Exoskeleton gait training system is an innovative medical device for locomotion-impaired patients who are suffered from Stroke, SCI, TBI, Multiple Sclerosis, Cerebral Palsy and other diseases related to the neuro rehabilitation. When one region of brain associated with walking is damaged, people may lose their way of walking. Fortunately, it is possible to restore lost walking memories through rehabilitation. This is called ‘neuroplasticity’. The goal of rehabilitation is to maximize patients’ neuroplasticity and walk again. The robotic gait training provides repeated practice, intensive training, and task-specific training which are often referred to as the best way to encourage neuroplasticity.
The Application of Exoskeleton gait training system
Exoskeleton gait training system were found to have excellent efficiency in locomotor recovery in the diseases related to the neuro rehabilitation, such as stroke, especially when combined with conventional physical therapy rather than conventional therapy alone.
Compared to the conventional therapy, the robotic gait training system, generally, provides, in 1 training session, at least 1000 steps which is 10 times more than conventional therapy. Also, the robot system requires 1 therapist whereas conventional therapy need more than 1 therapist. Lastly, patients’ training pattern is reproducible with robot system, so patients can learn the gait with correct way. On the other hand, the result of conventional therapy is dependent on therapist’s personal skills.
There is increasing evidence that repeated practice, intensive training and task specific exercises result in better gait rehabilitation. The Exoskeleton gait training system is one of the best way to enable these three and encourage of neuroplasticity.
Types of the Walking Device
There are at least three types of Exoskeleton gait training system. The first one is the device for re-walking for perfection. This walking device is a kind of rehabilitation medical device that is robot-assisted gait training system for locomotion-impaired patients. This device is applicable for people who suffer from stroke, spinal cord injury or SCI, brain tumors, multiple sclerosis, cerebral palsy, and many more. This walking will also provide a natural and accurate gait pattern for an individual by using hip or knee or ankle joint drive motor. That way, it will give fast recovery after the training. This walking device is designed as a device with interactive, functional, strengthening, motivating, natural, and cost-effective locomotor system features. It is designed for adults with neurological or musculoskeletal impairments who want to perfect their walk.
The second type of Exoskeleton gait training system is the device for children’s treatment. This walking device is designed purposely for children whose height from 86cm to 148cm of young patients. Different from the adult, the stiffness and the resistance in the children case are much harder in most cases. Some of the children do not even have experience of walking after birth which is why the efficacy of the treatment is much lower in spite of longer training time. In order to get better results, this second type of walking device was developed with the ankle drive motor in order to give gait balance and correct pattern. This walking device also provides relevant clinical information that is related to locomotion. The information includes data in stiffness that is associated with spasticity or joint contracture, spatiotemporal data, hip, knee, ankle kinematics, and kinetic force data during locomotion training. In addition, the playground is designed as per children’s eye level to minimize the difficulties and unfamiliarity of when they first use the equipment. Not only that but the age-appropriate augmented reality program is integrated into the system to maximize the interactive participation and motivation for the children.
The third type of Exoskeleton gait training system is the device for the gait training system. This walking device is a kind of robot-assisted gait training rehabilitation system which is compatible for adults and pediatric patients with neurological or musculoskeletal impairments. The dual robot orthoses are compatible with the adult and pediatric and also with various optional that helps locomotor training to maximize the training effect.
The Benefits of Using the Walking Device
There are many benefits or advantages which you can get by using the Exoskeleton gait training system. The first advantage is that this walking device is superior. Meaning, this walking device provides an accurate and superlative therapeutic effect on locomotor retraining. This walking device can also apply accurate gait mechanism based on a kinematic study, generate the most natural gait pattern, and prevent foot drop & toe dragging.
The second benefit of using the Exoskeleton gait training system is that this walking device is natural. Meaning, this device is engineered to provide the most natural kinematic and kinetic and also energy efficient gait patterns. Those can help clients who suffer from an acute and severe stroke, spinal cord injury, and also gait impairments to reestablish the optimal and automatic locomotor pattern and to accelerate faster recovery during the rehabilitation phase.
The third benefit of using the Exoskeleton gait training system is that this walking device is interactive. It means that this device can provide an intelligent interactive mode that can automatically accommodate spasticity or associated stiffness, the assistance & resistance forces, walking speed, and knee, hip, as well as ankle joint kinetics to maximize an automatic locomotor relearning retention, plus a full recovery. The therapeutic speed is automatically adjusted to fit the patient’s muscle power. The treadmill, robot, and patients can be mutually interactive through sensing the condition of the patient. When the patient reaches the targeted power, the therapeutic speed of the treadmill will go up by 0.1 km/h to fit the patient’s condition. Meanwhile, if the patient feels the resistance during the training, the therapeutic speed will fall down.
The fourth benefit of using the Exoskeleton gait training system is that this walking device is functional. Meaning, this device provides a variety of functional rehabilitation exercises which are associated with walking such as kicking balls, playing the game, and many more. These will help to optimize neuromotor control of locomotion in clients. Not only that but this walking device also provides various training mode to focus on the patient’s body condition. The fifth benefit of using this walking device is that this device is economical. Meaning, this device provides a cost-effective return in the long-run.
The last benefit of using the Exoskeleton gait training system is that this device can give motivation to the clients. This walking device is equipped with 3D reality exploration, side-scrolling game, and virtual environment exploration. By providing fun and exciting and customized 3D augmented reality exercise games, this walking device will help the clients so that they will not think the gait training as the form of therapy. Rather, the clients will enjoy walking in an interactive and ecologically natural or virtual environment as they use the walking device.
The Target of the Exoskeleton gait training system
This exoskeleton gait training system is designed purposely for people who are having gait disturbance due to joint or muscular force problem, to provide a walking experience for paraplegic patients, and to provide recovery exercises for stroke and spinal cord injury. Not only that but this walking device is usually needed in university hospitals, general hospitals, rehabilitation hospitals, geriatric hospitals, industrial accident hospitals, and elderly welfare facilities.
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