Lokomat therapy in Colombia: Current state and cognitive aspects.


Munera, Marcela; Marroquin, Alexandra; Jimenez, Laura; Lara, Juan S; Gomez, CatalinaRead More...

IEEE ... International Conference on Rehabilitation Robotics : [proceedings]


DOI: 10.1109/ICORR.2017.8009279 Volume: 2017 Pages: 394-399 PMID: 28813851

Neurological disorders frequently affect walking function which is one of the most fundamental skills to improve quality of life and autonomy, and Lokomat has been a key piece for gait's rehabilitation. In this study, a diagnosis about the development of the Robot-assisted therapy rehabilitation with Lokomat in Colombia is made. The study was performed Read More...



Can Lokomat therapy with children and adolescents be improved? An adaptive clinical pilot trial comparing Guidance force, Path control, and FreeD.


Aurich-Schuler, Tabea; Grob, Fabienne; van Hedel, Hubertus J A; Labruyère, Rob

Journal of neuroengineering and rehabilitation


DOI: 10.1186/s12984-017-0287-1 Volume: 14 Issue: 1 Pages: 76 PMID: 28705170

Robot-assisted gait therapy is increasingly being used in pediatric neurorehabilitation to complement conventional physical therapy. The robotic device applied in this study, the Lokomat(Hocoma AG, Switzerland), uses a position control mode (Guidance Force), where exact positions of the knee and hip joints throughout the gait cycle are stipulated. Read More...



Robot-assisted gait training (Lokomat) improves walking function and activity in people with spinal cord injury: a systematic review.


Nam, Ki Yeun; Kim, Hyun Jung; Kwon, Bum Sun; Park, Jin-Woo; Lee, Ho Jun; Yoo, Aeri

Journal of neuroengineering and rehabilitation


DOI: 10.1186/s12984-017-0232-3 Volume: 14 Issue: 1 Pages: 24 PMID: 28330471

Robot-assisted gait training (RAGT) after spinal cord injury (SCI) induces several different neurophysiological mechanisms to restore walking ability, including the activation of central pattern generators, task-specific stepping practice and massed exercise. However, there is no clear evidence for the optimal timing and efficacy of RAGT in people Read More...



Use of electromyography to optimize Lokomat(®) settings for subject-specific gait rehabilitation in post-stroke hemiparetic patients: A proof-of-concept study.


Cherni, Yosra; Begon, Mickael; Chababe, Hicham; Moissenet, Florent

Neurophysiologie clinique = Clinical neurophysiology


DOI: 10.1016/j.neucli.2017.01.008 Volume: 47 Issue: 4 Pages: 293-299 PMID: 28318816

While generic protocols exist for gait rehabilitation using robotic orthotics such as the Lokomat(®), several settings - guidance, body-weight support (BWS) and velocity - may be adjusted to individualize patient training. However, no systematic approach has yet emerged. Our objective was to assess the feasibility and effects of a systematic approach Read More...



Lokomat Training Effects on MS Gait Abnormalities



Multiple Sclerosis



A Randomized Trial Comparing the Lokomat® With a Gait-related Physiotherapy Program in Children With Cerebral Palsy



Cerebral Palsy


Lokomat: a therapeutic chance for patients with chronic hemiplegia.


Uçar, Demet Erdoğan; Paker, Nurdan; Buğdaycı, Derya



DOI: 10.3233/NRE-141054 Volume: 34 Issue: 3 Pages: 447-53 PMID: 24463231

Treadmill training with partial body weight support has been suggested as a useful strategy for gait rehabilitation after stroke. This prospective, randomized, controlled study of gait training tested the feasibility and potential efficacy of using a robotic-assisted gait device, Lokomat, for treadmill training with partial body weight support in Read More...



Lokomat Versus Strength Training in Chronic Incomplete Spinal Cord Injury



Spinal Cord Injury



Placebo-controlled study of rTMS combined with Lokomat(®) gait training for treatment in subjects with motor incomplete spinal cord injury.


Kumru, Hatice; Benito-Penalva, Jesus; Valls-Sole, Josep; Murillo, Narda; Tormos, Josep MRead More...

Experimental brain research


DOI: 10.1007/s00221-016-4739-9 Volume: 234 Issue: 12 Pages: 3447-3455 PMID: 27469242

High-frequency rTMS combined with gait training improves lower extremity motor score (LEMS) and gait velocity in SCI subjects who are able to walk over ground. The aim of this study was to optimize the functional outcome in early phases of gait rehabilitation in SCI using rTMS as an additional treatment to physical therapy. The present study included Read More...



Lokomat robotic-assisted versus overground training within 3 to 6 months of incomplete spinal cord lesion: randomized controlled trial.


Alcobendas-Maestro, Mónica; Esclarín-Ruz, Ana; Casado-López, Rosa M; Muñoz-González, Alejandro

Neurorehabilitation and neural repair


DOI: 10.1177/1545968312448232 Volume: 26 Issue: 9 Pages: 1058-63 PMID: 22699827

About 75% of persons with ASIA (American Spinal Injury Association) Impairment Scale C and D incomplete spinal cord injury (SCI) achieve walking ability. To compare a walking reeducation program using Lokomat with conventional overground training among individuals with incomplete SCI of both traumatic and nontraumatic etiology. A total of 80 participants Read More...



Differences in muscle activity and temporal step parameters between Lokomat guided walking and treadmill walking in post-stroke hemiparetic patients and healthy walkers.


van Kammen, Klaske; Boonstra, Anne M; van der Woude, Lucas H V; Reinders-Messelink, Heleen ARead More...

Journal of neuroengineering and rehabilitation


DOI: 10.1186/s12984-017-0244-z Volume: 14 Issue: 1 Pages: 32 PMID: 28427422

The Lokomat is a robotic exoskeleton that can be used to train gait function in hemiparetic stroke. To purposefully employ the Lokomat for training, it is important to understand (1) how Lokomat guided walking affects muscle activity following stroke and how these effects differ between patients and healthy walkers, (2) how abnormalities in the muscle Read More...



Pilot study of Lokomat versus manual-assisted treadmill training for locomotor recovery post-stroke.


Westlake, Kelly P; Patten, Carolynn

Journal of neuroengineering and rehabilitation


DOI: 10.1186/1743-0003-6-18 Volume: 6 Pages: 18 PMID: 19523207

While manually-assisted body-weight supported treadmill training (BWSTT) has revealed improved locomotor function in persons with post-stroke hemiparesis, outcomes are inconsistent and it is very labor intensive. Thus an alternate treatment approach is desirable. Objectives of this pilot study were to: 1) compare the efficacy of body-weight supported Read More...



A Comparison of Locomotor Therapy Interventions: Partial-Body Weight-Supported Treadmill, Lokomat, and G-EO Training in People With Traumatic Brain Injury.


Esquenazi, Alberto; Lee, Stella; Wikoff, Amanda; Packel, Andrew; Toczylowski, TheresaRead More...

PM & R : the journal of injury, function, and rehabilitation


DOI: 10.1016/j.pmrj.2016.12.010 Volume: 9 Issue: 9 Pages: 839-846 PMID: 28093370

Literature in the application of gait training techniques in persons with traumatic brain injury (TBI) is limited. Current techniques require multiple staff and are physically demanding. The use of a robotic locomotor training may provide improved training capacity for this population. To examine the impact of 3 different modes of locomotor therapy Read More...



Model-based Heart rate prediction during Lokomat walking.


Koenig, Alexander C; Somaini, Luca; Pulfer, Michael; Holenstein, Thomas; Omlin, XimenaRead More...

Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference


DOI: 10.1109/IEMBS.2009.5333096 Volume: 2009 Pages: 1758-61 PMID: 19963765

We implemented a model for prediction of heart rate during Lokomat walking. Using this model, we can predict potential overstressing of the patient and adapt the physical load accordingly. Current models for treadmill based heart rate control neglect the fact that the interaction torques between Lokomat and human can have a significant effect on heart Read More...



Robotic-assisted step training (lokomat) not superior to equal intensity of over-ground rehabilitation in patients with multiple sclerosis.


Vaney, Claude; Gattlen, Brigitte; Lugon-Moulin, Véronique; Meichtry, André; Hausammann, RitaRead More...

Neurorehabilitation and neural repair


DOI: 10.1177/1545968311425923 Volume: 26 Issue: 3 Pages: 212-21 PMID: 22140197

Robot-assisted gait training (RAGT) has been suggested as an intervention to improve walking capacity in patients with multiple sclerosis (MS). This study aimed to evaluate whether RAGT (Lokomat) is superior to over-ground walking training in terms of quality of life, activity level, and gait. A total of 67 patients with MS with the Expanded Disability Read More...



Can robot-assisted movement training (Lokomat) improve functional recovery and psychological well-being in chronic stroke? Promising findings from a case study.


Calabrò, Rocco Salvatore; Reitano, Simone; Leo, Antonio; De Luca, Rosaria; Melegari, CorradoRead More...

Functional neurology


Volume: 29 Issue: 2 Pages: 139-41 PMID: 25306125

The Lokomat is a robotic device that has been widely used for gait rehabilitation in several neurological disorders, with a positive effect also in the chronic phase. We describe the case of a 54-yearold female with post-stroke moderate-to-severe chronic hemiplegia, whose force, gait and balance significantly improved after intensive training with Read More...



Robot-assisted walking with the Lokomat: the influence of different levels of guidance force on thorax and pelvis kinematics.


Swinnen, Eva; Baeyens, Jean-Pierre; Knaepen, Kristel; Michielsen, Marc; Clijsen, RonRead More...

Clinical biomechanics (Bristol, Avon)


DOI: 10.1016/j.clinbiomech.2015.01.006 Volume: 30 Issue: 3 Pages: 254-9 PMID: 25662678

Little attention has been devoted to the thorax and pelvis movements during gait. The aim of this study is to compare differences in the thorax and pelvis kinematics during unassisted walking on a treadmill and during walking with robot assistance (Lokomat-system (Hocoma, Volketswil, Switzerland)). 18 healthy persons walked on a treadmill with and Read More...



Virtual gait training for children with cerebral palsy using the Lokomat gait orthosis.


Koenig, Alexander; Wellner, Mathias; Köneke, Susan; Meyer-Heim, Andreas; Lünenburger, LarsRead More...

Studies in health technology and informatics


Volume: 132 Pages: 204-9 PMID: 18391287

The Lokomat gait orthosis was developed in the Spinal Cord Injury Center at the University Hospital Balgrist Zurich and provides automatic gait training for patients with neurological gait impairments, such as Cerebral Pals y (CP). Each patient undergoes a task-oriented Lokomat rehabilitation training program via a virtual reality setup. In four virtual Read More...



Lokomat Treadmill Training Effects on MS Gait



Gait, Unsteady; Multiple Sclerosis


Reliability and validity of using the Lokomat to assess lower limb joint position sense in people with incomplete spinal cord injury.


Domingo, Antoinette; Lam, Tania

Journal of neuroengineering and rehabilitation


DOI: 10.1186/1743-0003-11-167 Volume: 11 Pages: 167 PMID: 25516305

Proprioceptive sense (knowing where the limbs are in space) is critical for motor control during posture and walking, and is often compromised after spinal cord injury (SCI). The purpose of this study was to assess the reliability and validity of using the Lokomat, a robotic exoskeleton used for gait rehabilitation, to quantitatively measure static Read More...

Association Between tDCS and Lokomat Training in Patients With Incomplete Spinal Cord Injury



Spinal Cord Injuries



Multicenter randomized clinical trial evaluating the effectiveness of the Lokomat in subacute stroke.


Hidler, Joseph; Nichols, Diane; Pelliccio, Marlena; Brady, Kathy; Campbell, Donielle DRead More...

Neurorehabilitation and neural repair


DOI: 10.1177/1545968308326632 Volume: 23 Issue: 1 Pages: 5-13 PMID: 19109447

To compare the efficacy of robotic-assisted gait training with the Lokomat to conventional gait training in individuals with subacute stroke. A total of 63 participants<6 months poststroke with an initial walking speed between 0.1 to 0.6 m/s completed the multicenter, randomized clinical trial. All participants received twenty-four 1-hour sessions of either Lokomat or conventional gait training. Outcome measures were evaluated prior to training, after 12 and 24 sessions, and at a 3-month follow-up exam. Self-selected overground walking Read More...



Contributions to enhanced activity in rectus femoris in response to Lokomat-applied resistance.


Klarner, Taryn; Blouin, J-S; Carpenter, M G; Lam, T

Experimental brain research


DOI: 10.1007/s00221-012-3345-8 Volume: 225 Issue: 1 Pages: 1-10 PMID: 23183638

The application of resistance during the swing phase of locomotion is a viable approach to enhance activity in the rectus femoris (RF) in patients with neurological damage. Increased muscle activity is also accompanied by changes in joint angle and stride frequency, consequently influencing joint angular velocity, making it difficult to attribute Read More...



Lokomat training in vascular dementia: motor improvement and beyond!


Calabrò, Rocco Salvatore; De Luca, Rosaria; Leo, Antonino; Balletta, Tina; Marra, AngelaRead More...

Aging clinical and experimental research


DOI: 10.1007/s40520-015-0343-2 Volume: 27 Issue: 6 Pages: 935-7 PMID: 25762160

Vascular dementia (VaD) is a general term describing problems with reasoning, planning, judgment, memory, and other thought processes caused by brain damage from impaired blood flow to the brain. Cognitive rehabilitation and physical therapy are the mainstays of dementia treatment, although often ineffective because of the scarce collaboration of the Read More...



Practical Recommendations for Robot-Assisted Treadmill Therapy (Lokomat) in Children with Cerebral Palsy: Indications, Goal Setting, and Clinical Implementation within the WHO-ICF Framework.


Aurich-Schuler, Tabea; Warken, Birgit; Graser, Judith V; Ulrich, Thilo; Borggraefe, IngoRead More...



DOI: 10.1055/s-0035-1550150 Volume: 46 Issue: 4 Pages: 248-60 PMID: 26011438

Active participation and the highest level of independence during daily living are primary goals in neurorehabilitation. Therefore, standing and walking are key factors in many rehabilitation programs. Despite inconclusive evidence considering the best application and efficacy of robotic tools in the field of pediatric neurorehabilitation, robotic Read More...



Effects of System Suspended Robotic Lokomat Gait in Patients With Incomplete Spinal Cord Injury



Spinal Cord Injury



Kinematic trajectories while walking within the Lokomat robotic gait-orthosis.


Hidler, Joseph; Wisman, Wessel; Neckel, Nathan

Clinical biomechanics (Bristol, Avon)


DOI: 10.1016/j.clinbiomech.2008.08.004 Volume: 23 Issue: 10 Pages: 1251-9 PMID: 18849098

Background One of the most popular robot assisted rehabilitation devices used is the Lokomat. Unfortunately, not much is known about the behaviors exhibited by subjects in this device. The goal of this study was to evaluate the kinematic patterns of individuals walking inside the Lokomat compared to those demonstrated on a treadmill. Methods Six Read More...



Functional and Physiological Responses to Lokomat Therapy (Pilot Study)



Spinal Cord Injuries; Multiple Sclerosis; Stroke



[The influence of physical training with the use of a lokomat robotic system on the walking ability of the patients with post-stroke hemiparesis].


Chernikova, L A; Klochkov, A S

Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury


Issue: 3 Pages: 13-7 PMID: 25087415

The objective of the present study was to estimate the influence of the driven gait orthosis Lokomat on the functional mobility in the post-stroke hemiparethic patients and to elucidate the mechanisms underlying the improvement of functional mobility after the treatment. The study included 141patients presenting with post-stroke hemiparesis of the Read More...



The combined effects of body weight support and gait speed on gait related muscle activity: a comparison between walking in the Lokomat exoskeleton and regular treadmill walking.


Van Kammen, Klaske; Boonstra, Annemarijke; Reinders-Messelink, Heleen; den Otter, Rob

PloS one


DOI: 10.1371/journal.pone.0107323 Volume: 9 Issue: 9 Pages: e107323 PMID: 25226302

For the development of specialized training protocols for robot assisted gait training, it is important to understand how the use of exoskeletons alters locomotor task demands, and how the nature and magnitude of these changes depend on training parameters. Therefore, the present study assessed the combined effects of gait speed and body weight support Read More...



Effects of gait training using a robotic constraint (Lokomat®) on gait kinematics and kinetics in chronic stroke patients.


Bonnyaud, Céline; Pradon, Didier; Boudarham, Julien; Robertson, Johanna; Vuillerme, NicolasRead More...

Journal of rehabilitation medicine


DOI: 10.2340/16501977-1248 Volume: 46 Issue: 2 Pages: 132-8 PMID: 24162795

To evaluate the effects of a 20-min gait training session using the Lokomat® combined with a negative kinematic constraint on the non-paretic limb and a positive kinematic constraint on the paretic limb, on peak knee flexion and other biomechanical parameters in chronic hemiparetic subjects. Preliminary study, before-after design. Fifteen hemiparetic Read More...



Reliability of Spasticity Measurement With Lokomat



Spasticity, Lokomat



Comparative Study of GangTrainer GT1, Lokomat and Conventional Physiotherapy



Stroke, Acute



The effects of locomotor training with a robotic-gait orthosis (Lokomat) on neuromuscular properties in persons with chronic SCI.


Mirbagheri, Mehdi M; Niu, Xun; Kindig, Matt; Varoqui, Deborah

Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference


DOI: 10.1109/EMBC.2012.6346808 Volume: 2012 Pages: 3854-7 PMID: 23366769

We studied the effects of robotic-assisted locomotor (LOKOMAT) training on neuromuscular abnormality associated with spasticity in persons with incomplete Spinal Cord Injury (SCI). LOKOMAT training was performed 3 days/week for 4 weeks, with up to 45 minutes of training per session. Subjects were evaluated before and after 1, 2, and 4 weeks of training, Read More...



Comparison of Lokomat and Aquatic Exercise for Individuals With Chronic Incomplete Spinal Cord Injury



Spinal Cord Injury



The combined effects of guidance force, bodyweight support and gait speed on muscle activity during able-bodied walking in the Lokomat.


van Kammen, Klaske; Boonstra, Anne M; van der Woude, Lucas H V; Reinders-Messelink, Heleen ARead More...

Clinical biomechanics (Bristol, Avon)


DOI: 10.1016/j.clinbiomech.2016.04.013 Volume: 36 Pages: 65-73 PMID: 27214248

The ability to provide automated movement guidance is unique for robot assisted gait trainers such as the Lokomat. For the design of training protocols for the Lokomat it is crucial to understand how movement guidance affects the patterning of muscle activity that underlies walking, and how these effects interact with settings for bodyweight support Read More...



Feasibility of Using Lokomat Combined with Functional Electrical Stimulation for the Rehabilitation of Foot Drop.


Laursen, Christian B; Nielsen, Jørgen F; Andersen, Ole K; Spaich, Erika G

European journal of translational myology


DOI: 10.4081/ejtm.2016.6221 Volume: 26 Issue: 3 Pages: 6221 PMID: 27990246

This study investigated the clinical feasibility of combining the electromechanical gait trainer Lokomat with functional electrical therapy (LokoFET), stimulating the common peroneal nerve during the swing phase of the gait cycle to correct foot drop as an integrated part of gait therapy. Five patients with different acquired brain injuries trained Read More...



Transcranial direct current stimulation is not effective in the motor strength and gait recovery following motor incomplete spinal cord injury during Lokomat(®) gait training.


Kumru, Hatice; Murillo, Narda; Benito-Penalva, Jesus; Tormos, Jose M; Vidal, Joan

Neuroscience letters


DOI: 10.1016/j.neulet.2016.03.056 Volume: 620 Pages: 143-7 PMID: 27040426

Transcranial direct current stimulation (tDCS) is a potential tool to improve motor recovery in patients with neurological disorders. Safety and efficacy of this procedure for lower extremity motor streng the and gait function in motor incomplete spinal cord injury (SCI) have not yet been addressed. The aim of this study is to optimize the functional Read More...



Biofeedback in gait training with the robotic orthosis Lokomat.


Lünenburger, L; Colombo, Gery; Riener, Robert; Dietz, Volker

Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference


DOI: 10.1109/IEMBS.2004.1404352 Volume: 7 Pages: 4888-91 PMID: 17271408

Neurological diseases - such as spinal cord injury, stroke and traumatic brain injury - frequently result in gait impairment The recovery of the walking ability requires functional training (i.e. walking), as previous research in man and animal has shown. Because the patient usually has reduced voluntary muscle force early after the incident, his/her Read More...



Obstacle crossing in a virtual environment with the rehabilitation gait robot LOKOMAT.


Wellner, Mathias; Thüring, Thomas; Smajic, Eldin; von Zitzewitz, Joachim; Duschau-Wicke, AlexanderRead More...

Studies in health technology and informatics


Volume: 125 Pages: 497-9 PMID: 17377335

The rehabilitation robot LOKOMAT has been developed at the Balgrist University Hospital to automate treadmill training of spinal cord injury and stroke patients. A virtual environment setup was implemented to increase patient's motivation and provide biofeedback, consisting of visual, acoustic and haptic modalities. Based on the knee and hip angles Read More...

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