;6(2):108–115
  11. Malatesta D, Simar D, Dauvilliers Y, Candau R, Borrani F, Prefaut C, et al. Energy cost of walking and gait instability in healthy 65- and 80-year-olds. J Appl Physiol. 2003;95:2248–2256
  12. Waters RL, Mulroy S. The energy expenditure of normal and pathologic gait. Gait Posture. 1999;9:207–231
  13. Fletcher GF, Balady G, Amsterdam EZ, Chaitman B, Eckel R, Fleg J, et al. Exercise standards for testing and training. Circulation. 2001;104:1694
  14. Black-Schaffer RM, Kirsteins AE, Harvy RL. Stroke rehabilitation. 2. Co-morbidities and complications. Arch Phys Med Rehabil. 1999;80:S8–S16
  15. Danielsson A, Sunnerhagen HS. Oxygen consumption during treadmill walking with and without body weight support in patients with hemiparesis after stroke and in healthy subjects. Arch Phys Med Rehabil. 2000;81:953–957
  16. Tsuji T, Liu M, Tsujiuchi K, Chino N. Bridging activity as a mode of stress testing for patients with hemiplegia. Arch Phys Med Rehabil. 1999;80:1060–1064
  17. Potempa K, Lopez M, Braun LT, Szidon JP, Fogg L, Tincknell T. Physiological outcomes of aerobic exercise training in hemiparetic stroke patients. Stroke. 1995;26:101–105
  18. Dobrovolny CL, Ivey FM, Rogers MA, Sorkin JD, Macko RF. Reliability of treadmill exercise testing in older patients with chronic hemiparetic stroke. Arch Phys Med Rehabil. 2003;84:1308–1312
  19. Holden MK, Gill KM, Magliozzi MR. Gait assessment for neurologically impaired patients: standards for outcome assessment. Phys Ther. 1986;66(10):1530–1539
  20. Mahoney FI, Barthel D. Functional evaluation: the Barthel index. Maryland State Med J. 1965;14:56–61
  21. Waters R, Lunsford BR, Perry J, Byrd R. Energy–speed relationship of walking: standard tables. J Orthop Res. 1988;6:215–222
  22. Macko RF, DeSouza CA, Tretter LD, Silver KH, Smith GV, Anderson PA, et al. Treadmill aerobic exercise training reduces the energy expenditure and cardiovascular demands of hemiparetic gait in chronic stroke patients: a preliminary report. Stroke. 1997;28:326–330
  23. Da Cunha IT, Lim PA, Qureshy H, Henson H, Monga T, Portas EJ. Gait outcomes after acute stroke rehabilitation with supported treadmill ambulation training: a randomized controlled pilot study. Arch Phys Med Rehabil. 2002;83:1258–1265
  24. Müller F, Heller S, Krewer C, Husemann B, Koenig E. Effective gait training on the treadmill and the Lokomat: comparison of achievable training time and speed. Neurol Rehabil. 2004;4:S27
  25. Waters RL. Energy expenditure. In:  Perry J editors. Gait analysis: normal and pathological function. New York: Slack; 1992;
  26. Walker JL, Murray TD, Jackson AS, Morrow JR, Michaud TJ. The energy cost of horizontal walking and running in adolescents. Med Sci Sports Exerc. 1999;31(2):311–322
  27. Holden MK, Gill KM, Magliozzi MR, Nathan J, Piehl-Barker L. Clinical gait assessment in the neurologically impaired: reliability and meaningfulness. Phys Ther. 1984;64(1):35–40
  28. Debaere F, Swinnen SP, Beatse E, Sunaert S, Van Hecke P, Duysens J. Brain areas involved in interlimb coordination: a distributed network. NeuroImage. 2001;14(5):947–958
  29. Zehr EP, Duysens J. Regulation of arm and leg movement during human locomotion. Neuroscientist. 2004;10(4):347–361

PII: S0966-6362(06)00309-2

doi: 10.1016/j.gaitpost.2006.10.003

Gait & Posture
Volume 26, Issue 3 , Pages 372-377 , September 2007