Changes in Center of Pressure after Robotic Exoskeleton Gait Training in Adults with Acquired Brain Injury.

Abstract

Acquired brain injury (ABI) resulting in hemiplegia, is one of the leading causes of gait and balance deficits in adults. Gait and balance deficits include reduced momentum for forward progression, reduced step length, increased spatial and temporal asymmetry, and decreased speed; resulting in reduced functional ambulation, activities of daily living, and quality of life. Wearable lower extremity robotic exoskeletons (REs) are becoming an effective method for gait neurorehabilitation in individuals with ABI. REs can provide high dose, consistent, goal-directed repetition of movements as well as balance & stability for individuals with ABI. The objective of this study is to understand the effect of RE gait training using center of pressure (COP) displacement, temporal & spatial parameters, and functional outcomes for individuals with ABI. The results from this investigation show improved anterior-posterior COP displacement & rate of progression, spatial symmetry, step length, walking speed, and decreased time during the gait cycle. These preliminary results suggest that high dose, repetitive gait training using robotic exoskeletons has the potential to induce recovery of function in adults diagnosed with ABI.