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research article

A multidirectional gravity-assist algorithm that enhances locomotor control in patients with stroke or spinal cord injury

Mignardot, Jean-Baptiste
•
Le Goff, Camille G.
•
Van Den Brand, Rubia
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2017
Science Translational Medicine

Gait recovery after neurological disorders requires remastering the interplay between body mechanics and gravitational forces. Despite the importance of gravity-dependent gait interactions and active participation for promoting this learning, these essential components of gait rehabilitation have received comparatively little attention. To address these issues, we developed an adaptive algorithm that personalizes multidirectional forces applied to the trunk based on patient-specific motor deficits. Implementation of this algorithm in a robotic interface reestablished gait dynamics during highly participative locomotion within a large and safe environment. This multidirectional gravity-assist enabled natural walking in nonambulatory individuals with spinal cord injury or stroke and enhanced skilled locomotor control in the less-impaired subjects. A 1-hour training session with multidirectional gravity-assist improved locomotor performance tested without robotic assistance immediately after training, whereas walking the same distance on a treadmill did not ameliorate gait. These results highlight the importance of precise trunk support to deliver gait rehabilitation protocols and establish a practical framework to apply these concepts in clinical routine.

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Type
research article
DOI
10.1126/scitranslmed.aah3621
Web of Science ID

WOS:000405810400003

Author(s)
Mignardot, Jean-Baptiste
Le Goff, Camille G.
Van Den Brand, Rubia
Capogrosso, Marco  
Fumeaux, Nicolas
Vallery, Heike
Anil, Selin  
Lanini, Jessica  
Fodor, Isabelle
Eberle, Gregoire
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Date Issued

2017

Publisher

Amer Assoc Advancement Science

Published in
Science Translational Medicine
Volume

9

Issue

399

Article Number

eaah3621

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
NCCR-ROBOTICS  
BIOROB  
UPCOURTINE  
Available on Infoscience
September 5, 2017
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/140192
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