Stroke Clinical Trial
Official title:
Usability of a New Overground Body Weight Support Rehabilitation Robot LEAP: A Monocentric Consideration-of-concept Trial
People with central nervous system disorders such as spinal cord injury, stroke, cerebral
palsy, Parkinson's disease, multiple sclerosis, etc… often have impaired lower extremity
function that limits activities of daily life and independence. Different body-weight support
systems have been developed to facilitate the rehabilitation process by compensating for the
user's residual abilities. However, studies on weight-supported gait training on a treadmill
have failed to show superiority over conventional rehabilitation programs for spinal cord
injury and stroke. A recent study by the group around Grégoire Courtine showed that
body-weight support systems that provide assistance only in the vertical direction disrupt
the production of gait and balance, suggesting that current practices may even be detrimental
for relearning to walk. For the past year, the Clinique Romande de Réadaptation (CRR) worked
together with the G-Lab at EPFL and G-Therapeutics on a new robot platform specifically
developed to provide adjustable trunk support along four independent degrees of freedom
(LEAP). The investigators were able to draw on their long-term experience, which consists of
different body weight support training systems for stroke and spinal cord injury. This
knowledge, combined with the input of our therapists and physicians and the specific
requirements for people with neurological/musculoskeletal disorders, has resulted in a design
that can provide adjustable bodyweight support during over-ground locomotion, treadmill,
stairs training, standing up and sitting down and for support during the training of
activities of daily living.
The scope of this study is to examine how well the robot can be used for rehabilitation
therapy in everyday clinical practice. This includes, among other things, technical aspects
such as the handling of the hardware, the adaptability of the robot to the patient, and the
safety during operation (such as the fall prevention). Various patient-specific aspects will
also be evaluated e.g. comfort, positioning, or motivation of the patient. This study also
aims to evaluate the software with the various support modes, operating options, and the user
interface of the LEAP.
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